EFTA01268457
Document Transcript
Ameritrade Mail 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. alf 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 andtor 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 TO Amoritrado Account (The registration of the account being transferred should match your TO Amerltrade account and the Tax ID kr both the TO Ameritrade account and account being transferred.) Account Number (Required): (any one per kilm) 867-730320 Account Regletralionfritle: SOUTHERN FINANCIAL LLC Soda Security/Doc ID Number: 66-0799192 Social Security/1ex 10 Number: (Secondorx makable) Account Type (select one) — (Non IRA) ❑Joint q Trust ECorp/BusIness ❑UGMM)TMA q Estate El Traditional or Reamer IRA 0 Roth IRA 0 Beneficiary IRA q Beneficiary Roth IRA q Qualified Plan (401k, 403B, PSR etc.) ❑SIMPLE IRA q SEP IRA ❑Other:
2. PLEASEPROVIDE INFORMATION ABOUT THE DELIVERING ACCOUNT (As directed in Section 1both registration and Tax lOs for the TOAm.:Wade account end account being transferred shouldmatch.) Account Number (Required): (0411ofte perform) N4G-023804 Account Registration/Me: SOUTHERN FINANCIAL LW Social SecurItyffrut ID Number: 66-0799192 SodelSecurityffax ID Number: (Seconds' hr applicable) ContraVeivering rum Name (Required): DEUTSCHE BANK PRIVATE WEALTH MANAGMENT ContraCeirming Firm Address: 345 PARK AVE 26TH FLOOR NY,NY10154 C137 Meng Firm ;Mons Number (Romero* 1 .2 - Wig- 01 t6_3 ContrarDebyering Firm Ernst Account Typo (select one) q Individual - (Non IRA) q Jaim ❑Trust ElCorpiBusIncss q UGMAfUTMA ❑Estate q Traditional or Relies IRA q Roth IRA q Beneficiary IRA q Beneficiary Roth IRA q Qualified Plan (401k. 4038, PSR etc.) q SIMPLE IRA El SEP IRA q Omer. If the registrations do not match, you may either establish a now account online at www.tdameritrade.com or you must supply additional documentation and all delivering account owners must sign section 4. For unlike tittelregistration transform please call the transfer department et 888-723-6501, option 4 for additional requirements. Please note if there are any issues with processing your transfe r we will communicate that fo you via your secure message center when you log in to your account. 11111111111111111 II III IIIIIIIII CONFIDENTIAL SONY_Grais,ftrgapfb EF1'A_00123061
TD Amentrade Acct or 867-730320 A. BROKERAGE FIRM TRANSFER (Unless otherwise indicated, TO Ameritrade will transfer in Ful0 OFull Transfer—To transfer entire account, check here and skip to Section 4. ['Partial Transfer—List specific security and/or cash amount below. If bonds are being transferred. please supply the CUSIR Only whole shams can be requested as fractional shares cannot be transferred. Please contact the delivering firm regarding your options. Asset Description (CUSIP or symbol) (Partial Transfers Only) Quantity (Theca:ego/ wittiest's/es orALL') Asset Description (CUSIP or symbol) (Penal Transfers Only) Quantity (Indicate a orator@ shams or-ALL')
1. 04821XAK4 2,000,000 5. 30182RAA9 3,000,000
2. 172987J7.5 3,000,000 8.381880208 80,000
3. 172987341 79,000 7. A29888AB5 2,000,000
4. 17453BAW1 1,000,000 8. 4862511HA1 5,760,000 B. BANK/CREDIT UNION 8 ANNUITY TRANSFER Transfer cash only. Unless otherwise indicated, all cash will bo transferred. Banks, Annuity, and Trust Companies require Original Client Signature. Please mall the Original form to complete the transfer request. IRA Savings Accounts—Typically held with BanicICredit Union. OTotal Transfer (Transfer entire account) ['Partial Transfer (Transfer part of account) Portion to transfer EI Wire (fees ft:vagary) 0 Chock Certificates of Deposit (CDs). ORedeem my CD immediately. am aware of; and acknowledge, that I am responsible for any penalties that 1may incur from any early withdrawal. OFtedeem my CD at maturity. Maturity Date: Submit request at least 21days prior to maturity Please advise your bank not to roll over your CD to a new term. Indicate In this section whether you with to liquidate the CO irnmediatey or at maturity For any investment instruments that hove n renewal deadline. maturity date, surrender charge period/window, etc., paperwork must be received by TD Amstede in good order three weeks prior to the firm deadline to allow for proper processing times. To liquidate a CO held in a non-retirement account, contact the bank or credit union at which the assets are being held. Annuity Transfer 0Transfer my Annuity 0 Full 0 Partial s 0 Wire I have an annuity policy that I wish to transfer Please redeem and terminate on my behalf (Ins mayapply) I am aware of, and acknowledge, that i am responsible (or any penalties Matt may Incur from 0 Check any early withdrawal. Select only one: Liquidate annuity in full or partial liquidation. If partial is selected, amount for partial must be included. TD Ameritrade Is not responsible for the liming or execution of liquidations processed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Cheek box for In-kind or Liquidation Transfer. Please list the Symbol or CUSIP for the Mutual Fund(s) you wish to move. Unless otherwise Indicated, TD Ameritrade w,i transfer shares in-kind. This section pertains only to shares of Mutual Funds held direcsy with the fund company, for brokerage accounts containing Mutual Funds and/or Stocks please complete the Brokerage Firm Transfer section (Section 3A, above). 'Proprietary Mutual Funds and all no-toad Money Market funds cannot be transferred in kind end must be liquidated. Fund Name or Symbol Mutual Fund Account a Quantity Makes. Nathan's or ALL, Handling (Check one) Gains 8 Dividends (Cheat oneIMMO III • MOW Liquidate Liquidate ?Owes' Cash B In-Kind uidate 0 RekReinvest Liq al gCash IN n•Kind Liquidate ['Reinvest OCash • if you are transferring more kinds than will fit above, please include an attached list for the complete list of funds. A statement MUST be Included to ensure proper handling and processing of your Mutual Fund transfer • Unless otherwise Indicated, I authorize the Transferor to Mandate anynon-transferable proprietary money malice, and mutual fund assets that are part of my account and to transfer the resulting credit balance to my account with TO Arneritrade If the fund is unable to be held by TD Amerika*, I (please Initialhere) authorize the Transferor to liquidate and transfer es cash. CONFIDENTIAL 0 Wire (fees may imply) OCheck SDIGSfirafig12418 EFTA 00123062
TD Ameritrade Acct iv 867-730320 Registration Difference For unlike titled or type transfers, such as Individual to Jcint. I authorize the transfer from account to All parties on the delivering account must sign below. AI TO Ameritrade parties must sign in section 6 for transfer auMorization. X cent Signature: X Cite Signature: X dent Signature:
5. ONE AND THE SAME LETTER (IF APPLICABLE).. account.
this section. This section should be utilized if your name has changed due to one or more of the foilovring: Marriage. Dhorce, Name Spelling Err% or any type of Name Change including Jz, Sr., etc. If last name difference, must supply legal documentation: that is, stale issued drivels IICenSe, passport, or government ID. (Please specify account types, such as Indwidual to Jokl) (please print name), am One and the Same as (please pant name) as shown on the delivering firm account. (Please specity account types, such as Individual to Joint) Please sign name BOTH ways. 4X Signature X Signature: All TD Ameritrado account holders (clients or trustees) as indicated by the account registration must sign this section. Unless otherwise indicated in the Instructions above, please transfer, in-lend. all assets Into my account with TO Ameritrade. I understand that the extent any assets in my account are not readily transferable, with or without any penalties, such assets may not be transferred wthin the time frames required by appicable regulations. I understand I will bo contacted by the carrying and/or receiving firm with regard to any assets that aro not transferable. I authorize the Transferor to deduct any outstanding fees due to transfer from the credit balance. or if the credit balance in the account is insufficient to satisfy any outstanding fees. If certificates or other instruments in my account aro in your physical possession, I instruct Transferor to transfer them in good deliverable form, including affixing any necessary tax waivers, to enable the successor custodian to transfer them in its name for the purpose of sale, when and as directed by me. I understand that upon receiving a copy of this transfer instruction, for a full account transfer. Transferor will freeze my account and cancel all open orders. I also understand that no new orders may/will be taken. I affirm that I have destroyed or returned to the Transf all credit/debit cards amPor unused checks issued to me in correction with my account. If this TD rade accou t is a qualified retirement account, I have amended the app5cable plan to designate the successor custodian. Mama if this TO Arne trade account is an Individual Retirement Account (IRA), I have opted an IRA pa so That it names the successor custodian. et.ni Slenaiwt X co-omieff 71.islekit Dale X CdOwners SIgi at Lr X Co.Owners Signature: Dam:
Investment Products: Not FDIC Insured ' No Bank Guarantee ' May Lose Value TO Ameritrade, Inc. and TD Ameritrade Clearing. Inc., members FINRA/SIPC. TD Ameritrade is a trademark jointly owned by TO Ameritrade IP Company, Inc. and The Toronto-Dominion Bank. 0 2018 TO Ameritrade. C0 ENTIAL SONYGMA000 0l2B1. EFTA_00123063
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Type
Foia ReleaseSource
DOJ - Data Set 10Release Date
January 24, 2025
Pages
3
File Size
754.4 KB
Format
Data Set
data-set-10
OCR Confidence
ID: EFTA01268457
Last updated: Feb 9, 2026
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