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Y_Gtge06801,368 EFTA 00/22804 EFTA01268280 To ornerier:ale OW U 867.730320 Registration Difference For unlike tilled or typo transfers, such as Individual to Joint, I authorize the transfer from account to All parties on the dekvering account must sign below All TD Ameritrade parties must sign In section 6 for
icable) Account Type (select one) Eilndividi pal — (Non IRA) IDJoint EI Trust ECorp/Business Ducwvvrtm DEstate O Traditional or Rollover IRA El Roth IRA OBeneficiary IRA o Beneficiary Roth IRA LI Qualified Nan (401k, 4038, PER ate.) El SIMPLE IRA K 3EP IRA EI Other: 2. PLEASE PROVIDE INFORM
z X CceOrmer's 3 1u X Co-Owner's Saner...Fe. 7/075/xer Date: Date Dale Registration Difference For uniam titled or typo trariefers, such at Individual to Joint. I authorize the transfer from account to NI parties on the delivering account must sign below. All TO Amentrade parties must sign Si section 6 Icr
bt It appecebid Account Typo (select one) lanais/Wu& - (Non IRA) RJoInt Trust OCorp/Business K UCMAAJTMA oEstate OTraditionai or Rdlover IRA El Roth IRA Elgenoliciary IRA O Beneficiary Roth IRA El Qualified Plan (401k, 4038, POP etc.) El SIMPLE IRA El SEP IRA I:Other. 2. PLEASE PROVIDE INFO
ck Fage2ot 3 70A 190 F 03118 EFTA01268462 TO Ameritrade Acct 0 867-730320 Registration Difference For unlike tilled or type transfers, such as Individual to Joint, I authorize the transfer from account to All parties on the delivering account must sign below. All TD Ameritrade parties must sign In section 6 f
ondary if applicable) Account Type (select one) Individual — (Non IRA) OTruSt OCOrp/SUSIneSS D0GMAUM% ElEstate El Traditional or Rollover IRA El Roth IRA K Beneficiary IRA K Beneficiary Roth IRA K Qualified Plan (401k. 4038, PSP. etc.) K SIMPLE IRA K SEP IRA DOther: 2. PLEASE PROVIDE INFORMA
Entities connected to both Individual to Joint and El Roth

Omaha
LOCATION
TD Ameritrade
ORGANIZATIONTrust Companies
ORGANIZATIONthe Tax ID
ORGANIZATIONThe Toronto-Dominion Bank
ORGANIZATIONLiquidation Transfer
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONORedeem
PERSONNo Bank Guarantee '
ORGANIZATIONMedallion Signature Guarantee
ORGANIZATIONSocial Security/Tax
ORGANIZATIONTD Amentrade
PERSONBank/Credit Union
ORGANIZATIONthe Mutual Fund s
ORGANIZATIONIntel Mac OS
ORGANIZATIONB. BANK/CREDIT UNION & ANNUITY
ORGANIZATION