EFTA01268271.pdf

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Transfer Out - Depository Trust and
ID Ameritrade
Clearing (DTC) Transfer Form
f-or use when requesting a Charitable
Mail or Fax to:
Gift or Outbound partial transfer to
PO Box 2760 . Omaha. NE 68103-2760
another financial institution.
bleri
Fax: 866-468-6268
1. ACCOUNT INFORMATION
Account Number: Contact Num
2 Ft FCTRONIC TRANSFER INSTRUCTIONS
Charitable Gift
For tax purposes. please contact recipient of mming donation Consult with a tax professional on any tax issues.
Please review the guidelines below to make sure your transfer can be processed.
- For all gift transfers. the dale of gift is the dale the transfer is completed.
If a charitable contribution, I certify that It Is bona fide. TD Ameritrade Clearing, Inc. may release my name to the receiving
charitable organization unless I indicate otherwise by initialing here
Partial Transfer
Other than charitable contributions, it transfers are not between like-titled accounts, the third party Information below must be
completed. Partial account transfers between brokerages via an alarlmnir. system
Pursuant to the provisions of the USA Patriot Act of 2001, TD Ameritrade needs specific information from our clients regarding certain
transactions, including Third Party Transfers. For this reason, we do ask for a specific purpose for Third Party Transfers.
Please Note: Not all TnIra Party 'Ransfer requests can be facilitated as m0 request may be outside TD Ameritrade's scope of business.
Reason for Third Party Transfer Relalkeshlp
Li
OTC Number:5.3
Rate tie account
Only whole shares can be requested, as fractional shares cannot be processed. I understand that any trading could delay the processing of this request.
SymbolICUSIP a of Shares Symbol/CUSIP a of Shares Symbol/CUStP 0 of Snares
AAP1 .. /8o,000
Pleas list additional Oen frem transfer an a separate piece or paper
If you would like to select a specific lot to be transferred other than your current lot relief selection, please submit a signed and dated letter of
instruction (L00 along with your Partial Transfer Form. I he WI wilt need to include: Asset Description or Symbol, Number of Whole Shares.
Date Purchased and Current Cost per Share.
if lots are not specified poor In the set faunal)? of the :raneer your transfer default tax lot identification method will be used. Picas* note,
your default tax lot identification method for transfers may be different than what you selected for trades. To view available lots for the transfer, •
please log into your account and access the Gain/Loss Report, which can be located under My Account"Gain Loss. .
I (we) authonze fi.)Ameri wing, Inc. to transfer the above-fated security as indicated. I understand that not all securities are eligible for
direct registration Ira
XAccount Co-Owner's Signature Date:
Investment Products: Not FDIC Insured ' No Bank Guarantee • Ma Lose Value
TD Amerittade, Inc.. and TO Ameritrade Clearing. Inc., members FINRNSIPC. 70 Ameritrade is a trademark jointly owned by
TO Ameritrade IP Company, Inc. and The Toron-toDominion Bank. C 2018 TD Ameritrade.
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EFFA_00122792
EFTA01268271

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From: "KOFAX PROD PROCESS" <
Date; Mon, 22 Apr 2019 18:02:45 -0400
To:
Subject Transfer from TD to Interactive Brokers //- messagelD=104705601 //-
casell 58692735
Attachments: Attachment_20.582409.zip
From Address:
Message ID: 104705601
Case ID: 58692735
Form Message
FULL NAME: Richard Kahn
ACCOUNT_TITLE: SOUTHERN FINANCIAL LLC
USERM: 867730320z
ACCOUNT NUMBER:
User-Agent: Mozilla/5.0 (Macintosh; Intel Mac OS X 10.13; rv:66.0) Oeckot20100101 Firetbx/66.0
ENVIRONMENT: investameritrade.com
Attached is DTC Transfer out form for 180,000 shares of AAPL. Please call me with any questionsi
Thank you
[ Attachment 1 Type: application/pdf Name: TD_SFL_transfer_to_IB_SFL_LLC.pdf]
SONY_GM_00012142
CONFIDENTIAL
EFTA_00122793
EFTA01268272