EFTA Document EFTA01268366

1D Ameritrade Mall or Fax to: PO Box 2760 • Omaha, NE 68103-2760 Fax: 866-468-6268 Account Transfer Form Receiving Firm DTC Clearing Number. Please use the Direct Registration System (DRS) Transfer Form TOA 100557 for transfer from a transfer agent. Instructions: Attach a complete copy of your most recent statement, of the account you are requesting the transfer from, (dated within 90 days) In order for the transfer to be processed. Please submit the completed form to TD Ameritrade Attn: