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Important instructions for completing this form

1-800-435-4000. Important instructions for completing this form The form you requested follows this page. You can either complete it on your computer and then print it out, or print it out first and fill it in by hand. Follow these easy steps to complete your form: Name (First). 1. Scroll down and type the requested information in the corresponding field. John You can move among the fields by using your mouse or the Tab key. If you'd like to clear all the fields you've completed, click the CLEAR button. 2. When you've completed the form, click the PRINT button. Please note: Adobe Reader does not allow you to save your work.

www.schwab.com 1-800-435-4000 Important instructions for completing this form The form you requested follows this page. You can either complete it on your computer and

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1 1-800-435-4000. Important instructions for completing this form The form you requested follows this page. You can either complete it on your computer and then print it out, or print it out first and fill it in by hand. Follow these easy steps to complete your form: Name (First). 1. Scroll down and type the requested information in the corresponding field. John You can move among the fields by using your mouse or the Tab key. If you'd like to clear all the fields you've completed, click the CLEAR button. 2. When you've completed the form, click the PRINT button. Please note: Adobe Reader does not allow you to save your work.

2 It's very Important that you print out your form immediately after completing it. 3. When your form is complete, please review, sign and date it, and either: Bring it into your nearest schwab branch, excluding Delaware and New Mexico (Visit to find the one nearest you.). or . If you live in: If you live in: AK, AZ, CA, CO, HI, IA, ID, KS, MT, AL, AR, CT, DC, DE, FL, GA, IL, IN, KY, LA, MA, MD, ND, NE, NM, NV, OK, OR, SD, TX, ME, MI, MN, MO, MS, NC, NH, NJ, NY, OH, PA, RI, UT, WA, WY, Armed Forces America SC, TN, VA, VI, VT, WI, WV, Armed Forces Europe, or Armed Forces Pacific American Samoa, Guam, Marshall Islands, Northern Mariana Islands or Puerto Rico Mail to: Mail to: Standard: Standard: Charles schwab Bank Charles schwab Bank Box 52114 Box 628291.

3 Phoenix, AZ 85072-2114 Orlando, FL 32862-8291. Overnight: Overnight: Charles schwab Bank Charles schwab Bank 2423 E. Lincoln Drive 1958 Summit Park Drive, Suite 200. Phoenix, AZ 85016 Orlando, FL 32810. Funding your account: If you are initially funding your account by check, the check should be made payable to you and mailed to one of the addresses above. Should you have any questions or need help, just call 1-800-435-4000. 2011 Charles schwab Bank. All rights reserved. Member FDIC. Equal Housing Lender. CS13854-03 (0111-0580) ELC34753-06 (01/11). CLEAR PRINT. schwab Bank Designated Beneficiary Plan Application 1-888-403-9000.

4 Page 1 of 4. Use this form to: Add a Designated Beneficiary Plan (the Plan )* to your account. Change beneficiaries on an existing Plan. Revoke an existing Plan. Eligibility Requirements The account must be a Charles schwab Bank ( schwab Bank ) deposit account other than a schwab Bank High Yield Investor Checking account. If you want to add a Plan to a High Yield Investor Checking account, please contact us for the appropriate form. Your account must be registered as Individual or Joint Tenants with Right of Survivorship. Please consult with your attorney or other estate planning advisor before changing your registration in order to become eligible for the Plan.

5 The Plan is available in all states (including Washington, ) except Louisiana. If your legal residence is in Louisiana, your account is not eligible for this Plan. Important Information About this Designated Beneficiary Plan At the death of the account holder or, in the case of a joint account, the death of the last surviving account holder, funds covered by this Plan will be distributed to the beneficiaries designated on this form or in subsequent revisions submitted to schwab Bank, if applicable. If this is a joint account, the surviving account holder has the right to revoke the Plan or change beneficiaries following the death of the account holder.

6 A separate schwab Bank Designated Beneficiary Plan Application is required for each eligible account. Subject to applicable law, the Plan will generally take precedence over any estate planning vehicles such as a will or a trust. Please consult with your attorney or other estate planning advisor about your specific situation. * Designated Beneficiary Plan is the term schwab Bank uses for its Plan that enables clients to add beneficiaries and is commonly referred to as a Payable on Death (POD) in the banking industry. 1. Indicate Action (Check only one box.). Add a new Designated Beneficiary Plan.

7 (Check this box and complete all remaining sections.). Change beneficiaries on an existing Plan. (Check this box and complete all remaining sections.). Revoke an existing Plan. (Check this box and complete Sections 2 and 5.). 2. Account Information We respect your privacy. schwab Bank will use the information you provide to open and service your account, communicate with you and provide information about products and services. Read about the privacy policy of schwab Bank at As required by federal law, we will use the information you provide to schwab Bank to verify your identity.

8 Account Holder Name (First) (Middle) (Last). Additional Account Holder Name (First) (Middle) (Last). Legal Street Address City State Zip Code schwab Bank Account Number WB. 2013 Charles schwab Bank. All rights reserved. Member FDIC. Equal Housing Lender. CS20017-01 (1213-8057) APP32993-02 (12/13). Page 2 of 4. 3. Designate Your Primary Beneficiaries At the death of the account holder or, in the case of a joint account, at the death of the last surviving account holder, all of the funds in the account shall be distributed to the following beneficiaries who survive the last surviving account holder by 120 hours.

9 Unless different percentages are indicated below, the funds in the account shall be divided equally among the primary beneficiaries. If you designate more than one primary beneficiary, please make sure the percentages add up to 100%. If you would like to list additional primary or contingent beneficiaries, please attach the information to this form. Please make sure that you clearly indicate primary beneficiaries and any contingent beneficiaries and the percentages they are to receive. If you later wish to change one or more beneficiaries, you must complete a new schwab Bank Designated Beneficiary Plan Application, listing all beneficiaries and their respective percentages.

10 Designated % Social Security/Tax ID Number Name (or Name of Trust and Trustees and Date of Trust). Home/Legal Street Address (no boxes, please) City State Zip Code Relationship Telephone Number Date of Birth (mm/dd/yyyy). ( ). Country(ies) of Citizenship (Must list all.) Country of Legal Residence USA Other: _____ Other: _____ USA Other: _____. Designated % Social Security/Tax ID Number Name (or Name of Trust and Trustees and Date of Trust). Home/Legal Street Address (no boxes, please) City State Zip Code Relationship Telephone Number Date of Birth (mm/dd/yyyy). ( ). Country(ies) of Citizenship (Must list all.)


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