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red X Ftercelatin Signaler Representative PitntedNarnir For TO Ameritrade Cl of ring. Please be advised tha TO 1172.5/2o/ . use only °Tilted° Clearing, Inc. Is an 'Approved 403(b)(7) Vendor' and/or has enterEd into an Information Sharing Agreement with the Employer for the abovecaplioned 403(b)(7) accou
our 1D Amodtrado Account (The registration of the account being transferred should match your TD Anteritrade account and the Tax ID for both the TO Amentrade account end account being transferred.) Account Number (Required). (Only one per form) Account Registra SOUTHERN FINANCIAL LLC Sods' Se /Tax I
resen alive Signature'. Representative RIAtettlarnir_.---' Date: -7.5- 209 For TD Ameritrade Caring, use only Please be advised t t TD eritrade Clearing, Inc. is an Approved 403(b)(7) Vendor' andlor has into an Information Sharing Agreement with the Employer for the above-captioned 403(b)(7) account. The
able proprietary money market and mutual fund assets that are part of my account and to transfer the resulting credit balance to my account with TO Amentrade. If the fund is unable to be held by TO Ameritrade. I (please initial here) authorize the Transferor fo liquidate and transfer as cash. C 0 E N T
resen alive Signature'. Representative RIAtettlarnir_.---' Date: -7.5- 209 For TD Ameritrade Caring, use only Please be advised t t TD eritrade Clearing, Inc. is an Approved 403(b)(7) Vendor' andlor has into an Information Sharing Agreement with the Employer for the above-captioned 403(b)(7) account. The
er Porn your Qualified Retirement Plan, please contact your plen administrator; this form may not be required. If you are transferdng between two TO Amentrade accounts, please use the Internal transfer form. Please note you cannot use this form fo transfer from a standard checking account and/or savings ac
Entities connected to both Clearing, Inc. and Amentrade

Omaha
LOCATIONTrust Companies
ORGANIZATIONthe Tax ID
ORGANIZATION
TD Ameritrade
ORGANIZATIONIndividual to Joint
ORGANIZATIONThe Toronto-Dominion Bank
ORGANIZATIONLiquidation Transfer
ORGANIZATIONORedeem
PERSONAmeritrade
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONTD Ameritrade IP Company, Inc.
ORGANIZATIONTD Ameritrade, Inc.
ORGANIZATIONNo Bank Guarantee '
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONB. BANK/CREDIT UNION
ORGANIZATIONK SEP IRA
ORGANIZATIONAmeritrado Attn
PERSONAmcritrade Acct
ORGANIZATIONAmeritrodo
ORGANIZATIONMedallion Signature Guarantee - For TO
ORGANIZATION