Account # 46-023812 IV. PARTIAL TRANSFERS. DIRECT MUTUAL FUNDS AND LIQUIDATIONS (If there are more than eight assets, attach a signed list to this form) CluAFETITY ASSET DESCRIPTION CUSIPISYMBOT FUND ACCOUNT Nt eaBER TRANSFER INSTRUCTIONS' CAPITA_ GAIN DIVIDEND CeTION' OPTOhe ESTimATED S VALVE 2,200 US Dollar OUSDPRAA7 al Transfer in Kind 0 Liquidate CI Cash D Reinvest J Cash LI Reinvest HtLeRS.S7 -1 -19 I US Dollar 0USDPRAA7 S Transfer in Kind D Liquidate CI Cash Ll Reeves! ..I Cash U Reinvest PS LIS Gold Put 74347%119Di El Transfer in lend CI Liquidate 0 Cash 0 Renew, j Cash LI Reinvest PS US Gold Put 74347W9DI S Transfer in Kind D Liquidate CI Cash CI Reinvest J Cash U Reinvest O Transfer in Kind D Liquidate 0 Cash 0 Reinvest U Cash LI Reinvest 0 Transfer in Kind 0 Liquidate CI Cash CI Reinvest J Cash U Reinvest O Transfer in lend 0 Liquidate 0 Cash 0 Reinvest U Cash LI Reinvest 0 Transfer in Kind 0 Liquidate 0 Cash 0 Reinvest LI Cash J Reinvest II you have requested a legs0on, your market price is not gusanteest. You will 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 in 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 PrOCAlS$ thus request as reinvest (FOR OFFICE USE ONLY: All transfers must be added to Pershing's transfer systems) V. RETIREMENT PLAN RESTRICTIONS AND CERTIFICATIONS ui Age 70" restrictions. II you are at areal 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 dstributi.on (HMCo) from your qualified plan or 40310) account before rolling over your assets. II Rollover Certification of Employee: I understand the lutes and c