: 345 Park Ave, 26th Floor, NY, NY 10154 Account Type (select one) O lndividual - (Non IRA) OTrust 0Corp/BusIness DOGMA/IRMA O 403B ['Other: OSIMPLE IRA OSEP IRA ElTraditionai or Rollover IRA ['Roth IRA ['Beneficiary IRA ElBenelidary Roth IRA ['Estate ['Qualified Plan ("See above) If the r

OUGMAILIIMA OEState O Traditional or Rollover IRA O Roth IRA O Beneficiary IRA K Benefclary Roth IRA O Qualified Plan (401k, 4038, PSP, etc.) OSIMPLE IRA O SEP IRA 00ther If the registrations do not match, you may either establish a new account online at www.tdameritrade.com or you must supply a

['Estate O 0ther El Traditional or Rollover IRA El Roth IRA O Beneficiary IRA O Beneficiary Roth IRA K Qualified Plan (401k, 403B, PSP, etc.) OSIMPLE IRA O SEP IRA If the registrations do not match, you may either establish a new account online at www.tdameritrade.com or you must supply additiona