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(Page 1 of 4 ) TO Ameritrade Mail or Fax tot PO Box 2760 . Omaha, NE 68103-2760 Far 866-4684268 Account Transfer Form Receiving Firm DTC Clearing Number: instructions: Attach a complete copy of your most recent
deem and terminate on my behalf I am aware of, and acknowledge, that lam responsible for any penalties that I may incur from any early withdrawal. K Transfer my Annuity K Full K Partial $ I have an annuity policy that I wish to transfer. Please redeem and terminate on my behalf. I ant aware of, and ackn
1D Ameritrade Mail or Fax to: PO Box 2760 • Omaha, NE 68103-2760 Fax: 866-468-6268 Account Transfer Form Receiving Firm DTC Clearing Number: Stlea Instructions: Attach a complete copy of your mos
account statement dated within 90 days. 'Note: All shares MUST be held in Book-Entry form at the Transfer Agent, prior to initiating the transfer: K Transfer all of my WHOLE shares to my TO Ameritrade account and liquidate any fractional shares. understand the cash proceeds of any liquidation will be mail
TO Ameritrade Mail or Fax to: PO Box 2760 . Omaha, NE 68103-2760 Far 866-4684268 Account Transfer Form Receiving Firm DTC Clearing Number: 0188 Instructions: Attach a complete copy of your most
ds of any liquidation will be mailed directly to the address on file for my account This option will leave your account open at the Transfer Agent. K Transfer all of my WHOLE shares to my TO Ameritrade account and liquidate any fractional shares. I understand the cash proceeds of any fiquidation will be ma
Entities connected to both Omaha and K Transfer

TD Ameritrade
ORGANIZATIONThe Toronto-Dominion Bank
ORGANIZATIONTrust Companies
ORGANIZATION
Columbia University
LOCATIONthe Tax ID
ORGANIZATIONLiquidation Transfer
ORGANIZATIONAmentrade
PERSON
Bogota
LOCATION
JPMorgan Chase
ORGANIZATIONBank/Credit Union
ORGANIZATIONthe Mutual Fund s
ORGANIZATIONPartial Transfers
ORGANIZATIONBrokerage Firms
ORGANIZATION
Bahamas
LOCATIONBanks, Insurance/Annuity
ORGANIZATION
Panama
LOCATIONAmeritrade Attn
ORGANIZATIONAmeritrado Account
PERSONK Partial Transfer (Transfer
ORGANIZATIONEGIST
ORGANIZATION