EFTA Document EFTA01449469

Account Transfer Form I. RECEIVING FIRM INFORMATION (Only one per form) RECEIVING FIRM CLEARING NUMBER 0443 ACCOUNT NUMBER. 0 r TAXPAYER SOCIAL SECURITY NUMBER I i SECONDARY SOCIAL SECURITY NUMBER. T 1- ACCOUNT TYPE: (Enter the two character code) C O IDENTIFICATION NUMBER: or TAXPAYER IDENTIFICATION NUMBER: 1..1J Nonretiremeni: SN—ISinglei —I.loint) TR —(Trustl CT —Manumit.) CO—(Corporate) CU—(Custodian) ES —(Estate) BC- (Bank Custody) AG-Mooney) Retirement: IR — (Traditional IRA( 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—i0theri 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 Boa) — — — CITY' STATE: TELEPHONE NUMBER: NOTE in statement is necessary to process this form. Southern Financial, lir ZIP: III. TRANSFER TYPE (Choose only n,?: A. ACCOUNT TRANSFER GI FULL (Check one below) 0 TRANSFER ALL ASSETS IN KIND (Skip to Section VI) 0 LIQUIDATE ALL ASSETS LIST ED IN SECTION IV (Liquidations are not lor brokerage acoounts) 0 TRANSFER AU. ASSETS IN MD EXCEPT FOR THE ASSETS USIED IN SECTION N. WHICH REQUIRE LIQUIDATION 0 PARTIAL (Complete Section M B. DRS/DRIP U FULL (Check one below) 0 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 insanity date). NOTE: Liquidations involving bank CDs. checking accounts. or savings accounts can only be processed Irom retirement accounts. SIGNATURE SIGNATURE DATE DATE 11 RPD- 150 ACAT 0.9-PW/A-0697 I1040) Pe ot 2 of 3 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL SDNY_GM_00251087 DB-SDNY-0104903 EFTA01449469