EFTA Document EFTA01449463

Account Transfer Form I . RECEIVING FIRM INFORMATION/ (Only c/ni: iier form) RECEIVING FIRM CLEARING NUMBER ACCOUNT NUMBER: SOCIAL SECURITY NUMBER SECONDARY SOCIAL r SECURITY NUMBER: T 1- ACCOUNT TYPE: (Enter the two character code) C 0 or TAXPAYER IDENTIFICATION NUMBER: or TAXPAYER IDENTIFICATION NUMBER: Nonretiremeni: SN—ISingiel —IJoint) CT—(Cotrustee) CO—(Corporate) CU—(Custodian) ES —(Estate) BC-ISank Custody/ AG-Mgenep Retirement: IR — (Traditional IRAI RI—IRoth 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: 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: NO It 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 KIND /Skip It/ Sedan VI) O LIQUIDATE ALL ASSETS LISTED IN SECTION IV (Liquidations are not lor brokerage accounts) O TRANSFER ALL ASSETS IN KIND EXCEPT FOR THE ASSETS USTED 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 U 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 UQUIDATE IMMEDIATELY AND TRANSFER CASH I am aware of and acknowledge any penalty I will incur from an earty withdrawal, O UQUIDATE 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 from retirement accounts. SIGNATURE SIGNATURE DATE DATE 1 I , RPC)-150 ACAT arEPWIA-06,97 Pci, 2 of 3 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL SDNY_GM_00251080 DB-SDNY-0104896 EFTA01449463