and as custodian, we agree to accept the assets being transferred. Signature: Representative Signature: Date: Representative Printed Name: For TD Ameritrade Clearing. Inc. use only Please be advised that TO Ameritrade Clearing. Inc. is an Approved 403(b)(7) Vendor andror has entered into an Information Sharing Agreeme

as custodian, we agree to accept the assets being transferred. X Signature: X Representative Signature: Representative Printed Name: Date: For TD Ameritrade Clearing. Inc. use only Please be advised that TO Ameritrade Clearing, Inc. is an "Approved 403(b)(7) Vendor and/or has entered into an Information Sharing Agreem