Case File
efta-01268283DOJ Data Set 10OtherEFTA01268283
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01268283
Pages
4
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
ArruevE I:made
Mall or Fax to:
PO Box 2760 . Omaha, Na 68103-2760
Fox.
I
Account Transfer Form
Receiving Firm DTC Clearing Number:
188
Please use the Direct Registration System (ORS) Transfer Form TDA 100557 for transfer from a transfer agent.
Instructions: Attach a complete copy of your most recent statement, of the account you are ragas:rating the transfer from,
(dated within 90 days) in order for the transfer to be processed. Please submit the completed form to TO Ameritrade Attn:
TO Amerltrade, PO Box 2760, Omaha, NE 68103-2760 or fax to 866-468-6268. To submit the completed and signed form(s)
electronically through our secure Message Center, scan It, along with any other material you're sending. Then log in to your
account and go to Client Services > Massage Center to write us, and attach the scanned document(s) to your message.
"it you are requesting to transfer from your Qualified Retirement Plan, please contact your plan administrator; this form may not be required.
it you are transferring between two TO At:twittede accounts, please use the Internal transfer form. Please now you cannot use this form
to transfer from a standard checking account and tor savings account from a banklcredit union. For IRAs, and Beneficiary IRAs where the
original owner was 7054 years °raider at death, please attach a copy°, your and of year statement to enable us to calculate the required
Minimum &Unbutton for the account.
1. ACCOUNT INFORMATION.. ,
Your 1D Amodtrado Account
(The registration of the account being transferred should match your
TD Anteritrade account and the Tax ID for both the TO Amentrade
account end account being transferred.)
Account Number (Required).
(Only one per form)
Account Registra
SOUTHERN FINANCIAL LLC
Sods' Se
/Tax ID Number
SSRBT 5.cvnty7l3
ur
ID Numb.-
(Secondabt It appecebid
Account Typo (select one)
lanais/Wu& - (Non IRA)
RJoInt
Trust
OCorp/Business
K UCMAAJTMA
oEstate
OTraditionai or Rdlover IRA
El Roth IRA
Elgenoliciary IRA
O Beneficiary Roth IRA
El Qualified Plan (401k, 4038, POP etc.)
El SIMPLE IRA
El SEP IRA
I:Other.
2. PLEASE PROVIDE INFORMATION ABOUT THE
DELIVERING ACCOUNT
(As directed in Section 1 Doak regisvation and max WSW:NI
TO Amentrade account and account being transferred should match.)
Account Number (Required):
(Oivy one perform)
AecouMReolalreilonfrille:
SOUTHERN FINANCIAL LLC
sods sea-40,1as ID Maitre:
Soda? Secunty/Tax ID Number:
(Secondary. a apprcebie)
ContraiDolocnno Firm Name (Requirodb
DEUTSCHE BANK PRIVATE WEALTH MANAGMENT
ContneDaliverino Firm Addeo:sr
345 PARK AVE 26TH FLOOR NY,NY10154
C,.
gmaYrdt.
ConttoDalinuing rem Cmail:
Account Typo (select ono)
O
lndrvidual — (Non IRA)
0JOIN
EITrisat
EIC0NYBUSIneSS
OUGMNUTMA
ElEstate
K Traditional or Rollover IRA
O Roth IRA
O Beneficiary IRA
O Beneficiary Roth IRA
El Qualified Plan (4osc. 4030. r0I1
K SIMPLE IRA
El SEP IRA
ElOlher
If the registrations do not match, you may either establish a new account online at www.tdameritrade.com or you must supply additional
documentation and all delivering aeorount owners mulct sign coction 4. For unlike etielregletratIon transfer; pleas* call the transfer department
at 888-723-8504, option 4 for additional requirements. *Please note it there are any issues with processing your transfer, we will communicate
that to you via your secure message center when you log In to your account.
lull 1111 I I IfII III
Peplc13
TDA 190 F Oarte
CONFIDENTIAL
SDNY_GM_00012159
EFTA_00 122810
EFTA01268283
(Page 2
of
4)
r °Amens/ids Pica #
A.
BROKERAGE FIRM TRANSFER (Unless otherwise indicated, TD &mikado mil transfer in Full)
OFuti Transfer—Tn transfer entire arra mt. r.herk here and skip to SactInn 4
[Werth, Transfer—UM specific security and/or cash amount below. If bonds are being transferred, please supply the CUSP
Only whole shares can be requested as fractional shares cannot be transferred. Please contact the delivering firm regarding your options.
Asset Description (CUSIP or syrignY)
(Poetise Transfer> Only)
Quantity
(Indoors et:Inhale shares
orALL7
Asset Description (CUSIP or symbol)
rectal Transfers Orly)
Quantity
(Wale a *Arno., enema
orALL7
1. 04621XAK4
2,000,000
3. 30162RAA9
3,000,000
2. 172967JZ6
3,000,000
6. 361860208
80,000
3. 172967341
79.000
7. A29866A85
2.000.000
4. 17453BAW1
1,000,000
8. 46625HHA1
5,760,000
B.
BANKfCREDIT UNION & ANNUITY TRANSFER
Transfer cash only. Unless otherwise Indicated, all cash will be transferred. Banks, Annuity, and Trust Companies require Original
Client Signature. Please mall the Original form to complete the transfer request.
IRA Savings Accounts—Typically held with Bank/Credit Union.
OTotal Transfer (Transfer entire account)
OPartia I Transfer (Transfer pert of account) Portion to transfer
O Wire
(fees may apply)
O Check
Certificates of Deposit (CDs).
['Redeem my CD immediately.
I am aware of, and acknowledge, that lam responsible for any penalties that I may incur from any early withdrawal.
ORedeem my CD at maturity. Maturity Date:
Submit request at least 21 days prior to maturity. Please advise your bank not to roll over your CO to a new term.
Indicoto In II713 section whether you wish to liquidate the CD immediately or at Tottnity. For any investment inatniMents that have a renewal
deadline, maturity date, surrender charge period/window etc., paperwork must be received by TO Ameritrade in good order three weeks
prior to the firm deadline to allow /or proper processing times. To liquidate a CO held in a non-refirement account, confect the bank a
credit union at which the assets are being held.
Annuity Transfer
OTransfer my Annuity
O Fut/ O Partial $
•
O Wire
I have an annuity policy that I wish to transfer. Please redeem and terminate on my behalf.
K (lees may apply)
am aware of, and acknowledge, that am responsible for any penalties that I may incur from
n Check
any early withdrawal.
Select only one: Liquidate annuity in full or partial liquidation. If partial is selected, amount for partial must be included.
TO Arnerltrade Is not responsible for the liming or execution of liquidations processed by the delivering firm.
C.
MUTUAL FUND COMPANY TRANSFER
Check box for In-ItInd or Liquidation Transfer. Please list the Symbol or CUSP for the Mutual Fund(s) you wish to move.
Unless otherwise indicated. TO Ameritrade will transfer shares in-kind. This section pertains only to shares of Mutual Funds held directly
with the fund company, for brokerage accounts containing Mutual Funds and/or Stocks please complete the Brokerage Firm Transfer section
(Section 3A. above).
'Proprietary Mutual Funds and all no.load Money Market funds cannot be transferred in•Idnd and must be liquidated.
Fund Name or Symbol
Mutual Fund Account #
Quantity
(Indicate a of shares a AU?
Handling
(Check one)
Gains & Dividends
(Check one rf halms)
aln•Kind
Liquidate
aReinveal
Cash
In-land
Liquidate
OReirnest
O Cash
Oln•Kind
OLiquidate
pReiment
LICash
'If you are transferring more funds than will 6f above, please include an attached list for the complete list of funds
'A statement MUST bo included to ensure proper handling and processing of your Mutual Fund transfer
Unless otherwise Indicated, I authonle the Transferor to liquidate anynon-trans:orate proprietary money market
and mutual fund assets that are parf of my account and to transfer the resulting credit balance to my armint with
TO Arnenesda.11 the fund is unable to be hell by TO Amcwitrade, I (please initial hero)
authorize the Transferor
10 liquidate and transfer as cash.
Page20(3
❑wire
(fees may taPPlY)
O Cheek
TOA *OF 03718
CONFIDENTIAL
SDNY_GM_00012160
EFTA_00122811
EFTA01268284
(Page 3
of
4)
TO Amman:de Ama
If this TO
a acco
Alone
if this TO Am trade account is an Individual Retirement Account (IRA),
I have
led an IRA plaint so that It names the successor custodian.
X
9icl Signahre:
X
0s-OirmitTSifte:
z
X
CceOrmer's 3
1u
X
Co-Owner's Saner...Fe.
7/075/xer
Date
Dale
Registration Difference
For uniam titled or typo trariefers, such at Individual to Joint. I authorize the transfer from
account to
NI parties on the delivering account must sign below. All TO Amentrade parties must sign Si section 6 Icr transfer authorization.
SOCOunt.
Count Sennett
Mit
X
Chant Signature.
X
Chau &annum:
5. ONE AND THE SAME LETTER (IFIIPPLICABLE)
Dar.
If you we transferring an account. and the name(s) at TD Amerittade do not exactly match but are dB one arid the same person, please cornplete
this section. This section should be utilized if your name has changed due to one or more of the following. Moulage. (Divorce, Name Spelling CrTor.
or any type of Name Change including Jr., Sr, etc. If last name difference, must supply legal documentation that is, state Issued drives license.
patsprirt, nr grivernment ID (Pkiace T.perity arrant types, sort ac Individual In. hint)
(please print name), am One and the Same as
(please print name) as shown on the delivering firm account. (Please specify account types, such as Individual to Jo/nd
Please sign name BOTH ways.
dArr Signatia:
6. TD AMERI (RADE, CLIENTADTHORIZATION (REQUIRED)- X
SIgnallet
All TD Ameritrade account holders (clients or trustees) as Indicated by the account registration must sign this section.
Unless otherwise indicated in the Instructions above, please transfer, Irk kind. an assets into my account with TD Amentrade. I understand that
the extent any assets in my account are not readily transferable, with or without any penalties, such assets may not bo transferred within the time
frames required by applicable regulations. I understand I will be contacted by the carrying and/or receiving firm with regard to any assets that are not
transferable. I authorize the Transferor to deduct any outstanding fees due to transfer from the credit balance, or W the credit balance in the account
is Insufficient to satisfy any outstanding feet II certificate, or other instrument, in my account are in your physical possession, I Instruct Transferor to
transfer them in good deliverable form, Including affixing any necessary tax waivers, to enable the successor custodian to transfer them In Its name
for the purpose of sale. when and as directed by me. I understand that upon retaking a copy of this transfer instruction, for a full account transfer.
Transferor wil freeze my account and cancel all open orders. I also understand that no new orders mayAvill be taken. I affirm that I have destroyed or
returned to the TIa fWQ, aedittdebit cards anWor unused checks issued to me In connection with my account.
t Is a qualified retirement account. I have amended the applicable plan to designate tho successor custodian.
(fitodolien Signature Guarantor/ - For TO Arrentraie Use Only)
The end- signed organizati' agrees to serve as successor custodian for the account of the above-named inenridual, and as custodian, we agree to
accent I
assets being Ira -erred
X
Ftercelatin Signaler
Representative PitntedNarnir
For TO Ameritrade Cl of
ring.
Please be advised tha TO
1172.5/2o/
. use only
°Tilted° Clearing, Inc. Is an 'Approved 403(b)(7)
Vendor' and/or has enterEd into an Information Sharing Agreement with the Employer
for the abovecaplioned 403(b)(7) account. The Employer/Agent Signature above
hereby authorizes TD Ameritrade Clearing. Inc. to accept this exchange.
(Medalbon Signature Guarantee- For TDPmeltrate Use Only)
Investment Products: Not FDIC Insured ' No Bank Guarantee ' May Lose Value
To Ameritrade. Inc. and TO Ameritrade Clearing. Inc.. members FINRA/SIPC TO Amergrade is a trademark jointly owned by
TO Amentrade IP Company, Inc. and The Toronto-Dominion Bar*. 0 2018 TO Ametitrade.
Page Sof 3
TDA TOO F 03/11
CONFIDENTIAL
SDNY_GM_00012161
EFTA_00 122812
EFTA01268285
(Page 4
of
4)
Page 1
From:
To:
Subject
Attachments:
From Address:
"KOFAX PROD PROCESS" <
Mon, 25 Feb 2019 18:32:2 -0..00
ACAT transfer from DB revised //- messagelD=103747981 //- caselD=58160354
Attachment_20196564.zip, Attachment_20196565.zip
Message ID: 103747981
Case ID:
58160354
Form Message
FULL NAME: Richard Kahn
ACCOUNT TITLE: SOUTHERN FINANCIAL LLC
USERID: 867730320z
ACCOUNT NUMBER:
User-Agent: Mozillad5.0 (Macintosh; Intel Mac OS X 10.13; rv:65.0) Gecko/20100101 Firefox/65.0
ENVIRONMENT: invcstameritradecom
Attached arc revised forms with signature on correct line #6. Thank you
[ Attachment 1 Type: applicattonipdf Name: TD_Bank_ACAT_transfer_from_DB_2-25-2019_1_of 2.pcla
[ Attachment 2 Type: application/11dt' Name: TD_Bank_ACAT_transfer_from_DB_2•25.2019 2_of 2.pdfl
CONFIDENTIAL
SDNY_GM_00012162
EFTA [X1122813
EFTA01268286
Technical Artifacts (24)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Domain
www.tdameritrade.comPhone
2967341Phone
3747981Phone
8160354Phone
866-468-6268Phone
888-723-8504SWIFT/BIC
DEUTSCHESWIFT/BIC
ENVIRONMENTSWIFT/BIC
INFORMATIONSWIFT/BIC
SOUTHERNWire Ref
TRANSFER
TransferWire Ref
Transfer
OTransferWire Ref
Transfer entireWire Ref
Transfer sectionWire Ref
refirementWire Ref
transfer
UnlessWire Ref
transfer authorizationWire Ref
transfer departmentWire Ref
transfer entireWire Ref
transfer instructionWire Ref
transfer requestWire Ref
transfer sharesRelated Documents (6)
DOJ Data Set 10CorrespondenceUnknown
EFTA Document EFTA01765224
0p
DOJ Data Set 11OtherUnknown
EFTA02328489
1p
DOJ Data Set 10CorrespondenceUnknown
EFTA Document EFTA02125460
0p
DOJ Data Set 9OtherUnknown
From: "Jeffrey E." <[email protected]>
4p
DOJ Data Set 11OtherUnknown
EFTA02489202
1p
DOJ Data Set 10OtherUnknown
EFTA02086739
1p
Forum Discussions
This document was digitized, indexed, and cross-referenced with 1,400+ persons in the Epstein files. 100% free, ad-free, and independent.
Annotations powered by Hypothesis. Select any text on this page to annotate or highlight it.