Common use of Amount to Transfer Clause in Contracts

Amount to Transfer.  All  Partial liquidation of $  Transfer funds from existing Xxxxxxx & Xxxxx Bank and Trust NOW Account. Amount to transfer:  All  Partial liquidation of $ IRA Owner Signature Date Medallion Signature Guarantee if required by Current Custodian Listed in Step 2 FOR INTERNAL USE ONLY Acceptance of Rollover/Transfer/Conversion by First Trust Retirement: By: _ First Trust Retirement Authorized Signature Date Please Print or Type Forward To: First Trust Retirement, c/o DST Systems, Inc.

Amount to Transfer.  All  Partial liquidation transfer of $  Transfer funds from existing Xxxxxxx & Xxxxx Bank and Trust NOW Account. Amount to transferliquidate:  All  Partial liquidation of $ IRA Owner Signature Date Medallion Signature Guarantee if required by Current Custodian Listed in Step 2 FOR INTERNAL USE ONLY Acceptance of Rollover/Transfer/Conversion by First Trust Retirement: By: _ First Trust Retirement Authorized Signature Date Please Print or Type Forward To: First Trust Retirement, c/o DST Systems, Inc.

Amount to Transfer.  All  Partial liquidation of $  Transfer funds from existing Xxxxxxx & Xxxxx Bank and Trust NOW Account. Amount to transferliquidate:  All  Partial liquidation of $ IRA Owner Signature Date Medallion Signature Guarantee if required by Current Custodian Listed in Step 2 FOR INTERNAL USE ONLY Acceptance of Rollover/Transfer/Conversion by First Trust Retirement: By: _ First Trust Retirement Authorized Signature Date Please Print or Type Forward To: First Trust Retirement, c/o DST Systems, Inc.