EFTA Document EFTA01268434

TO Ameritrade Mail or Fax to: PO Box 2760 • Omaha. NE 68103-2760 Fax: Account Transfer Form Receiving Firm DTC Clearing Number: 0188 Please use the Direct Registration System (DRS) Transfer Form TDA100557 for transfer from a transfer agent. Instructions: Attach a complete copy of your most recent statement, of the account you aro requesting tho transfer from, (dated within 90 days) In order for the transfer to be process. It the completed form to TD Ameritrade Attn: TD Ameritrade, PO B