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y irrevocably designate this contribution in funds or other property as a transfer or rollover EFTA01464628 contribution. TO THE PRIOR TRUSTEE: u Pershing LLC accepts appointment as successor custodian. u Please be advised that (Insert Firm Name) SUCCESSOR CUSTODIAN'S SIGNATURE: VI. PARTICIPANT SIGNATUR
RITY NUMBER SECONDARY SOCIAL SECURITY NUMBER: ACCOUNT TYPE: (Enter the two character code) Non retirement: Retirement: Other: CO SN-(Single) JT—(Joint) TR—(Trust) CT—(Cotrustee) CO—(Corporate) CU-- (Custodian) ES—(Estate) BC—(Bank Custody) AG—(Agency) IR—(Traditional IRA) RI—(Roth IRA) DR—(Direct
result. I hereby irrevocably designate this contribution in funds or other property as a transfer or rollover contribution. TO THE PRIOR TRUSTEE: u Pershing LLC accepts appointment as successor custodian. u Please be advised that EFTA01464637 (Insert Firm Name) SUCCESSOR CUSTODIAN'S SIGNATURE: VI. PARTI
RITY NUMBER SECONDARY SOCIAL SECURITY NUMBER: ACCOUNT TYPE: (Enter the two character code) Non retirement: Retirement: Other: CO SN-(Single) JT—(Joint) TR—(Trust) CT—(Cotrustee) CO—(Corporate) CU-- (Custodian) ES—(Estate) BC—(Bank Custody) AG—(Agency) IR—(Traditional IRA) RI—(Roth IRA) DR—(Direct
result. I hereby irrevocably designate this contribution in funds or other property as a transfer or rollover contribution. TO THE PRIOR TRUSTEE: u Pershing LLC accepts appointment as successor custodian. u Please be advised that (Insert Firm Name) SUCCESSOR CUSTODIAN'S SIGNATURE: VI. PARTICIPANT SIGNATUR
RITY NUMBER SECONDARY SOCIAL SECURITY NUMBER: ACCOUNT TYPE: (Enter the two character code) Non retirement: Retirement: Other: CO SN-(Single) JT—(Joint) TR—(Trust) CT—(Cotrustee) CO—(Corporate) CU-- (Custodian) ES—(Estate) BC—(Bank Custody) AG—(Agency) IR—(Traditional IRA) RI—(Roth IRA) DR—(Direct
Entities connected to both u Pershing LLC and JT—(Joint
Pershing
LOCATIONPartial Transfer
ORGANIZATIONNYSE Rule 412
ORGANIZATIONJERSEY CITY
LOCATIOND. BANK
ORGANIZATIONSECTION IV
ORGANIZATIONBC—(Bank Custody
ORGANIZATIONB. DRS
ORGANIZATIONthe Delivering Firm Named Above
ORGANIZATION