TO Ameritrade Mall or Fax to: PO Box 2760 • Omaha, NE 68103-2760 Fax: 866-468-6268 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: 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. •11 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/or savings account from a bank/credit union. For IRAs, and Beneficiary IRAs where the original owner was 70,4 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 Ameritrade Account (The registration of the account being transferred should match your TO Arne/Made account and the Tax ID for both the TO Ameritrade account and account being transferred.) Account Number (Required): (Only one per lone) Account ReaistraUcerfrett SOUTHERN FINANCIAL LLC Soda/ Secuntyrax ID Number. Sodel Securityrrax ID Number. (Secondary If appitatim Account Type (select one) Olndividual — (Non IRA) OTraditional or ROOM IRA DJoint O ROth IRA DTrust O Beneficiary IRA