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*TDAI4468* - TD Ameritrade

Account # _____Advisor Code _____Case # _____Page 1 of 8 TDAI 4468 REV. 11/18 INVESTMENT ADVISOR: TO BE COMPLETED BY ADVISORI nvestment Advisor Firm (Agent) and Primary Contact:Firm Name: _____ Primary Contact: _____TYPE OF BENEFICIARY IRA (PLEASE SELECT ONLY ONE.)M Traditional Beneficiary IRAM Roth Beneficiary IRAM Minor Traditional Beneficiary IRA*M Minor Roth Beneficiary IRA*Please complete for Minor Beneficiary IRAs:This Minor Beneficiary IRA will be opened pursuant to state UTMA/UGMA statutes. Please indicate the age of termination of custodianship and the state law under which this Minor Beneficiary IRA account will be governed:(State)* _____ Age of Termination* _____.

Page 3 of 8 TDAI 4468 REV. 03/18 M Check here if you or your spouse, any member of your immediate family, including parents, in-laws, siblings, and dependents, is a member of the board of directors,

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