INTERNATIONAL REQUEST TO WIRE FUNDS OUT OF E*TRADE SECURITIES

COMPLETE YOUR E*TRADE WIRE REQUEST FORM IN FOUR EASY STEPS

The International Request to Wire Funds Out of your E*TRADE Securities

account begins on the following page. Before submitting your request, please
verify that your funds are available for withdrawal. If your address has changed
in the last 60 days, please contact Customer Service at 1-800-ETRADE-1 for
assistance (1-800-387-2331).

To complete your request, simply:

1. SCROLL DOWN AND FILL OUT EACH FIELD BY TYPING IN THE

APPROPRIATE INFORMATION.

If you’d like to complete the request by hand, skip this step and move onto Step 2.

2. ONCE YOU HAVE PROVIDED THE REQUESTED INFORMATION, REVIEW

YOUR REQUEST TO ENSURE IT IS COMPLETE AND PRINT IT BY
CLICKING THE BUTTON ON THE TOP TOOLBAR.

3. MAKE A PHOTO COPY OF A GOVERNMENT-ISSUE PHOTO ID FOR

THE ACCOUNT HOLDER THAT IS REQUESTING THE TRANSFER.

4. SIGN AND DATE YOUR REQUEST FORM AND SUBMIT IT, ALONG WITH
THE COPY OF YOUR PHOTO ID TO THE APPROPRIATE ADDRESS:

By overnight mail: By regular mail:

E*TRADE Securities LLC E*TRADE Securities LLC
Harborside Financial Center P.O. Box 484
501 Plaza 2 Jersey City, NJ 07303-0484
34 Exchange Place USA
Jersey City, NJ 07311
USA

Or by fax: +1 678-624-6950

Note: Please include a Fax Cover Sheet when submitting documents by facsimile.

*Notarized documents, Stock Certificates, and other forms for which the original document is needed cannot be submitted by facsimile.

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If you would like to wire funds from your E*TRADE Securities account to an account at another institution outside of the United
States, fill out this form (either online or by hand), print a copy by selecting Print from the File menu above, and submit it to E*TRADE
Securities. This form must be signed by a current account holder in order to be processed.

Date: ID Attached
ID Required: All written wire requests must include a valid, non-expired copy of a federal or
state-issued ID for the account holder that is requesting the transfer before the request can
be processed.

CONTACT INFORMATION
Customer Name

Address City, Country, Postal code

INSTRUCTIONS
Type of Wire Transfer:

Same Registration
Different Registration

E*TRADE Brokerage Account Number Wire Amount (USD) Wire Currency Receiving Bank Name

Receiving Bank Address Receiving Bank Country

Receiving Bank Phone Number International SWIFT / BIC Code Sort Code

Official Name on Account at Receiving Bank Payment Reason (See Important Notes on page 3)

Account Number, IBAN, or CLABE at Receiving Bank (See Important Notes on page 3)

Additional Name (e.g. For the benefit of or For credit to) Additional Account Number (e.g. escrow number)

X
Primary Account Holder Signature

X X
Additional Account Holder Signature Additional Account Holder Signature
(Required only if wiring to a different registration) (Required only if wiring to a different registration)

NOTES:

Wiring Instructions: Please contact the receiving institution for correct wiring instructions. E*TRADE Securities will not be held
responsible for delayed wires due to incorrect instructions provided by the customer. Please note, most institutions’ wiring instructions
differ from ACH and Check instructions.

TIMING: Generally, if your wire request is received by E*TRADE Securities before 12 PM ET, it will be sent within one business day. If
your request is received after 12 PM ET, the wire will be sent within two business days.

FEES: There is a $25 fee per transaction for outgoing wires. We will deduct the fee from your account, in addition to the amount you
request. If you have insufficient funds for the transaction fee, it will be deducted from your wire amount. Wires which are converted
from US Dollar ($) to a foreign currency will incur an additional conversion fee of up to 225 basis points (2.25%). We will deduct the
conversion fee from the total amount you request.

ADDITIONAL DISCLOSURES: Please see additional disclosures on the following page.

Please fax this form along with all necessary photo IDs to:
(U.S.) 1-866-650-0003
(International) +1 678-624-6950
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DISCLOSURES

You will receive a Smart Alert when your wire request is in process. Please read the important disclosures included in this alert detailing
your International Wire terms and conditions.

IMPORTANT NOTES

- IBAN (International Bank Account Number) is required for wire requests to certain countries. The IBAN varies by country,
institution, and receiving account. Please obtain the IBAN for the Receiving Bank Account (Beneficiary) from the Receiving Bank and
include it with your wire request. Sending a wire to a participating country without the IBAN can delay the wire, or the receiving bank
may return the wire.

Wire requests to the following participating countries require an IBAN:

Albania Guadeloupe New Caledonia

Andorra Guatemala Norway
Austria Hungary Palestine (State of)
Azerbaijan Iceland Pakistan
Bahrain Ireland Poland
Belgium Israel Portugal
Bosnia and Herzegovina Italy Qatar
Brazil Jordan Reunion Island
Bulgaria Kazakhstan Romania
Costa Rica Kuwait San Marino
Croatia Latvia Saudi Arabia
Cyprus Lebanon Serbia
Czech Republic Liechtenstein Slovak Republic
Denmark Lithuania Slovenia
Dominican Republic Luxembourg Spain
Estonia Macedonia Sweden
Finland Malta Switzerland
France Martinique Tunisia
French Guiana Mauritania Turkey
French Polynesia Mauritius United Arab Emirates
Georgia Moldova (Republic of) United Kingdom
Germany Monaco Virgin Islands, British
Gibraltar Montenegro
Greece Netherlands

- Payment Reason (i.e. mortgage payment, tuition, family remittance, salary remittance, etc.) is required for all international wire
requests. Sending an international wire without a payment reason can delay the wire, or the receiving bank may return the wire.

- Mexico CLABE Account Number is required for wire requests to Mexico. Please obtain the 18-digit CLABE for the Receiving Bank
Account (Beneficiary) for the Receiving Bank and include it with your wire request.

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