EFTA01268457.pdf

Account Transfer Form
Ameritrade
Mail or Fax to:
PO Box 2760 . Omaha, NE 68103-2760
Fax: 866-468-6268 Receiving Firm DTC Clearing Number: 0188
Please use the Direct Registration System (DRS) Transfer Form TDA 100557 for transfer from a transfer agent.
Instructions: Attach a complete copy of your most recent statement, of the account you are requesting the transfer from,
(dated within 90 days) in order for the transfer to be processed. Please submit the completed form to TD Ameritrade Attn:
TD Ameritrade, PO Box 2760, Omaha, NE 68103-2760 or fax to 866-468-6268. To submit the completed and signed form(s)
electronically through our secure Message Center, scan it, along with any other material you're sending. Then log in to your
account and go to Client Services > Message Center to write us, and attach the scanned document(s) to your message.
alf you are requesting to transfer from your Qualified Retirement Plan, please contact your plan administrator; this form may not be required.
If you are transferring between two TO Ameritrade accounts, please use the Internal transfer form. Please note you cannot use this form
to transfer from a standard checking account and tor savings account from a bank/credit union. For IRAs, and Beneficiary IRAs where the
original owner was 70% years or older at death, please attach a copy of your end of year statement to enable us to calculate the required
minimum distribution for the account.
1. ACCOUNT INFORMATION 2. PLEASEPROVIDE INFORMATION ABOUT THE
Your TO Amoritrado Account DELIVERING ACCOUNT
(The registration of the account being transferred should match your (As directed in Section 1b oth registration and Tax lOs for the
TOAm.:Wade account end account being transferred should match.)
TO Amerltrade account and the Tax ID kr both the TO Ameritrade
account and account being transferred.)
Account Number (Required): Account Number (Required):
(any one per kilm) 867-730320 (0411ofte perform) N4G-023804
Account Regletralionfritle: Account Registration/Me:
SOUTHERN FINANCIAL LLC SOUTHERN FINANCIAL LW
Soda Security/Doc ID Number: Social SecurItyffrut ID Number:
66-0799192 66-0799192
Social Security/1ex 10 Number: SodelSecurityffax ID Number:
(Secondorx makable) (Seconds' hr applicable)
ContraVeivering rum Name (Required):
Account Type (select one)
DEUTSCHE BANK PRIVATE WEALTH MANAGMENT
— (Non IRA) El Traditional or Reamer IRA ContraCeirming Firm Address:
❑Joint
0 Roth IRA 345 PARK AVE 26TH FLOOR NY,NY10154
q Trust 0 Beneficiary IRA C137Meng Firm ;Mons Number (Romero*
ECorp/BusIness q Beneficiary Roth IRA 1.2 - Wig- 01t6_3
❑UGMM)TMA q Qualified Plan (401k, 403B, PSR etc.) ContrarDebyering Firm Ernst
q Estate ❑SIMPLE IRA
q SEP IRA
Account Typo (select one)
❑Other:
q Individual - (Non IRA) q Traditional or Relies IRA
q Jaim q Roth IRA
❑Trust q Beneficiary IRA
q
ElCorpiBusIncss Beneficiary Roth IRA
q UGMAfUTMA q Qualified Plan (401k. 4038, PSR etc.)
❑Estate q SIMPLE IRA
El SEP IRA
q Omer.
If the registrations do not match, you may either establish a now account online at www.tdameritrade.com or you must supply additional
documentation and all delivering account owners must sign section 4. For unlike tittelregistration transform please call the transfer department
et 888-723-6501, option 4 for additional requirements. Please note if there are any issues with processing your transfer we will communicate
that fo you via your secure message center when you log in to your account.
1111111I1I 1II1I 1I1II1II1II1II1 1
CONFIDENTIAL SON Y_Grais,ftrgapfb
EF1'A_00123061
EFTA01268457

TD Amentrade Acct or 867-730320
A. BROKERAGE FIRM TRANSFER (Unless otherwise indicated, TO Ameritrade will transfer in Ful0
OFull Transfer—To transfer entire account, check here and skip to Section 4.
['Partial Transfer—List specific security and/or cash amount below. If bonds are being transferred. please supply the CUSIR
Only whole shams can be requested as fractional shares cannot be transferred. Please contact the delivering firm regarding your options.
Asset Description (CUSIP or symbol) Quantity Asset Description (CUSIP or symbol) Quantity
(Partial Transfers Only) (Theca:ego/ wittiest's/es (Penal Transfers Only) (Indicate a orator@ shams
orALL') or-ALL')
1. 04821XAK4 2,000,000 5. 30182RAA9 3,000,000
2. 172987J7.5 3,000,000 8.381880208 80,000
3. 172987341 79,000 7. A29888AB5 2,000,000
4. 17453BAW1 1,000,000 8. 4862511HA1 5,760,000
B. BANK/CREDIT UNION 8 ANNUITY TRANSFER
Transfer cash only. Unless otherwise indicated, all cash will bo transferred. Banks, Annuity, and Trust Companies require Original
Client Signature. Please mall the Original form to complete the transfer request.
IRA Savings Accounts—Typically held with BanicICredit Union.
EI
OTotal Transfer (Transfer entire account) Wire
(fees ft:vagary)
['Partial Transfer (Transfer part of account) Portion to transfer 0 Chock
Certificates of Deposit (CDs).
ORedeem my CD immediately.
am aware of; and acknowledge, that I am responsible for any penalties that 1m ay incur from any early withdrawal.
OFtedeem my CD at maturity. Maturity Date:
Submit request at least 21days prior to maturity Please advise your bank not to roll over your CD to a new term.
Indicate In this section whether you with to liquidate the CO irnmediatey or at maturity For any investment instruments that hove n renewal
deadline. maturity date, surrender charge period/window, etc., paperwork must be received by TD Amstede in good order three weeks
prior to the firm deadline to allow for proper processing times. To liquidate a CO held in a non-retirement account, contact the bank or
credit union at which the assets are being held.
Annuity Transfer
0Transfer my Annuity
0 Full 0 Partial s 0 Wire
I have an annuity policy that I wish to transfer Please redeem and terminate on my behalf (Ins mayapply)
I am aware of, and acknowledge, that i am responsible (or any penalties Matt may Incur from 0 Check
any early withdrawal.
Select only one: Liquidate annuity in full or partial liquidation. If partial is selected, amount for partial must be included.
TD Ameritrade Is not responsible for the liming or execution of liquidations processed by the delivering firm.
C. MUTUAL FUND COMPANY TRANSFER
Cheek box for In-kind or Liquidation Transfer. Please list the Symbol or CUSIP for the Mutual Fund(s) you wish to move.
Unless otherwise Indicated, TD Ameritrade w,i transfer shares in-kind. This section pertains only to shares of Mutual Funds held direcsy
with the fund company, for brokerage accounts containing Mutual Funds and/or Stocks please complete the Brokerage Firm Transfer section
(Section 3A, above).
'Proprietary Mutual Funds and all no-toad Money Market funds cannot be transferred in kind end must be liquidated.
Quantity Handling Gains 8 Dividends
Fund Name or Symbol Mutual Fund Account a
Makes. Nathan's or ALL, (Check one) (Cheat oneIMMO
III MOW ?Owes'
• LLiiqquuiiddaattee Cash
0
BIn-Kind RekReinvest
Liquidate al g Cash
IN n•Kind ['Reinvest
• Liquidate OCash
if you are transferring more kinds than will fit above, please include an attached list for the complete list of funds. 0 Wire
A statement MUST be Included to ensure proper handling and processing of your Mutual Fund transfer (fees may imply)
• Unless otherwise Indicated, I authorize the Transferor to Mandate anynon-transferable proprietary money malice, OCheck
and mutual fund assets that are part of my account and to transfer the resulting credit balance to my account with
TO Arneritrade If the fund is unable to be held by TD Amerika*, I (please Initial here) authorize the Transferor
to liquidate and transfer es cash.
CONFIDENTIAL SDIGSfirafig12418
EFTA 00123062
EFTA01268458

TD Ameritrade Acct iv 867-730320
Registration Difference
For unlike titled or type transfers, such as Individual to Jcint. I authorize the transfer from account to account.
All parties on the delivering account must sign below. AI TO Ameritrade parties must sign in section 6 for transfer auMorization.
Xcent Signature: Date:
XCite Signature: Date:
Xdent Signature: Date:
5. ONE AND THE SAME LETTER (IF APPLICABLE)..
If you are transferring an account, and the name(s) at TO Ameritrade do not exactly match but are still one and the same person, please compete
this section. This section should be utilized if your name has changed due to one or more of the foilovring: Marriage. Dhorce, Name Spelling Err%
or any type of Name Change including Jz, Sr., etc. If last name difference, must supply legal documentation: that is, stale issued drivels IICenSe,
passport, or government ID. (Please specify account types, such as Indwidual to Jokl)
(please print name), am One and the Same as
(please pant name) as shown on the delivering firm account. (Please specity account types, such as Individual to Joint)
Please sign name BOTH ways.
4X Signature XSignature:
All TD Ameritrado account holders (clients or trustees) as indicated by the account registration must sign this section.
Unless otherwise indicated in the Instructions above, please transfer, in-lend. all assets Into my account with TO Ameritrade. I understand that
the extent any assets in my account are not readily transferable, with or without any penalties, such assets may not be transferred wthin the time
frames required by appicable regulations. I understand I will bo contacted by the carrying and/or receiving firm with regard to any assets that aro not
transferable. I authorize the Transferor to deduct any outstanding fees due to transfer from the credit balance. or if the credit balance in the account
is insufficient to satisfy any outstanding fees. If certificates or other instruments in my account aro in your physical possession, I instruct Transferor to
transfer them in good deliverable form, including affixing any necessary tax waivers, to enable the successor custodian to transfer them in its name
for the purpose of sale, when and as directed by me. I understand that upon receiving a copy of this transfer instruction, for a full account transfer.
Transferor will freeze my account and cancel all open orders. I also understand that no new orders may/will be taken. I affirm that I have destroyed or
returned to the Transf all credit/debit cards amPor unused checks issued to me in correction with my account.
If this TD rade accou t is a qualified retirement account, I have amended the app5cable plan to designate the successor custodian.
Mama if this TO Arne trade account is an Individual Retirement Account (IRA),
I have opted an IRA pa so That it names the successor custodian. (Medallion Signature Guarantee — For TO Ameritrade Use Only)
et.ni
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co-omieff Dale
X CdOwners SIgi at Dam:
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XCo.Owners Signature: Date:
The can, ned organ= • agrees to serve as successor custodian for the account of the above-named individual, and as custodian. we agree to
accept e assets being Wan erred.
XRiokroKseniaUve Signatwi LMW (sedate% Signature Guarantee— For TDArneritrade Use Only)
.7.125/20m
Representative Minted-Nang!'
For TO Ameritrade CI fling, tE. use only
Please be advised the TD uade Clearing, Inc. Is an 'Approved 403(b)(7)
Vendor and/or has ent d into an Information Sharing Agreement with the Employer
for the above.capdoned 403(b)(7) account. The Employer/Agent Signature above
hereby authorizes TD Arneritrade Clearing, Inc. to accept this exchange.
Investment Products: Not FDIC Insured ' No Bank Guarantee ' May Lose Value
TO Ameritrade, Inc. and TD Ameritrade Clearing. Inc., members FINRA/SIPC. TD Ameritrade is a trademark jointly owned by
TO Ameritrade IP Company, Inc. and The Toronto-Dominion Bank. 0 2018 TO Ameritrade.
C0 ENTIAL SONYGMA0000l2B1.
EFTA_00123063
EFTA01268459