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ocessed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Check box for In-kind or Liquidation Transfer. Please list the Symbol or CUSIP for the Mutual Fund s) you wish to move. Unless otherwise Indicated, TO Ameritrade will transfer shares in-kind. This section pertains only to shares of Mutual Funds held

Infnrinatinn Sharing Agreement with !ha Fmpinynr for the above-captioned 403(b)(7) account. The Employer/Agent Signature above hereby authorizes TO Ameritrade Clearing. Inc. to accept this exchange. (Medallon Signature Guarantee - For TD Amer:Made Use Onty) Investment Products: Not FDIC Insured ' No Bank Guarantee

ocessed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Check box for In-kind or Liquidation Transfer. Please list the Symbol or CUSIP for the Mutual Fund s) you wish to move. Unless otherwise Indicated, TO Ameritrade will transfer shares in-kind. This section pertains only to shares of Mutual Funds held

de Use Only) X Representative Signature: Reptesentati.ie Printed Na-ne. Date: For TO Ameritrodo Clearing, Ina. use only Please be advised that TO Ameritrade Clearing. Inc. is an Approved 403(bX7) Vander' and/nr has antnran into an Information Sharing Agreement with tha Frnployer for the above-captioned 403(b)(7)

tial Transfer—List specific mutual funds In the lines given below Check box for In-kind or Liquidation Transfer. Please list the Symbol or CUSIP for the Mutual Fund s) you wish to move. Unless othenvise Indicated, TD Ameritrade will transfer shares in-kind. This section pertains only to shares of Mutual Funds held

ed. Signature: Representative Signature: Date: Representative Printed Name: For TD Ameritrade Clearing. Inc. use only Please be advised that TO Ameritrade Clearing. Inc. is an Approved 403(b)(7) Vendor andror has entered into an Information Sharing Agreement with the Employer for the above-captioned 403(b)(7) ac