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of
3
TOA
92311!14
Wves,
reference numbers,
order
or invoice
numbers,
etc.
Please
use this section
to note
any
additional
reference
information
provided
by
the
receiving
financial
institution,
such
as
addresses
for
Escrow
4.
ADDITIONAL INFORMATION
I.
Receiving Escrow Heflin
leroncefloan
Number
or Brokerage
Account
or Order
tamper
(no itais &abbreviations)
e.
Name(*) on Receiving
Mortgioe/Escronv
or
BrOkWage
Arm
Account:
d.
Modgege‘eacw Fence
or Mekong.
rirmie
Account
Number
ei
Bank:
e.
niongagerfs aw? •Inn
a brokerage
eimi
Name:
b.
ABMIoudng Number:
g.
Receiving Bent
3.
ESCROW OR BROKERAGE
\NIP:
L
OlUdiAl
ION
;
(
Receiving Rahn Account
Number
(no medals metro-nations)
a
• '16,2,PI)SE-S
L
LC_
a.
N °wigs) on Receiving
Dank Moat
0.
ABAdtoulling Number:
P
Ploel4A)
CCz#,t
c.
ReceMng Bark
b.
Corresponding Bank
ABA/
Routing
Number:
(ifappliteble)
a.
Corresponding Bank!
7.
S I ANOAND AND
TWO-RANK
WIRF
INFORMATION
(5,0o
to.
cf
tic.);i
o
Log In to the secured
website
at tdameritrade.corriDepcolts
& Transfers
and
use
these
Instructions
°nano
(Unit
five
per
account)
q
Savo the below wire
instructions
to
my
account
for
future
use.
otio.000
tv
d.
AMOurd oI Weis:
•
Date
to
Send
Wire:
----refFP2y
?Ask.;9
e.
Nenve(a) of Oender(a):
50-4114/eCv
/ kt,
LLC
D.
I die on ID Arn&Mtlecfs
AcC0unt
a.
ID Anwgrade Account
Number
1.
DELIVERING ACCOUNT
AND
WIRE
INFORMATION
{Soo
section
i.)..'./.
fic..9Dort'
frleauecie
ConO n; inside
your TO
Arne:rayed°
account.
can
take up to one business
day
to reach
the
receiving
account.
if there
are
any
issues
processing
the
wire,
we
will
contact
you
via
the
secure
Please
be aware that
processing
of this
Letter
of
Instruction
(L00
can
fake
up
to one
business
day
from
receipt.
Domestic
wires
(within
the
US.)
Fox: PO
Box 2209 • Omaha,
NE
68103-2209
(Domestic)
Ameritrade
Outbound
Wire
Request
L000449AN0S
11VI_LN3ClIdN00
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3
TDA 923
VIM
processing
of your request, please
also
provide
a copy or the driver's
license or state ID
card
for
each
signet
Section
S. Make sure that all authorized
parties
on
the TD Arneritrade
account
have signed the
form.
IMPORTANT.
To
expedite
the
reference
information here.
Section
4. If your ReoeMng Bank has
asked
you
to
reference any specific
Information
outside the
specific
wire
instructions.
please
enter that
order
number for •nne-riff nisrthreuts
a
ate number, reference number, or
loan
number.
Brokers wet typically
have
standing account
numbers
for regular
clients,
or may
provide an
f.
Please
make sure to µuvkle the lenience
number
to which we will
be crediting
this wire. Mor
(gage/escrow
firms
may
designate
this as &Ulm
If
the receiving account title Includes
initials
or
abbreviated
names.
please
also note the full name
of the
receiving
parties.
e.
Please
enter Me names on me recemng
mortgage/escrow
firm or
receenng
brokerage aim account
exactly
as they
are
registered
at the tem.
d.
Please
make sure to provide the appropriate
receiving
bank account
number
for your receiving mortgage/escrow
arm
or
receiving
brokerage firm.
c.
Please
provide the full name of your
receiving
mortgage/escrow
firm
or receiving
brokerage firm.
information
In Sections 2a. and 2b.
0.
The
ABA/Routing number is a nlne.dlglt
Identifier
fur U.S. Banks. It
you are
using a corresponding
Dank
la receive
vie
wire,
pease
enter this
a.
Please
provide the full name of the
receiving
bank.
Section
S.
can
be received: II you are delivering
the
funds
to
a credit union; please
contact
them to verify
the
appropriate
receiving
Dank account
number.
I.
Please
make sure to provide the appropriate
receiving
bank account
number.
Many credit unions
have
a
main
account
number
into
wNch wires
includes
initials or abbreviated names,
please
also
note the fun name
of the
receiving parties.
p
Please
enter the names on the remit/Ina
hank
amount
newsy as
they are
registered at the receiving
bank.
If the
receiving
hank
anntemt lilies
may
have an account number that
has more
or
less
than nine digits.
d.The
ABA/Routing number is a nine
dkllt
identifier
for U.S. Banks. If
you are
wane a corresponding
bank
to receive
the
wire,
the
receiving bank
c.
Please
provide the full name of your
Receiving
Bank.
b.
The
ABA/Routing number Is a nineidlgit
identifier
for U.S. Bank&
information
for a Corresponding Bark
through
which
they Will receive
the
wire.
a.
Certain
financial Instkutione may not
have
a direct
relationship with
the Federal
Reserve. If this
applies
to you,
your
bank
will eraelde
you the
Section
2.
e.
If
you wish to schedule a wire for the
future,
we
can
do so vp to one
month
In advance.
d.
The
amount of the wire you wish to
sand.
or
other entity accounts, the names
of the
Authorized
Agents on the
account
should be entered
on
this
line.
c.
If
the account is an Individual or Joint
account,
the
title of the account
win
be the same as the
name(s)
of the
sender(s).
I.Mlh trust.
corporate,
are
entering the appropriate name
for the
account
on this line.
b.
II
you are wiring horn a trust, corporate.
or other
entity account, the
title of
the account may not
be
your
personal
name.
Please
ensure you
a.
To
locale your TI)Amerltrade account
number,
log
Into your account
and
go to Client Services
>
My Profile
> Personal
Information.
Section
1.
8.
INSTRUCTIONS
Original
signature required; electronic
signatures
andlor
s unfurls fonts
are
not authorized.
X
Additional Account Holder's Signature:
Primed Name
Date:
Printed Name:
Date:
zTeg4
ev
Ep.skid
°64LiL-
o
_6_4110
/3-
Printed Name:
the
may
be Marty end convInoVtg6r
proven to have resulted
from
gross
negagen09.
the
.0 rr,.n -Ti va.
a result of the
clearing
Am having effected
transeolons
pursuant
to
instructions
given by
We.
the account owners. jointly and severally
Indemnify
a hold harmless
TO
Arnaratede, Inc and
7T)Ameritrade
Clearing,
Inn and
the dArldnns
5.
SIGNATURES
L IZZI.000YIDANOS
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EFTA01268326

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Page
1
of
3
TDA
923
11114
Wires,
reference
numbers.
order
or
Invoice
numbers,
etc.
Please
use this
section
to note
any
acidltional
reference
information
provided
by
the
receiving
financial
institution,
such
as
addresses
for
Escrow
4.
ADDITIONAL
INFORMATIO
f.
ReceMng
Escrow
Fini/Relmence/Loan
Number
a Brokerage
Account
a
Order
Number.
(no
initials or sebrevletbns)
e.
Name(s)
on RatabAng
Moiloace/F-scrow
o
Brokerage
Firm
Account
d.
MenoirgeNgscswe
remit
or
grolowagit
Firm%
nieceuM
Monts
at
genic
C.
mongseortectow
earl
a brokerage
Finn
NOT,:
O.
ABA/Roueng
Number:
o.
Receiving
Bank
(no
initiate Of 8001eivoat.O1S)
o.
t4onol(*)
on Rocolving
Bank
Account
d.
ABArtiouung
Number
c.
Receiving
Bank
b.
Correapomeng
Bank ABNRouting
Number
Of
applicable)
a.
Commix/9ring
Bank:
2
I Ari.flAkili
AND
TWO-RANK
WIRE
INV
(912IVIATICIN
Log
In to the
nano
website
at
tclamentrade.conYDeposits
8
Transfers
and
use
these
Instructions
online
(Limit
five
per
account)
ID
Save
the below
Yee
Instructions
to
my
account
for
future
use.
°
"°""yr
lova
Goo.
ou
•
Dale
to
Send
Veiny:
•Jf'T-city
LW
?of
is
Romeo)
of Sender(a)
50v-HE
ek3u
rE/
b.
TIM
on TDAmaltrede
Account:
a.
TD
Amer trade
Account
Number
1
DELIVERING
ACCOUNT
AND
WIRE
INFORMATION
iSee
r
ratan)
Moo..sawo
Centex;
Inakho
jp‘ior
TO
Amster
ode
&wow&
can
take
up to one
business
day
fO
teach
the
receiving
account.
If
there
are
any
issues
processing
the
wire,
we
will
contact
you
via
the
secure
Please
be aware
that processing
of
this
Letter
of
Instruction
(LOO
can
tote
up
to one
business
day
from
receipt.
Domestic
wires
(within
the
U.S.)
Fax:
800-875-5485
PO
Box
2209
• Omaha,
NE
68103-2209
(Domestic)
Ameritrade
Outbound
Wire
Request
l00014OAN0S
-IVI_LNACIldNO0
£98ZZ
EFTA01268327

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aced
:0.1.
1101j
(s
'NS
LIPSanead
Page
2 of
3
TVA
92311n4
processing
of your request, please also
provide
a copy of the driver's
license or state ID card for
each
signer.
Section
S. Make sure that all authorized parties
on
the TO Amain:ads
account
have signed the form. IMPORTANT:
To
expedite
the
reference
information nee.
Section
4. If your Receiving Bank has asked
you
to
reference any specific
Information
outside the specific
wire
instructions,
please
enter
that
order
number for •oneafP purchases.
a
file number, reference number, or loan
number.
Brokers will typically
have
standing account numbers
for regular
clients,
or
may
provide
an
I.
Please
make sure to provide the reference
numoer
cowmen we wit
De crediting
this wire. Mortgage/escrow
firms
may
designate
tills as
ettner
If
the receiving account title Includes initials
or
abbreviated
names,
please
also note the full name of the
receiving
parties.
0.
Please
enter the names on the receiving
mortgage/escrow
firm or receiving
brokerage firm account exactly
as they
are
registered
al me
arm.
d.
Please
make sure to provide the appropriate
receiving
bank account
number
for your receiving mortgage/escrow
firm
or
receiving
brokerage
firm.
c.
Please
provide the full name of your retasiving
nth
Wage/eat:low firm
of ivuthiny
laukis age rem.
information
In Sections 2e. and 2b.
b.
1h
e ABArttouting number Is a nine-ogit
identifier
for U.J. Banks. fir
you are
using a corresponding bank
to receive
me
wire,
please
enter
this
a.
Please
provide the kill name of the receMng
bank.
Section
S.
can
be received; if you are delivering the
kinds
to
a credit union: please
contact
them to verity the appropriate
receiving
bank
account
number.
f.
Please
make sure in provide the F.pirnpriala
receiving
bank amount
number
Many credit °Mons have a
main
acrsaunt
number
Into
which
wires
Includes
Initials or abbreviated names, please
also
node the full name
of the
receiving parties.
0.
P10360
enter the names on the receMng
bank
account
exactly as they
are
registered at the receiving bank.
If the
receMng
bank
account
11410
may
have an account numb& that has more
or
lass
than nine digits.
d.
The
ADAllouting number Is a nine-digit
Identifier
for U.E. Dank,. If
you am
using a corresponding bank
to receive
the
wire,
the
receiving
bank
c.
Please
provide the full name of your Receiving
Bank.
to.
The
ABA/Routing number Is a nine-digit
identifier
for U.S. Flanks.
information
for a Corresponding Bank. through
which
they wig receive
the
wire
o.
Certain
finonciol instflutiono may not have
a direct
relationship with
the Federal
Reserve. If this applies
to you,
your
bank
will
provide
you
the
Section
2.
e.
If
you wish to schedule a wire for the future,
we
can
do so up to one
month
In advance.
d.The
amount of the wire you wish to send.
or
other entity accounts, the names of the
Authorized
Agents on the
account
should be entered on des
line.
c.
If
the account Is an IndMduat or Joint account,
the
title of the account
will
be the same as the name(s)
of the
sender(s).
With
trust.
corporate.
are
entering the appropriate name for the
account
on this line.
0.1f
you are wiring from a trust, corporate,
or other
entity account, the
title of
the account may not be your
personal
name.
Please
ensure
you
a.
To
locale your TD Amentrade account number,
log
In lo your account
and
go to Client Services > My ProNe
> Personal
information.
Section
1.
6.
INSTRUCTIONS
Original
signature required; electronk signatures
andlor
signature fonts
are
not authorized.
X
Additional Account Header's Signature:
Printed Name:
Datix
as a to:
Printed Name:
Delos
Eimer'
DAC
y
be dearly and convindngly
proven to have resulted from
gross
negligence.
thereof,
' , suit, demand
Nay
&serest& of the
clearing
firm having effected transactions
pursuant
to
hstructIons
Olsen
by
We,
me account owners. jointty and savenely
Intl
• held heemelre
773
Amerifrode, Inc end TV Amerflnola
Cleating
Me.
end
the divisions
5.
SIGNATURES
EIZZLOOlfilDANOS
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