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Ian for the account of the above-named individual, and as custodian, we agree to accept the assets being transferred. Dale./ Date: Dale: Uate: (Medallion Signature Guarantee — For TD Amentrade Use Only) X Representative Signature: Reptesentati.ie Printed Na-ne. Date: For TO Ameritrodo Clearing, Ina. use only Please be
med individual, and as custodian, we agree to accept the assets being transferred. Dale./ Date: Dale: Uate: (Medallion Signature Guarantee — For TD Amentrade Use Only) X Representative Signature: Reptesentati.ie Printed Na-ne. Date: For TO Ameritrodo Clearing, Ina. use only Please be advised that TO Am
That it names the successor custodian. et.ni Slenaiwt X co-omieff 71.islekit Dale X Co-Owners SIgiial Lr X Co.Owners Signature: Dam: Date: (Medallion Signature Guarantee — For TO Ameritrade Use Only) The can, ned organiza • agrees to serve as successor custodian for the account of the above-named individual, and as
y early withdrawal. Select only one: Liquidate annuity in full or partial liquidation. If partial is selected, amount for partial must be included. TD Amentrade Is not responsible for the timing or execution of liquidations processed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Check box for In-
for the account of the above-named individual, and as custodian, we agree to accept the assets being transferred. DaeN5 PO/I Date: Date: Dare: (Medallion Signature Guarantee — For TD Artientrade Use Only) X Representative Signalise: Representative Printed Name: Date: For TD Ameritrade Clearing, Inc. use only Please b
ransfers, such as Individual to Joint, I authorize the transfer from account to account. Al parties on the delivering account must sign below. All TD Amentrade parties must sign in section 6 for transfer authorization. X Client Signalise: )( Client Signature: X Client Signature: 5. ONE AND THE SAME LETT
Entities connected to both Medallion Signature Guarantee and TD Amentrade

Omaha
LOCATION
TD Ameritrade
ORGANIZATIONThe Toronto-Dominion Bank
ORGANIZATIONTrust Companies
ORGANIZATIONNo Bank Guarantee '
ORGANIZATIONthe Tax ID
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONIndividual to Joint
ORGANIZATIONLiquidation Transfer
ORGANIZATIONTD Ameritrade, Inc.
ORGANIZATIONTD AMERITRADE CLIENT
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONSocial Security/Tax
ORGANIZATIONClearing, Inc.
ORGANIZATIONthe Mutual Fund s
ORGANIZATIONBank/Credit Union
ORGANIZATIONORedeem
PERSONEl Roth
ORGANIZATIONPartial S
ORGANIZATIONAmeritrade IP Company, Inc.
ORGANIZATION