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AUTHORIZATION TO TRANSFER - EXTERNAL

I authorize the transfer of the following cash/securities from my Scottrade

brokerage account to an account outside Scottrade

according to the information provided below.

ACCOUNT INFORMATION

SENDING ACCOUNT

Scottrade Account Number

Account Title

Sending Account Type(s): Trust

Revocable

Irrevocable

Other:

Joint (Community Property Asset Evaluation Form may be required)

Rights of Survivorship

Tenants in Common

Tenants in Entirety

Community Property State

RECEIVING ACCOUNT

Receiving Firm Name

Receiving Account Title

DTC Number

Account Number

Your Relationship to New Registrant

Reason for the Request (*required):

Gift

Inheritance

I certify that this transfer is not a gift or inheritance.

Date of Death

Only required if inheritance is checked.

Percentage Step-up

Only required for non-spousal transfers from a Joint Account w/Rights of Survivorship.

For purposes of reporting the cost basis of covered securities, we intend to follow the default rules set forth in applicable Treasury Regulations unless

we receive instructions from you (or an authorized representative) which the Treasury Regulations permit us to rely upon for such purposes.

TRANSFER INFORMATION

This is a partial transfer - only transfer assets as marked below

For full transfers out of Scottrade, you must contact the receiving firm.

CASH TRANSFER INFORMATION

Transfer all cash

Transfer cash in the amount of $

SECURITIES TRANSFER INFORMATION

Transfer all securities

List securities to be transferred

Quantity

Security Name

Symbol

CUSIP

Quantity

Security Name

Symbol

CUSIP

Quantity

Security Name

Symbol

CUSIP

Quantity

Security Name

Symbol

CUSIP

COST BASIS

If the securities you are transferring are part of a larger position that was purchased in multiple tax lots, the default method for determining which shares to transfer is First-In, First-Out

(FIFO), unless you have previously specified a different global tax strategy that will implement another method. To specify the transfer of alternate shares, complete the section below.

Symbol

Number of Shares

Acquired Date Average Unit Cost

Symbol

Number of Shares

Acquired Date Average Unit Cost

I hereby agree to indemnify Scottrade, its affiliates, successors, assigns, officers, directors, agents, and employees,and hold them free and harmless from, and to promptly

pay Scottrade upon demand for, any and all losses, liabilities,claims, damages, and costs (including reasonable attorney fees) or financial obligations that may arise as a

result of Scottrade’s reliance on the information provided in this document, and from acting upon instructions believed by Scottrade to have originated with me. This indemnity

is in addition to, and no way limits or restricts any rights or responsibilities that have been made under any other agreement or agreements between me and Scottrade.

Account Holder's Signature

Date

*SF4205*

Joint Account Holder's Signature

Date

Signature Page

Signature Verification via

Application

SF4205/11-15

Associate Initials

Scottrade, Inc. - Member

FINRA