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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
racter 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 Rollover) BI—(Beneficiary) BR-- (Beneficiary Roth IRA) 4K-(401k) EI—(Education Savings A
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
racter 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 Rollover) BI—(Beneficiary) BR-- (Beneficiary Roth IRA) 4K-(401k) EI—(Education Savings A
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
racter 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 Rollover) BI—(Beneficiary) BR-- (Beneficiary Roth IRA) 4K-(401k) EI—(Education Savings A
Entities connected to both JT—(Joint and BC—(Bank Custody
Pershing
LOCATIONPartial Transfer
ORGANIZATIONNYSE Rule 412
ORGANIZATIONJERSEY CITY
LOCATIOND. BANK
ORGANIZATIONSECTION IV
ORGANIZATIONu Pershing LLC
ORGANIZATIONB. DRS
ORGANIZATIONthe Delivering Firm Named Above
ORGANIZATION