EFTA Document EFTA01268290

(Page 1 oI li Anteritrade . • . Mail or Fax to: PO Box 2760 • Omaha. NE 68103-2260 Fax 866-468-6268 Transfer Out - Depository Trust and Gift or Outbound partial transfer to another financial institution. 1 ACCOUNT INFORMATION niimaiswirwma 1r . raw so-aittrals77,ii rt= •1 - Fa all Man Vie dale at gilt is the dale tie Inns* la coicipleceo II a clksittablit seatributica ditty that it Is bona fide. TD Mtwara& Clearing. Inc. may release my name to the receiving charitable Shea unless 1 indicate otherwise by Initialing here t . • ' • . , . tt let=t1 00.000frainst OnektetleS Th itintit:IMel erieSec: Vattetiertg aticienteSen aim Puritient to provisions a the USA Patriot AN of 2001.1D Arnweracte 'needs apticalc Ifflormabon from our obelus repaying certain transactions. Including Third Party Transfer& For ass reason. we Co ask for a specMc groom for Third Party Transters. Ptease Note: Not as Tried Party Transfer requests can be Is:Mated as the request may be outside TO Arnettoda scope or business 0.0.1140 trr Thad Oaity asks ibecirlhalffis . Account Liquglation Affiliated Entity Martin Sea* and Company t:dic FiMintre=1:134-;TO.74 1W- " Pribal*Islaile,W4arealittaa icanantaiesarresee vesrpssitiowriagiaterg toeing coup,' ‘, 500 0 011. freltallet ", oressto 4fims babocuw SDNY_GM_00012166 ie ;xecessalg a Nis request. CONFIDENTIAL EFTA 0(1122817 EFTA01268290