Account # IV. PARTIAL TRANSFERS, DIRECT MUTUAL FUNDS AND LIQUIDATIONS (If there are more than eight assets, attach a signed list to this form) clunscire ASSET DESCMPTON CUSIPISYMEDI : ILI\ fliACCGki'.7 ,...:irezri TRANSFER INSTRUCTIONS' DIVIDEND CAPITAL GAIN OPTIOAF ESTIMATED s VALUE US Dollar OUSDPRAA7 illTransfer in lend U Liquidate CI Cash 0 Reinvest J Cash LI Reinvest 28366.12 CI Transfer in Kind 0 Liquidate 0 Cash 0 Reinvest ..I Cash U Reinvest O Transfer in lend CI Liquidate 0 Cash 0 Renver U Cash LI Reinvest CI Transfer in *net 0 Liquidate CI Cash CI Reinvest J Cash U Reinvest O Transfer in Kind CI Liquidate CI Cash 0 Reinvest U Cash LI Reinvest 0 Transfer in Kind 0 Liquidate 0 Cash CI Reinvest J Cash U Reinvest O Transfer in Kind 0 Liquidate CI Cash 0 Reinvest U Cash 0 Reinvest 0 Transfer in *rid 0 Liquidate 0 Cash CI Reinvest LI Cash U Reinvest II you have requested a iguidellon, your market price is not guaranteed. YOu will receive the current market price after your transfer request is received. reviewed, and determined to be In good order by the delivering firm. Pershing is not responsible for markel fluctuations or delays n the review process. DRS items cannot be liquidated. 2 It this is a mutual fund transfer and there is no dividend or Capital gain option checked in the section above. Pershing will PrOOOSS this request as reinvest. (FOR OFFICE USE ONLY: All transfers must be added to Pershing's transfer systems) V. RETIREMENT PLAN RESTRICTIONS AND CERTIFICATIONS ni Age 70" restrictions. It you are at :era the age of 70 this year and you are transferring or rolling over assets from an IRA. qualilied plan or 40300 account. you may be required to take a minimum dstribubon (FWD) from your qualified plan or 40310) account before rolling over your assets. la Rollover Certification of Employee: I understand the Mee and conditions and I have met the requirements for making a rollover. Due to the important tax consequences of r