pt appointment as successor custodian (Insert Fern Name) SUCCESSOR CUSTODIAN'S SIGNATURE: DATE: VI. PARTICIPANT SIGNATURE AND CERTIFICATION To the Delivering Firm Named Above: II this account is a qualified retirement account. I have amended the applicable plan SO that it naves as SuCCeSSOI Custodian the trustee listed above.

pt appointment as successor custodian (Insert Fern Name) SUCCESSOR CUSTODIAN'S SIGNATURE: DATE: VI. PARTICIPANT SIGNATURE AND CERTIFICATION To the Delivering Firm Named Above: II this account is a qualified retirement account. I have amended the applicable plan SO that it naves as SuCCeSSOI Custodian the trustee listed above.

pt appointment as successor custodian (Insert Fern Name) SUCCESSOR CUSTODIAN'S SIGNATURE: DATE: VI. PARTICIPANT SIGNATURE AND CERTIFICATION To the Delivering Firm Named Above: II this account is a qualified retirement account. I have amended the applicable plan SO that it naves as SuCCeSSOI Custodian the trustee listed above.

pt appointment as successor custodian (Insert Fern Name) SUCCESSOR CUSTODIAN'S SIGNATURE: DATE: VI. PARTICIPANT SIGNATURE AND CERTIFICATION To the Delivering Firm Named Above: II this account is a qualified retirement account. I have amended the applicable plan SO that it naves as SuCCeSSOI Custodian the trustee listed above.