t Page 1 of 41 10 Amerltrade Mail or Fax to: PO Box 2760 • Omaha, NE 68103-2760 Fax: 000-400-0200 Account Transfer Form 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: TO Ameritrade, PO Box 2760, Omaha, NE 68103-2760 or fax to RFA-468-6288. 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. "if you are requesting to transfer from your Qualified Retirement Plan, please contact your plan administrator; this form may not be required. It you are transtemng between two Ur Amentraoe accounts, please use tne Internal transfer corm. Please note you cannot use this fowl to transfer from a standard checking account and/or sayings account from a banklcredit union. For IRAs, and Beneficiary IRAs where the original owner woo 70% yon or older at death, plane attach a copy of your end of year statement to enable us fo calculate the required minimum distribution for the account. 1. ACCOUNT INFORMATION Your TD Ameritrade Account (The registration of the account being transferred should match your TO Ameritrade account and the Tax ID for both the TO Ameritrade account and account being transferred.) Account Number (Required): (qtly one per form) Amount Reoidnatinnifitle. SOUTHERN FINANCIAL LLC bar: te3 umhar (Secondary, It applicable) 2. PLEASE PROVIDE INFORMATION ABOUT I HE DELIVERING ACCOUNT (As Wetted in section 7 DOM registration and Tax Ms for the TO Ameritrade account end acc