Account # IV. PARTIAL TRANSFERS, DIRECT MUTUAL FUNDS AND LIQUIDATIONS (If there are more than eight assets, attach a signed list to this form) u...AN'irY cc,sLT DESCRiPTON CUSirc,,ratior ruND ACCOUNT ranARER TRANSFER INSTRUCTIONS' 04ViDENDCPTION, CAPITAL GAIN OPTiote ESTimATED S VALUE 0 Transfer in Kind U Liquidate CI Cash 0 Reinvest 0 Cash 0 Reinvest - 0 Transfer in Kind 0 Liquidate 0 Cash LI Reinvest LI Cash LI Reinvest O Transfer in Kind CI Liquidate 0 Cash 0 Reinvest J Cash 0 Reinvest 0 Transfer in Kind U Liquidate 0 Cash 0 Reinvest ..I Cash U Reinvest 0 Transfer in Kind CI Liquidate CI Cash 0 Reinvest J Cash 0 Reinvest 0 Transfer in Kind 0 Liquidate U Cash U Reinvest 0 Cash U Reinvest O Transfer in Kind CI Liquidate ()Cash 0 Reinvest 0 Cash 0 Reinvest 0 Transfer in Kind 0 Liquidate CI Cash 0 Reinvest 0 Cash U Reinvest If you have requeSted a KifirdatiOn. yOUr market price M not guaranteed. YOu receive the current market puce after your transfer request is received, reviewed, and determined to be in good order by the delivering firm. Pershing is not responsible for market fluctuations or delays n the review process. DRS items cannot be liquidated. 2 II this is a mutual fund transfer and there is no dividend or capital gain option checked in the section above. Pershing will prOCess this request as reinvest. (FOR OFFICE USE ONLY: All transfers must be added to Pershing's transfer systems) V. RETIREMENT PLAN RESTRICTIONS AND CERTIFICATIONS 11; Age 70 restrictions ',co are at ern; the age at 70 • this year and ',Cu are transferring or rolling over assets from an IRA. qualified plan or 403(b) account. you may be required to take a minimum distribution IRMO) from your qualified plan or 403(b) account before rolling over your assets. Is Rollover Certification of Employee: I understand the rules and conditions and I have met the requirements for making a rollover. Due to the important tax consequences of rolling over funds or property. I