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Advisor Authorizations/Limited Power of Attorney-TDI 0321

Reset Form Advisor AUTHORIZATIONS. Account # _____. Advisor Code _____. Case # _____. 1 ACCOUNT INFORMATION. Account Registration: | Social Security/Tax ID Number: 2 Advisor AUTHORIZATIONS. I hereby authorize: Firm Name: _____ Primary Contact:_____. Check here and complete this section if you are removing an existing Check here and complete this section if you are adding an Advisor from your Account. Advisor and transferring your TD Ameritrade Retail Self-Directed Brokerage Account to TD Ameritrade Institutional. By completing this section, you are certifying there are no checks written against your TD Ameritrade Retail brokerage account.

harmless TD Ameritrade, Inc., its affiliates, directors, officers, employees, and agents from and against any and all claims, actions, costs, and liabilities, including attorneys’ fees, arising out of or related to (i) their reliance on this instruction and authorization and (ii) TD Ameritrade’s execution of Advisor’s instructions.

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