EFTA01344009.pdf

Account Transfer Form ECEIVING FIRM INFORMATION (Only one per form) RECEIVING FIRM CLEARING NUMBER: CM ACCOUNT NUMBER: or TAXPAYER SOCIAL SECURITY IDENTIFICATION NUMBER NUMBER: SECONDARY SOCIAL or TAXPAYER SECURITY NUMBER: IDENTIFICATION NUMBER: LI ACCOUNT TYPE: (Enter the two character code) tc_191 Nonrehrement: SN—(Single) —(JoInt) TR—(Trun) CT—(Cotrustae) CO—(Corporate) CU —(Custodian) ES—(Estn) BC —(Bonk Custody) AD —(Agency) Retirement: IR —(Treditionel IRA) RI —(Roth IRA) DR—(Direct Rollover) BI—lBenefioiaty) BR —(8enefkiary Roth IRA) 4K--(401k) El—(Eduction Savings AcociuM) SI —(SIMPLE IRA) OP—IC:melted Plan) 4B —(403b) TB —(457 Men) HS— (Heatth SwF°, Account) SP—(529 Plan) Other. OT —(Omer) II . DELIVERING ACCOUNT INFORMATION CLEARING NUMBER. ACCOUNT NUMBER: .1.11. DELIVERING FIRM CONTACT INFORMATION (MANDATORY WHEN CI FARING NUMBER IS NOT PROVIDED). FIRM NAME: JP Morgan CONTACT NAME: ._...._ ACCOUNT TITLE (As it appears on your staYmnen0 FIRM ADDRESS: (No. P.O. Box) ..... Southern Teen Company, Inc CITY. STATE. ZIP TELEPHONE NUMBER. NOTE: A complete copy of your most recent statement is necessary to process this form. III TRANSFER TYPE IC Imo.... may wk..) A. ACCOUNT TRANSFER RJLL (Check one b.iow) 0 TRANSFER ALL ASSETS IN KIND (Skip to Section VI) O LIQUIDATE ALL ASSETS USTED IN SECTION IV (LIquidorbons ere not for brokerage accounts) 0 TRANSFER ALL ASSETS IN KIND EXCEPT FOR THE ASSETS LISTED IN SECTION IV, WHICH REQUIRE UQUIDATION O PARTIAL (Complete Section M B. DRS/DRIP O FULL (Check one below) O SELL FRACTIONS AND CIDSE ACCOUNT O TRANSFER ALL FULL SHARES ONLY PARTIAL (List ens in Section M NOTE: For transfer nerds. electronically send positions or issue a certificate for whoa snares and redeem fractional shares. C. DIRECT MUTUAL FUND O TRANSFER MUTUAL FUNDS FROM THE ACCOUNT HELD DIRECTLY AT THE FUND COMPANY (Sea ht n Section N For exact instructions) NOTE: Only one fund family par form. D. BANK RETIREMENT PLAN ACCOUNTS (Select only one) 0 LIQUIDATE IMMEDIATELY AND TRANSFER CASK I em OWIff• of and acknowledges any penalty I will incur from an early WithclawM. O LIQUIDATE AT MATURITY AND TRAI,SFER CASH Specify maturity date: (submit two to three weeks before maturity dee). NOTE: Liquidations invOng behh-00e, checking incounta. or. swinge accounts an only be processed from wirer:nem accounts, 11 /c/I%3 SIGNATURE DATE SIGNATURE DATE App.,50 ACAT 09-MSN-0597 OROS hoe 2 of 3 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0029042 CONFIDENTIAL SDNY_GM_00175226 EFTA01344009