EFTA01268318.pdf

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Transfer Out - Depository Trust and
Arraartritvaefic
Clearing (DTC) Transfer Form
For 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.
tii bRAI
Fax: 866-46B-6268
q Charitable Gift
For tax purposes, please contact redolent of coming donation. Consult with a tax professional on any tax issues.
Please review the guidelines below to make sure your transfer can be processed.
- For aU gift transfers. the date of ollt is the dale the transfer Is completed.
If a charitable contribution, I certify that It Is bona tide. TD Ameritrade Clearing, Inc. may release my name to the receiving
charitable organization unless I Indicate otherwise by initialing hero
clij Partial Transfer
Other than charitable contributions, If transfers are not between like-titled accounts, the third party information below must be
completed. Periled account transfer-, between brokerages via an electronic system.
Pursuant to the provisions of the USA Patriot Act of 2001, TD Amerilrade 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 Third Party Transfer requests can be facilitated as the request may be outside TO AmerikaIts scope of business.
Reason alt:TTA Party Transfer ""An4ied Q eui Cana/
to .149Qve haAnhip
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Receiving Rim Name:
I~v4em hive &o1&
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Receiving Accountrffie: F
ComaivY (2--^t•
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•
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Only whole shares can be requested, as fractional shares cannot be processed. I understand that any trading could delay the processing of Oils request.
SvmbotlCUSIP # of Shares SymboliCUSIP # of Shares Symbel/CUSIP # of Share!
Aooq oo o
Plea: list additional shams from tratillfor on m sepenle piece of paper
. I I n f s w tr e u t c w tio o n u l ( d L l O ik I e ) a to lo s n e g t w e i t t h a y s o p u e r c P ifi a c r l t o ia t l l T o r b a e n s t f r e a r n F s o fe r r m re . d T o h t e h L e O r t I h w a i n ll y n o e u e r d c t u o r r in e c n l t u l d o e t : r e A l s ie s f e s t e D le e c s t c io ri n p , t p io l n e a o s r e S s y u m b b m o i l t , a N u si m gn b e e d r o a f n M d d a a e te d S l h e a tt r e e r s o , f
Date Purchased and Current Cost per Share.
y 'I o f u t r o d ts e t f a au r l n t o ta t x J l p o e t n Id g e iC n t t i i p fic il a o t t i o (0 n m th e e t s h e o t d tl e fo m r e tr n a t n o s f f e th rs e m fr a an y s b f e ec d y if o fe u r r e t n r t a t n h s a f n e r w d h e a fa t u y l o t u lo s x e l l o e t c i t d e e d n f t o if r ic t a ra ti d o e n s m . T e o th v o ie d w w a il v l a b i e la u b s le e d lo . t P s l b ea r s e e w n t a ra l. n • sfer; •
Please log Info your account and access the Galnkoss Report, which can be located under My Account>Gain Loss. .
I (we) authorize TD Ametto wing, Inc. to transfer the above-listed security as indicated. I understand that not all securities are eligible for
direct registration twee.
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Signature SUarenteirSterripr--
XAccount Co-Owner's Snore: Date:
Investment Products: Not FDIC Insured No Bank Guarantee ' May Lase Value
TD Ameritrade. Inc., and TDAmentrade Clearing, Inc., members FINftA/SIPC. TD Ameritrade is a trademark jointly owned by
TD Ameritratle IP Company, Inc. and The Toronto-Dominion Bank A NUR TI3Amentrade.
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EFTA_00122.854
EFTA01268318

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Page 1
From: "KOFAX PROD PROCESS" <TeamT2ECMEngineering@tdameritrade.com>
Date: Wed, 29 May 2019 09:2715 -0400
To: tdarprocessing@tdameritrade.com
Subject Re: Transfer Issue - Transfer Resolution //- messagel 105241509 II-
caselD=58992969
Attachments: Attachment_20796811.zip
From Address: 867730320@inbox.amid.com
Message ID: 105241509
Case ID: 58992969
?attached is form with missing information
thank you
On 05/28/19 3:45 PM Message Center Client Services wrote:
9
Dear Jeffrey Epstein,
We/t1/39,ve received your request io process a DTC (Depository Trust Company) transfer out of your TD
Ameritrade account, but before we can finish processing it we&1139;ll need some additional information:
The instructions on the transfer request are incomplete. Please complete the Relationship and Reason fields on the
umisfei
Huw to Send Us Tim 'animation
In most cases, you can provide us with the necessary information by simply including it when you reply to this
twat), in by calling a TD Ammitnide TialLIFCI Specialist at 888-723-8504, option 4. Wat#39,ie available Monday
through Friday from 9 a.m. to 5:30 pm ET (excluding market holidays).
If a New Transfer Form Is Required
Please cuniplete the attached copy, including any infinmation mentioned above, dien sign it and retwn it to us. Tv
send it electronically, scan it, along with any additional material needed, then reply to this message and attach you
palm! wink. If ynuttli39,t1 grader, you 1.111I fax Ul mail yutu paperwork using taw uunlaut idolminim puvided at the
top of page I of the transfer form.
Please be sure to include your TD Ameritrade account number on any material you send us.
If you have any questions or concerns, or if we can help you in any way, just let us know. You can simply reply to
this message, or call Client &ivies:* 24/7 at 800-669-3900.
Thank you for your assistance with this ? and for choosing TD Ameritrade.
Sincerely,
Mike Northrop
Asset Transfer Services
TD Ameritrade
SDNY_GM_0001 2204
CONFIDENTIAL
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