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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
KIND u LIQUIDATE ALL ASSETS LISTED brokerage accounts) u TRANSFER ALL ASSETS IN KIND WHICH REQUIRE LIQUIDATION u PARTIAL (Complete Section IV) B. DRS/DRIP u FULL (Check one below) u SELL FRACTIONS AND CLOSE ACCOUNT u TRANSFER ALL FULL SHARES ONLY u PARTIAL (List assets in Section IV) NOTE: For
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
KIND u LIQUIDATE ALL ASSETS LISTED brokerage accounts) u TRANSFER ALL ASSETS IN KIND WHICH REQUIRE LIQUIDATION u PARTIAL (Complete Section IV) B. DRS/DRIP u FULL (Check one below) u SELL FRACTIONS AND CLOSE ACCOUNT u TRANSFER ALL FULL SHARES ONLY u PARTIAL (List assets in Section IV) NOTE: For
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
KIND u LIQUIDATE ALL ASSETS LISTED brokerage accounts) u TRANSFER ALL ASSETS IN KIND WHICH REQUIRE LIQUIDATION u PARTIAL (Complete Section IV) B. DRS/DRIP u FULL (Check one below) u SELL FRACTIONS AND CLOSE ACCOUNT u TRANSFER ALL FULL SHARES ONLY u PARTIAL (List assets in Section IV) NOTE: For
Entities connected to both u Pershing LLC and B. DRS
Pershing
LOCATIONPartial Transfer
ORGANIZATIONNYSE Rule 412
ORGANIZATIONJERSEY CITY
LOCATIOND. BANK
ORGANIZATIONSECTION IV
ORGANIZATIONJT—(Joint
ORGANIZATIONBC—(Bank Custody
ORGANIZATIONthe Delivering Firm Named Above
ORGANIZATION