TO Ameritrade Mail or Fax to: PO Box 2760 • Omaha. NE 68103-2760 Fax: Account Transfer Form Receiving Firm DTC Clearing Number: 0188 Please use the Direct Registration System (DRS) Transfer Form TDA100557 for transfer from a transfer agent. Instructions: Attach a complete copy of your most recent statement, of the account you aro requesting tho transfer from, (dated within 90 days) In order for the transfer to be process. It the completed form to TD Ameritrade Attn: TD Ameritrade, PO Box 2760, Omaha, NE 68103-2760 or fax to 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. If you are transferring between f wo 70 Ameritrade accounts, please use the Internal transfer form. Please note you cannot use this form to transfer from a standard checking account and/or 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 Your TD Amoritrade Account (The registration of the account being transferred should match your TO Amen:rade account and the Tax ID for both the TO Ameritrade account and account being transferred) Account Number - (Only one perform Account Roggstrati . SOUTHERN FINANCIAL LLC Social Secant /Tax 10 Number: nty ax ID Number (Seconders tf applicable) Account Toe (select one) — (Non IRA) ❑Joint ❑trust K Corp/Business ❑UGMA(UTMA ❑Estate ❑Traditional a Rollover IRA K Roth IRA ['Beneficiary IRA K Beneficiary Roth IRA K Qualified