Firm Name: Primary Contact:

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1 STANDARD ACCOUNT APPLICATION 1 2 INVESTMENT ADVISOR Investment Advisor Firm (Agent) and Primary Contact: Account # Advisor # Case # Firm Name: Primary Contact: ACCOUNT TYPE: PLEASE CHECK THE APPROPRIATE BOX Individual Custodian for a Minor* Please indicate the state of establishment:. If the state is left blank, the minor s state of residence will default. Joint Tenants with Rights of Survivorship If one Joint owner dies, his/her interest passes to the surviving owner(s). Tenants in Common % Owner % Co-owner If one Joint owner dies, his/her interest passes to his/her estate (50/50, unless otherwise noted). Community Property For AZ, CA, ID, LA, NM, NV, TX, WA, and WI only. Laws vary by state. Tenants by the Entireties If one Joint owner dies, his/her interest passes to the surviving owner (Spouses only). Estate Decedent s account number at TD Ameritrade:. Provide estate name and estate tax ID in Section 2, and the executor s information in Section 3. Include a copy of the decedent s death certificate, and a copy of the Letters of Testamentary. Guardianship** Please include a copy of the court certified letter of guardianship. Conservatorship** Please include a copy of the court certified letter of conservatorship. * Provide minor s information in the Primary Account Owner information portion of Section 2, and the custodian s information in the Joint Account Owner portion of Section 3. Complete the Custodian s Designation of Successor Custodian to UTMA/UGMA Account form. If the custodian dies or becomes incapacitated without designating a successor, a court certified Appointment of Successor Custodian may be required. **Additional information and/or paperwork may be required. Please contact your advisor. PRIMARY ACCOUNT OWNER: COMPLETE ALL INFORMATION BELOW FOR THE PRIMARY OR MINOR ACCOUNT OWNER First Name: Middle Initial: Last Name: Estate Name: Social Security Number/ Estate Tax ID: Date of Birth: Primary Telephone Number: Check here if this is not a U.S. phone number. Secondary Telephone Number: Check here if this is not a U.S. phone number. Home Street Address (No PO Boxes): City: Mailing Address (If different from above): City: State: ZIP Code: State: ZIP Code: Please specify if you are: Source of income (if Unemployed, Retired, Homemaker, or Student): Employed Self-employed Unemployed Retired Homemaker Student Employer Name (If self-employed, please provide the name of your business and industry): Occupation: Type of Business: Employer Street Address: City: Check here if you are a: U.S. Citizen Permanent Resident Not a U.S. Citizen Country of Dual or Secondary Citizenship (if applicable): State: ZIP Code: Country of Citizenship (For non-u.s. Citizens and Permanent Residents): Country of Birth (For non-u.s. Citizens and Permanent Residents): Non-U.S. citizens: Do you hold a current U.S. immigration visa? Yes No Specify Visa type: Visa Number: Expiration: (Nonresident aliens must submit Form W-8BEN and a copy of a current passport. If a U.S. address is listed, then attach a signed letter of instruction explaining why you have a U.S. address.) Check here if you or your spouse, any member of your immediate family, including parents, in-laws, siblings, and dependents, and any personal or business associates is a senior political figure (SPF). Specify the name of the SPF, political title, relationship to Account owner, and country of office: Check here if you or your spouse, any member of your immediate family, including parents, in-laws, siblings, and dependents, is a director, 10% shareholder, or policy-making officer of a publicly traded company. Specify the company name, address, city, and state: Check here if you or your spouse, any member of your immediate family, including parents, in-laws, siblings, and dependents is licensed, employed by, or associated with, a broker-dealer firm, a financial services regulator, securities exchange, or member of a securities exchange. If checked, please specify entity below, and provide a copy of the required authorization letter (with this application): *TDAI9017* Page 1 of 4 TDAI 9017 REV. 09/14

2 3 JOINT ACCOUNT OWNER: COMPLETE ALL INFORMATION BELOW FOR THE JOINT ACCOUNT OWNER OR CUSTODIAN First Name: Middle Initial: Last Name: Estate Name: Social Security Number\ Estate Tax ID: Date of Birth: Primary Telephone Number: Check here if this is not a U.S. phone number. Secondary Telephone Number: Check here if this is not a U.S. phone number. Home Street Address (no PO boxes): City: Mailing Address (if different from above): City: State: ZIP Code: State: ZIP Code: Please specify if you are: Source of income (if Unemployed, Retired, Homemaker, or Student): Employed Self-employed Unemployed Retired Homemaker Student Employer Name (If self-employed, please provide the name of your business and industry): Occupation: Type of Business: Employer Street Address: Check here if you are a: U.S. Citizen Permanent Resident Not a U.S. Citizen Country of Dual or Secondary Citizenship (if applicable): City: State: Country of Citizenship (For non-u.s. Citizens and Permanent Residents): Country of Birth (For non-u.s. Citizens and Permanent Residents): Non-U.S. citizens: Do you hold a current U.S. immigration visa? Yes No Specify Visa type: Visa Number: Expiration: (Nonresident aliens must submit Form W-8BEN and a copy of a current passport. If a U.S. address is listed, then attach a signed letter of instruction explaining why you have a U.S. address.) Check here if you or your spouse, any member of your immediate family, including parents, in-laws, siblings, and dependents, and any personal or business associates is a senior political figure (SPF). Specify the name of the SPF, political title, relationship to Account owner, and country of office: Check here if you or your spouse, any member of your immediate family, including parents, in-laws, siblings, and dependents, is a director, 10% shareholder, or policy-making officer of a publicly traded company. Specify the company name, address, city, and state: Check here if you or your spouse, any member of your immediate family, including parents, in-laws, siblings, and dependents is licensed, employed by, or associated with, a broker-dealer firm, a financial services regulator, securities exchange, or member of a securities exchange. If checked, please specify entity below, and provide a copy of the required authorization letter (with this application): 4 5 CASH SWEEP VEHICLE CHOICES (PLEASE SELECT ONLY ONE) TD Ameritrade FDIC Insured Deposit Account (IDA) Pays interest on credit balances. TD Ameritrade Cash (Protected by the Securities Investor Protection Corporation (SIPC)) Pays interest on credit balances. TD Asset Management USA Funds (TDAM) TDAM Municipal Portfolio Invests primarily in high-quality municipal securities that pay dividends exempt from federal income tax. TDAM New York Municipal Money Market Portfolio Invests primarily in high-quality municipal securities that pay dividends that are exempt from federal, New York state, and New York City income tax. TDAM California Municipal Money Market Portfolio Invests primarily in high-quality municipal securities that pay dividends that are exempt from federal and California state income taxes. NOTE: If not specified, all credit balances will automatically be swept daily to the TD Ameritrade FDIC Insured Deposit Account. See the Client Agreement for a complete description of the Cash Sweep program. An investment in a money market mutual fund is not insured or guaranteed by the Federal Deposit Insurance Corporation (FDIC) or any other government agency. Although a money market fund seeks to preserve the value of your investment at $1 per share, it is possible to lose money by investing in a money market fund. Tax-exempt portfolios may pay dividends that are subject to the alternative minimum tax, and also may pay taxable dividends due to investments in taxable obligations. More complete information about the money market funds, including management fees and expenses, is contained in the prospectus, which can be obtained by calling your advisor. Please read the prospectus carefully before you invest or send money. DIVIDEND & INTEREST PREFERENCES (PLEASE SELECT ONLY ONE OPTION FOR DIVIDEND & INTEREST DELIVERY) Please select one of the below choices. If no selection is made TD Ameritrade will default to holding all dividends and interest at TD Ameritrade. Hold all dividends and interest at TD Ameritrade ACH all dividends and interest on the last business day of the month* *Electronic Funds Transfer Form required Mail check for all dividends and interest on the last business day of the month Page 2 of 4 TDAI 9017 REV. 09/14

3 6 CONFIRMATION AND STATEMENT PREFERENCES By providing your address, you consent to receive electronic trade confirmations and statements. Account statements and trade confirmations will be available at advisorclient.com through your user ID and login. We will send a notification to the address you provide below when new documents are available to view and/or print. Monthly Paper Statements Monthly Electronic Statements Paper Trade Confirmations Electronic Trade Confirmations Address: In the event that no address is provided or an sent to the address above is returned as undeliverable, TD Ameritrade will send paper statements and trade confirmations to the address of record. TD Ameritrade will provide my name to corporations whose securities I hold in my account for the purpose of additional corporate communications, unless I have checked here. DUPLICATE STATEMENTS & CONFIRMS FOR AN INTERESTED PARTY If you would like to provide duplicate paper statements and/or duplicate paper trade confirmations to an interested party please complete the information below: Please check all that apply Statements Trade Confirmations Name: Company Name (if any): Street Address: City: PROXY AUTHORIZATION State: ZIP Code: Please select one of the below choices. If no selection is made TD Ameritrade will default to sending me proxies. The Agent can only vote my proxies if they have discretion over my account. I would like to receive and vote on proxies. Agent receives and votes proxies. I hereby authorize TD Ameritrade to forward proxy soliciting materials, annual reports, and other related issuer materials, normally sent to me, to my advisor (Agent) and to allow Agent to vote Proxies on my behalf.* Agent receives and votes proxies but I would like to receive informational copies. I hereby authorize TD Ameritrade to forward proxy soliciting materials, annual reports, and other related issuer materials, normally sent to me, to my advisor (Agent) and to allow Agent to vote Proxies on my behalf.* * I confirm that the Agent holds discretionary authority over my account pursuant to an advisory contract with the Agent. I understand that this authorization may be rescinded at any time for any reason, by a written notice addressed to TD Ameritrade and delivered to your office. This authorization shall extend to the benefit of your successors and assigns. LIMITED POWER OF ATTORNEY LIMITED TO PURCHASE AND SALE OF SECURITIES, INCLUDING THE TRADING OF OPTIONS, IF APPLICABLE. By my initials in Section 9, and to the extent indicated herein, I hereby constitute and appoint the Advisory Firm or individual named herein as my agent and attorney-in-fact ( Agent ), to buy, sell (including short sales), and trade in stocks, bonds, and any other securities and/or contracts relating to the same on margin (if I have signed a margin agreement) or otherwise in accordance with the Client Agreement (incorporated by reference) applicable to this account held in my name, or number on your books, without notice to me. My Agent is authorized to effect such transactions in my account via any available medium, electronic access or otherwise, including but not limited to electronic access via personal computer or touch-tone phone. If I have signed an options agreement, my Agent is specifically authorized to effect options transactions in my account, including uncovered options transactions or to uncover a covered options position for my account, as such terms are defined in the booklet Characteristics and Risks of Standardized Options, a copy of which I have received. I hereby agree to indemnify and hold harmless TD Ameritrade, Inc. ( TD Ameritrade ), its affiliates and their directors, officers, employees, and agents from and against all claims, actions, costs, and liabilities, including attorneys fees, arising out of or related to reliance on this authorization and to pay promptly on demand any and all losses arising therefrom or debit balance due thereon. In all such purchases, sales, or trades, you are authorized to follow the instructions of my Agent in every respect concerning my account with you; and my Agent is authorized to act for me and on my behalf in the same manner and with the same force and effect as I might or could do with respect to such purchases, sales, or trades, as well as with respect to all other things necessary or incidental to the furtherance or conduct of such purchases, sales, or trades, including without limitation the delivery of securities or monies from the account in the Account Owner(s) name and the provision of securities cost basis method selection and/or information for purposes of cost basis or tax reporting. I hereby ratify and confirm any and all transactions with you heretofore or hereafter made by my Agent for my account. This authorization and indemnity is in addition to, and in no way limits or restricts, any rights which you may have under any other agreement or agreements between me and TD Ameritrade. If this is a fiduciary account, Account Owner(s) affirm(s) that this grant of limited trading authority has been conferred consistent with any fiduciary duties or powers of Account Owner(s). This authorization is a continuing one and shall remain in full force and effect until (i) you are notified by a written notice delivered to TD Ameritrade of my death or incapacity or (ii) I change or revoke this authorization by a written notice to TD Ameritrade. You shall have no duty of inquiry. Until you receive such written revocation, you are entitled to act in reliance on this authorization and indemnity. Any revocation of this authorization shall have no effect on any liability which results from transactions initiated before you receive written notice of revocation. This authorization and indemnity shall inure to the benefit of your firm and of any successor firm or firms, irrespective of any change or changes at any time in the personnel thereof for any causes whatsoever, and of the assigns of your present firm or any successor firms. I have carefully read this power of attorney and indemnity and understand that it authorizes my Agent named herein to exercise rights and powers over my accounts as if I had exercised them myself and that my Agent s actions and instructions with respect to my accounts are fully binding on me. I also understand and agree that TD Ameritrade has no duty or responsibility to monitor trading in my accounts by my Agent or to notify me prior to accepting instructions. I agree to have my Agent receive duplicate statements and trade confirmations. Please initial to indicate your approval. (if joint account, both parties must initial) Primary Account Owner Initials: Joint Account Owner Initials: I hereby authorize the Agent listed on page 1 to execute trades in my account. Page 3 of 4 TDAI 9017 REV. 09/14

4 810 AUTHORIZATION TO PAY FEES TO AGENT By my initials in Section 10, and to the extent indicated herein, I hereby authorize TD Ameritrade to pay Agent from my account the Agent s management fees as invoiced by Agent. I also authorize TD Ameritrade to liquidate shares of any money market mutual fund I may hold in my account to the extent necessary to pay such fees. TD Ameritrade shall rely on Agent s invoices and have no responsibility for the calculation or verification of fees. I will indemnify and hold TD Ameritrade and its affiliates, directors, officers, employees, successors, and assigns harmless from all losses, claims, damages, liabilities, and costs, including attorneys fees, which TD Ameritrade may incur by relying upon representation of Agent or upon this authorization. This authorization will remain in full force and effect until revoked by me by a written notice addressed and delivered to TD Ameritrade. Please initial to indicate your approval. (if joint account, both parties must initial) Primary Account Owner Initials: Joint Account Owner Initials: I hereby authorize TD Ameritrade to pay my Agent s fee from my account as directed by my Agent. 11 AGREEMENT BY SIGNING THIS AGREEMENT, I ACKNOWLEDGE THAT: I acknowledge that I have received and read the Client Agreement, available at advisorclient.com or by calling , that will govern my account. I agree to be bound by the Client Agreement, which may be amended from time to time and which is incorporated by this reference. I release and agree to indemnify and hold harmless TD Ameritrade Institutional from any and all liability and claims for damages resulting from any action taken pursuant to this Agreement. By my signature below, I attest that I am of legal age to contract and that the information contained in this application is true and correct. I hereby request, subject to acceptance by TD Ameritrade Institutional, an account as indicated in Section 1 be opened in the name(s) set forth below. If I have requested an options account, I agree to be bound by the Client Agreement and any supplemental options agreements that will govern my account applicable to the trading of options contracts. I agree to abide by the rules of the listed options exchanges and the Options Clearing Corporation and will not violate current position and exercise limits. I am aware of the risks involved in options trading and represent that I am financially able to bear such risks and withstand options-trading losses. All securities, dividends, and proceeds will be held at TD Ameritrade Clearing, Inc. (the Clearing Firm ), unless otherwise instructed. I understand that TD Ameritrade Institutional may obtain a current consumer or credit report to determine my eligibility, or continuing eligibility, for credit or for other legitimate business purposes. Any decision by TD Ameritrade Institutional to extend credit may be based on information contained in a consumer or credit report, as well as the policies of TD Ameritrade Institutional and the Clearing Firm. I understand that TD Ameritrade Institutional may relate information regarding this account, including account delinquency and voluntary closures, to consumer or credit reporting agencies. Upon my request, TD Ameritrade Institutional shall inform me of each consumer or credit reporting agency from which they have obtained and/or reported my consumer or credit report. TD Ameritrade Institutional agrees to notify the consumer or credit reporting agencies if I dispute the completeness or accuracy of the information furnished by TD Ameritrade Institutional. By my signature below, I authorize TD Ameritrade Institutional to obtain consumer or credit reports for the name(s) set forth below. Unless specified otherwise, I understand that non-deposit investments purchased through TD Ameritrade Institutional are not insured by the Federal Deposit Insurance Corporation (FDIC), are not obligations of or guaranteed by any financial institution, and are subject to investment risk and loss that may exceed the principal invested. Important information about procedures for opening a new account: To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also utilize a third-party information provider for verification purposes and/or ask for a copy of your driver s license or other identifying documents. Successors and Heirs. This Authorization supplements and in no way limits or restricts rights that TD Ameritrade Institutional and the Clearing Firm may have under any other agreement with me. This Authorization will bind my heirs, executors, administrators, successors, and assigns and will benefit TD Ameritrade Institutional and the Clearing Firm s successors and assigns. The Client Agreement applicable to this brokerage account agreement contains predispute arbitration clauses. By signing this agreement, the parties agree to be bound by the terms of the agreement, including the arbitration agreement located in section 12 of the Client Agreement on page 8. Under penalties of perjury, I certify that: (1) the number shown on this form is my correct taxpayer identification number, and (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and (3) I am a U.S. citizen or other U.S. person, and (4) the FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. If I have been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding because I have failed to report all interest and dividends on my tax return, I must cross out (2) in this certification. The IRS does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. 12 ACCOUNT OWNER(S) SIGNATURE: Primary Account Owner s Printed Name: Primary Account Owner s Signature: Date: Joint Account Owner s Printed Name: Joint Account Owner s Signature: Date: Mailing Address: TD Ameritrade Institutional PO BOX San Diego, CA Overnight Address: TD Ameritrade Institutional 5010 Wateridge Vista Drive San Diego, CA TDAI 9017 REV. 09/14 Investment Products: Not FDIC Insured * No Bank Guarantee * May Lose Value TD Ameritrade Institutional, Division of TD Ameritrade, Inc., and TD Ameritrade Clearing, Inc., members FINRA/SIPC. TD Ameritrade is a trademark jointly owned by TD Ameritrade IP Company, Inc. and The Toronto-Dominion Bank TD Ameritrade IP Company, Inc. All rights reserved. Used with permission. Page 4 of 4

5 ACCOUNT TRANSFER FORM TO TRANSFER YOUR EXISTING ACCOUNT TO TD AMERITRADE 1 PLEASE ATTACH A COPY OF YOUR LATEST STATEMENT. TD AMERITRADE ACCOUNT INFORMATION Account Title/Registration: Social Security Number/Tax ID: Clearing Number: 0188 Account # Advisor # Case # Individual Personal Trust Limited Liability Company Roth IRA Qualified Retirement Plan (Non-Qualified) Employer Plan Type: Joint Estate Partnership/Investment Club SEP IRA Simple IRA UTMA/UGMA Corporate Traditional IRA/Rollover IRA Coverdell ESA Beneficiary IRA 2 Other: INFORMATION ON THE ACCOUNT YOU ARE TRANSFERRING FROM Account Title/Registration as shown on your statement: Name of Delivering Firm: Physical Address of Firm (no PO BOX): Account Number: Telephone Number (required): Individual Personal Trust Limited Liability Company Roth IRA Qualified Retirement Plan (Non-Qualified) Employer Plan Type: Joint Estate Partnership/Investment Club SEP IRA Simple IRA Has SIMPLE IRA been funded for at least two years? Yes No UTMA/UGMA Corporate Traditional IRA/Rollover IRA Coverdell ESA Beneficiary IRA 3 Other: LIST THE ASSETS YOU WANT TO TRANSFER A. Transfer from an ACAT eligible Brokerage Firm, Bank, Insurance/Annuity Co., Trust Co., or Transfer Agent Check box for full or partial transfer. For partial transfers, list descriptions of assets and shares. Unless otherwise indicated, TD Ameritrade will transfer in full. Please note The ACAT system does not allow for liquidation requests. To place trades, please contact your current custodian prior to submitting the transfer request. Most banks, insurance/annuity, and trust companies require original wet-ink signature mailed to TD Ameritrade. Full Transfer To transfer entire account, check box and skip to Section 4 (if applicable), then to the Signature Section. Partial Transfer List specific security. If bonds are being transferred, please supply the Bond CUSIP. Description of Asset (Partial transfers only) Quantity (Indicate # of shares or ALL ) Description of Asset (Partial transfers only) Quantity (Indicate # of shares or ALL ) For additional securities, see attached list. *TDAI9582* Page 1 of 5 TDAI 9582 REV. 01/14

6 Annuity/Life Insurance Policy: I have an annuity or life insurance policy I wish to liquidate and have the proceeds sent to TD Ameritrade. Please choose one option: Please redeem and terminate entire contract or policy on my behalf. I understand that penalties may apply. Please redeem and terminate entire contract or policy on my behalf. The entire contract or policy is penalty-free. Please redeem only the penalty-free amount of $. Please withdraw a partial amount of $. The entire contract or policy is penalty-free Certificates of Deposit (CDs): Redeem my CD immediately. I understand that penalties may apply for any withdrawals prior to maturity. Redeem my CD at maturity. Maturity date: Submit request at least 21 days prior to maturity. Please advise your bank not to roll over the CD to a new term. Dividend Reinvestment Plan: I am transferring positions in Book Entry form and liquidating accumulated fractional shares. B. Transfer from a Mutual Fund company Unless otherwise indicated, TD Ameritrade will transfer all shares in kind and reinvest your dividends and capital gains. I acknowledge that ineligible proprietary mutual funds and all no-load money market funds cannot be transferred in kind and must be liquidated by the mutual fund company. Fund Name or Symbol Fund Account Number Quantity (Indicate # of shares or All ) Handling (Check one) Credit Gains and Dividends as (Check one if transferring shares) Transfer my shares Sell my shares, transfer cash Reinvested shares Cash Transfer my shares Sell my shares, transfer cash Reinvested shares Cash Transfer my shares Sell my shares, transfer cash Reinvested shares Cash Transfer my shares Sell my shares, transfer cash Reinvested shares Cash Transfer my shares Sell my shares, transfer cash Reinvested shares Cash For additional mutual funds, see attached list. To transfer Money Markets, please indicate the Money Market name or symbol if available: Liquidate Money Market: All Only: $ Page 2 of 5 TDAI 9582 REV. 01/14

7 4 DISCREPANCIES OF ACCOUNT NAME AND TYPE (IF APPLICABLE) If the account you are transferring is not like titled, please complete the following authorization. We hereby authorize a transfer from the account of to the account at TD Ameritrade for. (Delivering Account Title/Registration) (TD Ameritrade Account Title/Registration) Account Owner s Signature: Date: Account Co-Owner s Signature: Date: If the discrepancy is a result of a name change for an account owner, please provide a copy of the legal document such as marriage certificate, divorce decree, etc. 5 SIGNATURE(S): PLEASE READ AND SIGN THIS SECTION (A COPY OF YOUR LATEST STATEMENT IS REQUIRED) If this account is a qualified retirement account, I have amended the applicable plan so that it names TD Ameritrade Clearing, Inc. as a successor custodian. Unless otherwise indicated in the instructions above, please transfer all assets in my account in kind to TD Ameritrade. I understand that to the extent any assets in my account are not readily transferable, with or without penalties, such assets may not be transferred within the time frames required by applicable regulations. Unless otherwise indicated in the instructions above, I authorize you to liquidate any non-transferable proprietary money market fund assets that are part of my account and transfer the resulting credit balance to TD Ameritrade Clearing, Inc. I authorize you to deduct any outstanding fees due you from the credit balance in my account. If my account does not contain a credit balance, or if the credit balance in the account is insufficient to satisfy any outstanding fees due you, I authorize you to liquidate the assets in my account to the extent necessary to satisfy that obligation. If certificates or other instruments in my account are in your physical possession, I instruct you 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, you will cancel all open orders for my account on your books. Account Owner s Printed Name: Account Owner s Signature: Date: Account Co-Owner s Printed Name (if Joint Account): Account Co-Owner s Signature (if Joint Account): Date: Plan Administrator Signature (optional): Date: 6 LETTER OF ACCEPTANCE FOR RETIREMENT PLANS (TD AMERITRADE COMPLETES) To the prior trustee or custodian: Please be advised that TD Ameritrade Clearing, Inc. will accept the above-captioned account as successor custodian. Successor Custodian Authorized Signature: Date: Page 3 of 5 TDAI 9582 REV. 01/14

8 FOR TD AMERITRADE USE ONLY: Receiving Firm Information Clearing Firm: TD Ameritrade Clearing, Inc. Tax ID Number: Name and Address: TD Ameritrade, Inc. Attn: Transfer of Accounts Department 200 S 108th Ave Omaha, NE All deliveries MUST include client name and TD Ameritrade, Inc. ( TD Ameritrade ) account number. Depository Trust Company DTC # 0188 Physical Delivery of Securities TD Ameritrade Clearing, Inc. FBO Client Name and Account Number PO Box 2226 Omaha, NE S 108th Ave Omaha, NE Book-Entry GNMA Securities PTC Instructions are: BKNYCATP Federal Book Entry (for example, Treasury Notes) BK of NYC/TD Ameritrade ABA # Fed Wired Monies Wire to: First National Bank of Omaha 16th & Dodge Streets Omaha, NE A/C of TD Ameritrade, Inc. ABA # A/C # For Further Credit to: Client s Name and Account Number. Forward Checks TD Ameritrade Clearing, Inc. FBO Client Name and Account Number PO BOX San Diego, CA Wateridge Vista Drive San Diego, CA Mutual Fund Registration TD Ameritrade, Inc. Tax ID Number: FBO Client s Name and Account Number PO Box 2226 Omaha, NE Broker/Dealer: TD Ameritrade, Inc. 200 S 108th Ave Omaha, NE Options Options Clearing Corporation: OCC #0777 Cost Basis Information (**Required**) TD Ameritrade is a CBRS Participant Mailing Address (for Transfer Statements and general questions) TD Ameritrade PO Box 2209 Omaha, NE Or Fax Number: Please include the client s name and TD Ameritrade account number in all correspondence. Page 4 of 5 TDAI 9582 REV. 01/14

9 ACCOUNT TRANSFER FORM Instructions to transfer securities, mutual funds, or other assets to your TD Ameritrade Institutional account: Sections 1-5 of the attached Transfer Form. For new accounts, a new account application must also be completed. Section 1 TD Ameritrade Institutional Account Information complete your TD Ameritrade account registration information. Section 2 Delivering Firm Information complete Delivering Firm s account registration information. Section 3 Transfer details; see below for requirements. Depending on where the assets are coming in from, please complete section 3A or 3B. Section 3A, then the Discrepancies of Account Name and Type Section 4 (if applicable) and sign in Section 5. Section 3A, list description of asset, number of shares or all, then the Discrepancies of Account Name and Type Section 4 (if applicable) and sign in Section 5. Brokerage Firm, Bank, Insurance/Annuity Co., Trust Co. or Transfer Agent appropriate box. Please note: fractional shares will be liquidated and transferred as cash. Over 13,000 funds are available. from which you re transferring. Photocopy our form if necessary or call for additional forms. Section 4 Discrepancies of Account type and name, if applicable. Please note that not all carrying firms will accept this section to allow a transfer between unlike titles. The ultimate discretion to allow a transfer between unlike titles lies with the carrying custodian. Section 5 Signatures all parties listed on the account registration information must sign. Please verify that the Social Security Number and the title of the account at TD Ameritrade are exactly the same as the account at the other institution. Section 6 Letter of Acceptance to be completed by TD Ameritrade if needed. IMPORTANT COPY of the most recent statement from the institution you are transferring from. The statement should be from within the past 6 months to best display the most accurate holdings. Please note the statement is used to process your request so an accurate statement allows for best results. Roth IRA with your existing custodian and then complete a transfer to a Roth IRA at TD Ameritrade. IF YOU HAVE ANY QUESTIONS, PLEASE Contact your advisor. Need more forms? Photocopy this form, call us, or visit our website at advisorclient.com for additional forms. Mailing Address: TD Ameritrade Institutional PO BOX San Diego, CA Overnight Address: TD Ameritrade Institutional 5010 Wateridge Vista Drive San Diego, CA TDAI 9582 REV. 01/14 Investment Products: Not FDIC Insured * No Bank Guarantee * May Lose Value TD Ameritrade Institutional, Division of TD Ameritrade, Inc., member FINRA/SIPC/NFA and TD Ameritrade Clearing, Inc., member FINRA/SIPC. TD Ameritrade is a trademark jointly owned by TD Ameritrade IP Company, Inc. and The Toronto-Dominion Bank TD Ameritrade IP Company, Inc. All rights reserved. Used with permission. Page 5 of 5

10 MOVE MONEY ADVISOR AUTHORIZATION Account # Advisor # Case # By enrolling in TD Ameritrade Move Money, you are establishing a standing authorization to request checks to the address of record, internal transfers, and/or electronic funding transfers between your TD Ameritrade account and the account at another financial institution specified below. Please note that you must be an account owner on both accounts to enable your advisor to request transfers from the other account to your TD Ameritrade account. Not all account types are eligible for Move Money; please contact your Service Team for information. For retirement Move Money authorization, please complete and submit an IRA Move Money form. There are certain types of distribution instructions that cannot be pre-authorized with this form. An appropriate Distribution Request Form with your signature will always be required for the following instruction requests: INVESTMENT ADVISOR AUTHORITY (REQUIRED) Name of the Advisory Firm you wish to have Move Money authorization on your behalf: TYPE OF REQUEST New instructions Replace existing instructions Remove ALL authorizations (all existing ACH, Fed Wire, and Internal Transfer Move Money Investment Advisor authorizations on account will be removed) ACCOUNT OWNER INFORMATION Name (First, Middle Initial, Last): Primary Telephone Number: AUTHORIZED METHOD(S) OF PAYMENT (SELECT ALL THAT APPLY) Page 1 of 4 Social Security Number: Secondary Telephone Number: I/We authorize my/our Investment Advisor to utilize the following methods to disburse funds from, or to contribute funds to (ACH and internal transfers only), my/our account for one-time or recurring cash transactions: NOTE: THIRD PARTY REQUESTS MAY REQUIRE PHONE VERIFICATION Like-Titled Internal Transfers* Third Party Internal Transfers (Complete section 5) Checks to the Address of Record* ACH (Complete section 7) Fed Wires (Complete section 8) * Your Investment Advisor currently maintains authority to request internal transfers between like-registered accounts and checks payable to the account registration and mailed to the address on record. This authority is granted within the Limited Power of Attorney language included on this form. INTERNAL TRANSFERS* (IF APPLICABLE) Destination Account Number: Destination Account Number: Destination Account Number: Destination Account Number: * Certain other restrictions apply. Account Registration: Account Registration: Account Registration: Account Registration: ACH AUTHORIZATION FOR OTHER ACCOUNT(S) By signing the Account Owner Authorization below, I/we, each of the registered holders of the other account(s) specified below, authorize TD Ameritrade to act upon the instructions of the Investment Advisor named above to: (i) initiate credit entries to the other account(s) and to credit that account; (ii) initiate debit entries to the other account(s) and to debit that account; and (iii) initiate reversals to the other account(s) of erroneous or duplicate credit or debit entries and to credit or debit the other account(s) as appropriate. I/We agree to jointly and severally indemnify and hold TD Ameritrade harmless for any liabilities occurring as a result of TD Ameritrade relying on this authorization or instructions given pursuant to it. I/We acknowledge that these transactions shall be governed by the Rules of the National Automated Clearing House Association and other applicable rules or regulations, and agree to abide by such rules. I/We agree to settle by binding arbitration any dispute involving TD Ameritrade that may arise with respect to the Move Money Service. This authorization will remain in full force and effect until TD Ameritrade has received notification of its termination, such notice which may be provided by any of the registered owners of the other account(s) at any time by writing to TD Ameritrade Institutional (5010 Wateridge Vista Drive, San Diego, CA , phone ). I/We acknowledge that TD Ameritrade must receive this notification in a time and manner so as to give TD Ameritrade and the other financial institution(s) a reasonable opportunity to act on it. *TDAI9341* TDAI 9341 REV. 06/14

11 7 ACH BANKS OF RECORD (IF APPLICABLE) Authorize ACH Direction (Select one or both): TD Ameritrade to Bank Select one: Checking Savings Bank Name: Bank City/State: Name on Bank Account (exact): Please attach voided check. Bank to TD Ameritrade ABA (Routing) Number: Bank Phone Number: Bank Account Number: 8 ADDITIONAL BANK (OPTIONAL) Authorize ACH Direction (Select one or both): TD Ameritrade to Bank Select one: Checking Bank Name: Bank City/State: Name on Bank Account (exact): Please attach voided check. DELIVERY DETAILS Savings DOMESTIC WIRE INFORMATION Receiving Bank Name: Bank to TD Ameritrade ABA (Routing) Number: Bank Phone Number: Bank Account Number: Bank City/State: Bank Telephone #: ABA/Routing #: Receiving Bank Account #: Name on Receiving Bank Account (list name as it appears at Bank and if name contains initials, please provide full name): Please provide the following information if this request is for an escrow/mortgage or brokerage account: For Further Credit to Name (if name contains initials, please provide full name): For Further Credit to: Escrow/Mortgage File # Brokerage Account # OPTIONAL: Intermediary Bank (Please verify this information with the receiving bank above if applicable) Intermediary Bank Name: Intermediary Bank ABA/Routing #: Intermediary Bank City/State: INTERNATIONAL WIRE INFORMATION (to ensure accuracy, please contact financial institution for correct routing information) International wires requests may require disclosure of fees. If we cannot reach you by phone, your International wire request may be cancelled. International Bank Name: Bank Street Address: Bank City/Country: SWIFT/BIC Code: Bank Telephone #: Additional Bank Routing Information (such as, Sort U.K., IBAN Euro, Transit Canada, CLABE Mexico, etc.): Name on Receiving Bank Account (List name as it appears at Bank and if name contains initials, please provide full name): Receiving Bank Account #: For Further Credit Name and Account # (if applicable): Purpose of Wire (REQUIRED) Providing a non-specific purpose may cause delays in processing the wire request: Page 2 of 4 TDAI 9341 REV. 06/14

12 9 10 LIMITED POWER OF ATTORNEY I/We hereby agree to indemnify and hold harmless TD Ameritrade, Inc., its affiliates and their directors, officers, employees, and agents from and against all claims, actions, costs, and liabilities, including attorney s fee arising out of, or related to, reliance on this authorization and to pay promptly on demand any and all losses arising there from or debit balance due thereon. In all such purchases, sales, or trades, you are authorized to follow the instructions of my/our Agent in every concern concerning my/our account with you; and my/our Agent is authorized to act for me/us and on my/our behalf in the same manner and with the same force and effect as I /we might or could do with respect to such purchases, sales, or trades, as well as with respect to all other things necessary or incidental to the furtherance or conduct of such purchases, sales, or trades, including the delivery of monies from the account in the Account Owner s(s ) name(s) to an account in the Account Owner s(s ) name(s). I/We hereby ratify and confirm any and all transactions with you heretofore or hereafter made by my/our Agent for my/our account. This authorization and indemnity is in addition to, and in no way limits or restricts, any rights that you may have under any other agreement or agreements between me/us and TD Ameritrade. This authorization is a continuing one and shall remain in full force and effect and you shall have no duty of inquiry. I/We may change or revoke this authorization by a written notice addressed and delivered to TD Ameritrade. Until you receive such written revocation, you are entitled to act in reliance on this authorization and indemnity. Any revocation of this authorization shall have no effect on any liability that results from transactions initiated before you receive written notice of revocation. This authorization and indemnity shall inure to the benefit of your present firm and of any successor firm or firms, irrespective of any change or changes at any time in the personnel thereof for any causes whatsoever, and of the assigns of your present firm or any successor firms. I/We have carefully read this power of attorney and indemnity and understand that it authorizes my/our Agent named herein to exercise rights and powers over my/our accounts as if I/we had exercised them myself/ourselves, and that my/our Agent s actions and instructions with respect to my/our accounts are fully binding on me/us. ACCOUNT OWNER AUTHORIZATION As the account owner(s), I/we grant disbursement and/or contribution authority to the following Investment Advisor in accordance with the elections made on this form. I/We acknowledge that I/we am/are a registered account owner on any other accounts indicated from which I/we may request transfers to my/our TD Ameritrade account. The authority I/we am/are granting to my/our Investment Advisor is subject to the attached Terms and Conditions of this service and this Advisor Authorization. I/We understand that this authorization only allows my/our Investment Advisor to provide Move Money instructions between my/our TD Ameritrade account and any other accounts indicated, and does not enable my/our Investment Advisor to instruct TD Ameritrade to make other types of disbursement requests at its direction, particularly third-party requests, or to request additional information regarding such disbursements. By signing below, I/we authorize the electronic transfer of funds between my/our TD Ameritrade account and the other account(s) specified above to the provisions of this Advisor Disbursement Authorization and which I/we acknowledge receiving and reviewing, which will govern all transactions initiated under the Move Money service. I/We certify that all the information provided on this form is true and accurate, and that TD Ameritrade shall have no obligation to verify account registration information. I/We expressly assume the responsibility for any adverse consequences that may result from Move Money transactions, and I/we indemnify and hold harmless TD Ameritrade, Inc., their divisions, officers, employees, directors, representatives, owners, affiliates, successors, and assigns. This authorization remains in effect until such time that TD Ameritrade receives written notification of its termination. By signing this section, I grant my Investment Advisor at the top of this form authority to request transfer of funds on my behalf. TD Ameritrade Account Owner Signature: Date: TD Ameritrade Account Co-Owner Signature (if applicable): Date: 11 TD Ameritrade Account Co-Owner Signature (if applicable): Date: MOVE MONEY AUTOMATED CLEARING HOUSE (ACH) AND WIRE TRANSFER AGREEMENT PLEASE READ THIS AGREEMENT CAREFULLY. In this Agreement, I, me, my, we, us, and our refer to the individuals or parties who are the account owners, have an interest in the account, and consent to be bound by the terms of this Agreement. The following is a legally binding contract between me and TD Ameritrade Institutional, Division of TD Ameritrade, Inc. (TD Ameritrade). This agreement governs my use of the TD Ameritrade website (website), services and content in relation to funding of my TD Ameritrade account through the use of an Automated Clearing House (ACH) Transaction. Please note that the ACH Transaction Client Agreement (Agreement) does not supersede or limit the Terms and Conditions that govern my TD Ameritrade account. Changes to the Client Agreement The policies outlined below are not all-inclusive and may be subject to change. TD Ameritrade reserves the right to amend, change, and revise the Agreement at any time and without prior notice to me. TD Ameritrade will post such amendments, changes, or modifications on the website, or at its option, may otherwise choose to deliver to me, electronically or otherwise, the amendments, changes, or modifications or the amended Agreement. My continued use of the website and the Services after the amended Agreement is posted on the website constitutes my agreement to and acceptance of the amended Agreement, regardless of whether I have actually read the amendments, changes, or modifications. Terms of Usage I understand that TD Ameritrade provides ACH and wire services for the primary purpose of the purchase or sale of securities. As applicable, TD Ameritrade may modify the client s electronic bank instructions. From time to time, TD Ameritrade, as the originator, may receive a notification of change (NOC) from the client s bank. This may occur when previously provided bank instructions have become outdated due to changes with the respective bank structure/organization. The Originator is obligated under industry regulation (NACHA 5.3.2) to effect these updates initiated by the client s bank. Electronic Delivery of Information I understand that TD Ameritrade may electronically deliver to me or my advisor information about electronic funding, including information about bank setup(s), status of my deposits or withdrawals request(s), and any other information necessary to complete my requested transactions. I understand that electronically deliver means that TD Ameritrade may communicate such information to me or my advisor by or by posting the information on the TD Ameritrade website (where I can read and print the information). I understand that delivery of information related to my bank setup does not guarantee the acceptance of an ACH transaction by my financial institution. Page 3 of 4 TDAI 9341 REV. 06/14

13 Right of Revocation I understand that usage of ACH services to facilitate my recurring transactions may be revoked and discontinued at any time. My Advisor can cancel a recurring transaction by logging on to the TD Ameritrade Veo application and deleting the appropriate transaction. I can cancel a recurring transaction by calling a TD Ameritrade Client Services Representative at or by writing to TD Ameritrade at: Mailing Address: Overnight Address: TD Ameritrade Institutional TD Ameritrade Institutional PO BOX Wateridge Vista Drive San Diego, CA San Diego, CA I understand that TD Ameritrade must receive my request at least five business days prior to the date the payment is scheduled to be made. I will not be charged for such cancellation requests. Electronic Deposit and/or Withdrawal Rejects I understand that unless my ACH or wire transaction is immediately rejected, TD Ameritrade will post my ACH or wire transaction to my account, subject to restrictions. This action is not a confirmation that my financial institution or TD Ameritrade has completed the transfer of funds. I understand that a transfer reject may occur, even subsequent to account funding. I will be responsible for any transactions effected in my account based on those funds. If TD Ameritrade receives notice that my ACH transaction was not processed as requested, TD Ameritrade may, as a courtesy, attempt to contact my advisor by and/or by posting a notice on my account via the website and/or by phone. Guidelines and Restrictions I understand the following acceptable deposit guidelines: A maximum electronic transfer of $250,000 per day must come from a U.S. bank account in U.S. funds. An ACH transaction may be drawn from a personal checking or savings account titled exactly the same as the TD Ameritrade account to be funded. An ACH transaction from a joint bank account may be deposited into either bank account owner s TD Ameritrade account. An ACH transaction from an individual bank account may be deposited into a joint TD Ameritrade account if that party is one of the TD Ameritrade account owners. An ACH transaction from an individual or joint bank account may be deposited into an IRA belonging to either account owner. I understand that I am responsible for understanding any tax ramifications related to making a deposit into my IRA. To complete an IRA contribution I must complete an electronic deposit form. I acknowledge that any funds being withdrawn from a UTMA or UGMA account will be used exclusively for the benefit of the minor. I understand the following restrictions: TD Ameritrade currently imposes no transaction charges in connection with my use of ACH or wire transfers. TD Ameritrade does, however, charge a fee on direct deposit and electronic funds transfer items that are returned to TD Ameritrade due to insufficient or uncollected funds in my account at my financial institution. The fee will be the same as that charged for returned checks as provided in my TD Ameritrade account agreement. TD Ameritrade reserves the right to charge a fee for this service. Prior to implementing such a fee, TD Ameritrade will communicate any transaction fee(s) that may apply. The IRS has specific regulations with regard to maximum allowable contributions within each tax year for qualified plans. TD Ameritrade does not give legal or tax advice, and it is my responsibility to contact a tax advisor to determine the maximum allowable contribution for my IRA and any additional restrictions that may apply. Funds cannot be withdrawn or used to purchase non-marginable securities, initial public offering (IPO) stocks, or options during the first three business days. This holding period begins on the settlement date. Additionally, these funds may not be withdrawn within the first 60 days the account is open, unless they are returned by wire or ACH back to the originating bank account after the holding period (subject to a wire fee). I may trade most marginable securities immediately after funds are deposited into my account. Not all financial institutions participate in ACH or wire funding. I will consult my bank to determine if they will approve an ACH or wire transaction prior to acceptance of this agreement. An ACH Return Fee may be charged if the bank or financial institution rejects an ACH transaction. Please note: A transfer reject may occur subsequent to the posting of funds to the account. I understand that it is my responsibility to verify the success of my ACH Transaction request with my financial institution. TD Ameritrade cannot accept an electronic transaction from accounts drawn on brokerage accounts or some money market accounts. Some credit unions and savings accounts may not accept a request for an electronic transaction. Some financial institutions may not accept electronic transactions from savings accounts. The success of a transaction drawn on a credit union or savings account is subject to the acceptance of the credit union or financial institution. The withdrawal amount cannot exceed the cash available for withdrawal in the account. I may withdraw funds prior to settlement in a margin account; however, funds withdrawn before the settlement date will incur additional fees and/or interest charges. Funds cannot be withdrawn prior to settlement in a cash account. The withdrawal amount cannot reduce my margin account equity below required minimum equity levels. If the account is in a margin call, a withdrawal cannot be made. Other situations may arise when an ACH transfer of funds is deemed unacceptable. Options involve risks and are not suitable for all investors. Mailing Address: TD Ameritrade Institutional PO BOX San Diego, CA Overnight Address: TD Ameritrade Institutional 5010 Wateridge Vista Drive San Diego, CA TDAI 9341 REV. 06/14 Investment Products: Not FDIC Insured * No Bank Guarantee * May Lose Value TD Ameritrade Institutional, Division of TD Ameritrade, Inc., member FINRA/SIPC/NFA. TD Ameritrade is a trademark jointly owned by TD Ameritrade IP Company, Inc. and The Toronto-Dominion Bank TD Ameritrade IP Company, Inc. All rights reserved. Used with permission. Page 4 of 4