EFTA Document EFTA01449450

Account Transfer Form I. RECEIVING FIRM INFORMATION (Only one per form) RECEIVING FIRM CLEARING NUMBER: ACCOUNT NUMBER: SOCIAL SECURITY NUMBER SECONDARY SOCIAL SECURITY NUMBER. T 1- ACCOUNT TYPE: (Enter the two character code) C O or TAXPAYER IDENTIFICATION NUMBER: or TAXPAYER IDENTIFICATION NUMBER: Nonretiremeni: SN—ISinglei —IJoint) CT—(Cotrustee) CO—(Corporate) CU—(Custodian) ES —(Estate) BC-(Bank Custody/ AG -Mooney) Retirement: IR — (Traditional IRAI RI—(Roth IRA) DR —(Direct Rollover) BI—(Beneficiary) BR —(Beneficiary Roth IRA) 4K —(40Ik) El—(Education Savings Account) SI —(SIMPLE IRA) OP —(Qualihed Plan) 4B—(403b) 7B—(457 Plan) HS—(Heallh Savings Account) 5P-(525 Plan) OT — tOther) Other: 1..1J 1 II. DELIVERING ACCOUNT INFORMATION CLEARING NUMBER ACCOUNT NUMBER ■ FIRM NAME: JP Morgan DELIVERING FIRM CONTACT INFORMATION (MANDATORY WHEN CLEARING NUMBER IS NOT PROVIDED) CONTACT NAME' ACCOUNT TITLE. (As it appears on your statement) FIRM ADDRESS. (No PO Box) — — — CITY' STATE: TELEPHONE NUMBER: NOTE It statement is necessary to process this form. ZIP: Southern Trust Comport,, Inc III. TRANSFER TYPE (Choose only A. ACCOUNT TRANSFER O FULL (Check one below) O TRANSFER ALL ASSETS IN MND (Skip to Swoon VI) LiOuiDAIE ALL ASSETS LISTED IN SECTION IV (Liquidations we not lor brokerage accounts) O TRANSFER AU. ASSETS IN KIND EXCEPT FOR THE ASSETS USIED IN SECTION N. WHICH REQUIRE LIQUIDATION 0 PARTIAL (Complete Section M B. DRS/DRIP U FULL (Check one below) O SELL FRACTIONS AND CLOSE ACCOUNT O TRANSFER ALL FULL SHARES ONLY O PARTIAL (List assets m Section N) NOTE: For transfer agents. electronically send positions or issue a certificate for whole shares and redeem tractional shares. C. DIRECT MUTUAL FUND Li TRANSFER MUTUAL FUNDS FROM THE ACCOUNT HELD DIRECTLY AT THE FUND COMPANY ISee Est in Section IV for exact instructions) NOTE: Only one fund family per form. D. BANK RETIREMENT PLAN ACCOUNTS (Select only one) O UOUIDATE IMMEDIATELY AND TRANSFER CASH I am aware of and acknowledge any penalty I will incur from an earty withdrawal, O UOUIDATE AT MATURITY AND TRANSFER CASH Specify maturity date 'submit two to three weeks before maturity date). NOTE: Liquidations involving bank CDs. checking accounts. or savings accounts can only be processed Irom retirement accounts. SIGNATURE SIGNATURE DATE DATE Nil FEL RPD-150 ACAT arEPWIA-06,97 It0a30) Pat„: 2 of 3 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0104881 CONFIDENTIAL SDNY_GM_00251065 EFTA01449450