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 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 2.When you’ve completed the form, click the PRINT CLEAR button. button. Please note: Adobe® Reader® does not allow you to save your work. 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 (Visit schwab.com/branch to find the one nearest you.) – or – If you live in: AK, AZ, CA, CO, HI, IA, ID, KS, MT, ND, NE, NM, NV, OK, OR, SD, TX, UT, WA, WY, Armed Forces America or Armed Forces Pacific If you live in: AL, AR, CT, DC, DE, FL, GA, IL, IN, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, NH, NJ, NY, OH, PA, RI, SC, TN, VA, VI, VT, WI, WV, Armed Forces Europe, American Samoa, Guam, Marshall Islands, Northern Mariana Islands or Puerto Rico Mail to: Standard: Charles Schwab & Co., Inc. P.O. Box 52114 Phoenix, AZ 85072-2114 Mail to: Standard: Charles Schwab & Co., Inc. P.O. Box 628291 Orlando, FL 32862-8291 Overnight: Charles Schwab & Co., Inc. 2423 E. Lincoln Drive Phoenix, AZ 85016 Overnight: Charles Schwab & Co., Inc. 1958 Summit Park Drive, Suite 200 Orlando, FL 32810 Be sure to enclose any accompanying materials with your form (such as a check for an initial deposit to open a new account). Should you have any questions, or need help, just call 1-800-435-4000. ©2011 Charles Schwab & Co., Inc. Member SIPC. CS13854-01 (0111-0580) ELC37185-03 (01/11) CLEAR PRINT Letter of Authorization (LOA) For Movement of Funds in Schwab Accounts www.schwab.com 1-800-435-4000 (inside the U.S.) +1-602-355-7300 (outside the U.S.) •Remember to sign the completed application on page 2 of this form. •NOTE: Distribution forms may be required for retirement accounts. Call 1-800-435-4000 to request the correct form. Page 1 of 2 1. This Is My Written Authorization to Transfer Assets As Described in Section 2 or 3. Schwab Account Number Home Telephone Number Business Telephone Number Other Telephone Number Where You Can Be Reached Immediately ( ( ( ) ) ) Name(s) on Your Schwab Account (as they appear on your statement) 2. Select One-Time Transfer or Recurring Authorization to Transfer. Shares will be transferred based on the current cost basis method on the account. Schwab may need to contact you to verify your request to transfer assets to a third party. Transfer funds to: Schwab Account Number In the Name of One-Time Transfer All Assets (cash balance and security positions) Please close this account. Cash Amount: $__________________________________ Security Position(s):______________________________ • Funds must be cleared on transfer date. • Please call 1-800-435-4000 if you need to sell securities to cover this amount. shares of_____________________________________________________________________ ______________________________ shares of_____________________________________________________________________ ______________________________ shares of_____________________________________________________________________ Recurring Authorization to Transfer (This service available for CASH only and may be terminated at any time by calling 1-800-435-4000.) Cash Amount: $_____________________________________ • Funds must be cleared on transfer date. • Please call 1-800-435-4000 if you need to sell securities to cover this amount. Select only one of the following options: Monthly Beginning____________________ Semi-monthly on 1st Transfer Day ________________ and 2nd Transfer Day____________________ Quarterly Beginning___________________ Semi-annually on 1st Transfer Day________________ and 2nd Transfer Day____________________ Annually Beginning____________________ Last Business Day of Each Month Beginning________________________________________________ Other: Every ____________________ Calendar Days (3-364) Beginning_________________________ Other Transfers Between Accounts Check this box to provide recurring authorization to transfer funds between accounts according to parameters other than those set forth above. Please describe the parameters clearly in the space below. Schwab may need to obtain your verbal authorization before initiating EACH transfer. WB ©2013 Charles Schwab & Co., Inc. All rights reserved. Member SIPC. CS18995-01 (0413-2666) APP13297-09 (04/13) *APP13297-09=01* Page 2 of 2 3. Third-Party Check Disbursement NOTE: Verification required prior to processing. Issue Check for: $_________________________________________________ Made Payable to:_____________________________________________________ To Be Picked Up by:________________________________________________ Select one of the following options: Pick up at a local branch:______________________________________________ Mail to the following address (if different from address displayed on your statement): Home Street Address City State Zip Code 4. Read and Sign Below I understand that, in most cases, Schwab will make the transfers on the days and for the amounts that I specify. A scheduled transfer that falls on a weekend or Schwab holiday is made the next business day. If I do not have sufficient available funds in my account to cover a transfer, Schwab may not complete the transfer. I further acknowledge that I may cancel this service at any time by calling Schwab at 1-800-435-4000 or writing to Schwab at the address noted on my statement. If this is a Custodial account, I acknowledge and agree that any funds or securities transferred out of the account, and into the account of the custodian or other account, shall be used or applied solely for the benefit of the minor. Signature(s) and Date(s) Required X Account Holder Signature X Additional Account Holder Signature Area Below for Schwab Use Only Print Name Date Print Name Date PRINT Schwab Verification Stamp WB ©2013 Charles Schwab & Co., Inc. All rights reserved. Member SIPC. CS18995-01 (0413-2666) APP13297-09 (04/13) 00095745 *APP13297-09=02*