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BENEFICIARY DISTRIBUTION REQUESTInstitutional Advisor ServicesSelect one (check fee may apply):To account owner or beneficiary at the address of recordTo beneficiary at the address in Section 2CTo account owner or beneficiary at the address belowTo the third party payee at the address belowTransfer to Beneficiary IRA at third party payee belowTCA by E*TRADE Account NumberThird Party Payee if applicableFor the Benefit Of (FBO) if applicableMailing AddressCityStateZipDTC security delivery information if applicableSECTION 7: Distribution Method ContinuedBy internal transfer to a TCA by E*TRADE account. Move therequested cash and securities specified in Section 4 into my TCA byE*TRADE account listed below. Note: If the receiving account is not anexisting account, include the appropriate TCA by E*TRADE accountapplication.Important: Only spouse beneficiaries can move cash and securities intotheir own TCA by E*TRADE IRA.Select one:New accountExisting accountSECTION 9: Employer or Approved Provider AffirmationImportant: Required for 403(b), 403(b) Roth, 457, or pooled PSPaccount distributions due to a death.I am authorized to act individually, on behalf of the Employer or ApprovedProvider named below, with respect to providing the required affirmationand approving the distribution from this 403(b), 403(b) Roth, 457, orpooled PSP account.If I am signing as an Approved Provider, I affirm that the ApprovedProvider named below has entered into an Information SharingAgreement with the Employer.Employer or Approved Provider SignatureDatePrint NameEmployer or Approved Provider Firm Name- End of Form –TCA by E*TRADE Account NumberAccount TypeAccount TitleSECTION 8: SignatureI certify that I am the proper party to receive or direct payment(s) fromthis IRA and that all information provided is true and accurate. I furthercertify that no tax advice has been given by TCA by E*TRADE. Alldecisions regarding this withdrawal are my own. I expressly assumethe responsibility of any adverse consequences which may arise fromthe withdrawal and I agree that TCA by E*TRADE shall in no way beheld responsible.For 403(b) accounts, I certify as a spouse beneficiary of the abovementioned account, I have waived my right for benefits paid in the formof a Qualified Joint Survivor Annuity.I acknowledge that the origination of ACH transactions to my accountmust comply with the provisions of U.S. Law, and that in the event anACH entry is incorrect, TCA by E*TRADE reserves the right to submitcorrecting entries.By signing, I hereby agree to indemnify and hold harmless TCA byE*TRADE, their successors and assigns, from and against any losses,claims, liabilities, damages, actions, charges, and expenses includingattorney fees, resulting from TCA by E*TRADE compliance with thisrequest, including but not limited to transfer to another party.Beneficiary SignatureDatePrint Name0218-TCABENDISTREQ-B65483E*TRADE Savings Bank, doing business as “TCA by E*TRADE”: 7103 South Revere Parkway, Centennial, CO 80112. Member FDICPage 3 of 6

BENEFICIARY DISTRIBUTION REQUESTInstitutional Advisor ServicesGeneral InstructionsUse these instructions to complete the Beneficiary Distribution Requestform for retirement accounts.Purpose of this form. This form is required to request a one-time orsystematic distribution from a Traditional IRA, Roth IRA, SEP IRA,SARSEP IRA, SIMPLE IRA, 403(b), 403(b) Roth, 457, or Profit SharingPlan (PSP) account after the account owner’s death or a one-time orsystematic distribution from your Beneficiary IRA or Beneficiary Roth IRA.Note: Only one set of instructions should be submitted on this form.Trust beneficiary. Complete a Certification of Trusts (IRAs) formsigned by the current trustee.Estate beneficiary. Include a Letter of Testamentary or, based onyour state limitations, a Small Estate Affidavit from the executor.Charity beneficiary. Include a corporate resolution or document thatdesignates the person authorized to sign on behalf of the charity.Section 3: Reason for DistributionSelect either distribution due to death or a distribution from yourBeneficiary IRA.Important: This document uses the term ‘employer’ to imply ‘plantrustee’ or ‘plan administrator’.Note:If the beneficiary is a Trust, Trust Certification Form – forBeneficiary IRAs is requiredDistribution fees. There may be fees associated with your distributionrequest, including but not limited to: Wire fees Check fees Overnight mail feesDeath Use to request a distribution of the amount due to you as abeneficiary from the deceased account owner’s TCA by E*TRADEaccount after their death. Include a photocopy of the account owner’scertified death certificate with visible seal. Note: If the receivingaccount is not an existing account, attach the appropriate TCA byE*TRADE account application.Important: Applicable distribution fees will be deducted from youraccount balance. Note: For information on distribution fees for thisrequest, contact your Investment Advisor.All fields are required unless noted. All fields are required unlessdesignated as ‘if applicable’. ‘If applicable’ indicates the section or entry isrequired if certain conditions apply. These conditions are outlined in detailin these instructions.You must complete all required fields and provide all requiredadditional forms and documentation to expedite processing and toavoid requests for additional information.Print or type all entries. Print clearly in all CAPITAL LETTERS tocomplete this form. To type entries, a fillable PDF of this form can befound online at www.trustamerica.com/advisor-forms.Section 1: Request TypeCheck the appropriate box to indicate the type of action you want totake with this form. Note: Allow up to 7 days from receipt of this formby TC by E*TRADE A for the systematic distribution to be activated,changed, or cancelled. Systematic distributions are only applicable toBeneficiary IRA distributions.One-Time Distribution – Special Rollover Notice. If you arerequesting a One-Time Full or Partial Distribution, you may be eligibleto roll over all or a portion of your distribution from a 403(b) account.Please review the additional information about rollovers and youravailable options at http://www.trustamerica.com/advisor-forms/.If you need a paper copy of the Special Rollover Notice, please contactyour Investment Advisor.ESTABLISH OR CHANGE Provide account information in Section 2and information to be changed in Sections 4, 5, 6, and 7 as applicable.Cancel Select which type of systematic distribution should becancelled. If the account has more than one systematic distribution,indicate the distribution amount and the withdrawal schedule of thesystematic distribution to cancel.Section 2: AccountA. Account TypeCheck the box indicating the retirement account type and then select ifit is a new or existing account. For an existing account, provide theTCA by E*TRADE account number. For a new account, provide theappropriate TCA by E*TRADE account application with this form.B. Deceased Account OwnerEnter the deceased account owner information for this account exactlyas it appears on the TCA by E*TRADE account. Also provide their dateof death.Beneficiary Roth Distribution Enter first contribution date ofdeceased owner for proper tax reporting.If the RMD has not been satisfied, I authorize distribution of remainingRMD amount to me as beneficiary listed in Section 2C and mailed tothe address listed there.Important: For a distribution due to death from a 403(b), 403(b) Roth,457, or a pooled PSP account, your employer must sign in Section 9.Beneficiary IRA distribution Use to request a distribution from yourTCA by E*TRADE Beneficiary IRA or Beneficiary Roth IRA.The following information is for consideration in satisfying deathdistribution requirementsThe account holder dies before their required beginning date or if theaccount is a ROTH IRA: Non Spouse – the single life expectancy of the beneficiary orwithin 5 years Spouse – the single life expectancy of the spousebeneficiary or within 5 years Non-Individual – Distribution payments over 5 yearsIf the account holder dies after their required beginning date Non-Spouse – the longer of the single life expectancy of thebeneficiary or the account holders single life expectancy Spouse – the longer of the single life expectancy of thespouse beneficiary or the account holders single lifeexpectancy Non-Individual – the single life expectancy of the decedentaccount holderSection 4: Distribution AmountComplete either the full distribution instructions in Section 4A or the partialor systematic distribution instructions in Section 4B.Liquidate assets for cash distribution. To liquidate assets for a full,partial, or systematic distribution in cash, contact your InvestmentAdvisor to initiate any liquidations required. If your Investment Advisorneeds to liquidate assets to cover the requested cash, the distributionwill not be processed until the settlement date for the sells. Note: If yourequest to liquidate an asset that cannot be liquidated, we will returnthe paperwork to your Investment Advisor for clarification and no actionwill be taken on the request.A. Full Distribution Instructions, if applicableFor full distributions, check either Full Cash Distribution or Full In-kindDistribution box. Note: For distributions due to a death, the amount andshares will be equal to your beneficial portion.C. BeneficiaryB. Partial or Systematic Distribution Instructions, ifapplicableImportant: If a trust, estate, or charity is the beneficiary, provide therequired information outlined below.For partial or systematic distributions, select the appropriate type ofdistribution and provide the requested information, if applicable.0218-TCABENDISTREQ-B65483E*TRADE Savings Bank, doing business as “TCA by E*TRADE”: 7103 South Revere Parkway, Centennial, CO 80112. Member FDICPage 4 of 6

BENEFICIARY DISTRIBUTION REQUESTInstitutional Advisor ServicesDividends and Interest Only. All dividends and interest earned by theaccount during the systematic period will be distributed. If the accountbalance is less than 10, it will not pay out for that period. Note: Forsystematic distributions only.Gross cash amount. The gross cash amount is the amount beforeany tax withholding has been applied. Provide the gross cash amountfor any distribution reason, including requesting a RMD or BeneficiaryIRA Life Expectancy amount that has been calculated by you or yourtax advisor. Note: For a systematic distribution, enter the gross cashamount to withdraw each period.Net Cash Amount. The net cash amount is the amount after any taxwithholding has been applied. Provide the net cash amount for anydistribution reason, including requesting a RMD amount that has beencalculated by you or your tax advisor. Note: for a systematicdistribution, enter the net amount to withdraw each period.The Beneficiary Life Expectancy amount for your Beneficiary IRAaccount. TCA by E*TRADE will calculate the Beneficiary LifeExpectancy amount for the current year using non-recalculation of theSingle Life Expectancy Table. Note: May be a one-time or systematicdistribution.Prior Year-end Value. If the account was custodied at a priorcustodian on December 31 prior to transfer to TCA by E*TRADE,please provide the prior year-end value to calculate the RMD.Deceased account owner’s Required Minimum Distribution(RMD). Use to request the deceased account owner’s RMD for theyear of death. Note: The deceased account owner’s RMD distributionmust be completed prior to moving the account into a Beneficiary IRA.The RMD amount is equal to beneficial portion.Partial security shares in-kind. Provide the number of shares andthe security description and symbol, if available. Note: The value of thedistribution, including securities, is determined as of the closing priceon the business date the distribution is issued. Certificates of deposit,treasuries, and some mutual funds and securities cannot be deliveredin certificate form.to the TCA by E*TRADE Withholding Information document foundonline at www.trustamerica.com/advisor-forms.Important: If your state has mandatory withholding requirements, statewithholding (including withholding on Roth IRA distributions) may beprocessed even if the ‘I elect not to have state income tax withheld’box is checked or no state withholding box is checked.Withholding on in-kind security distributions. For in-kind securitydistributions, there must be a sufficient cash balance to cover thewithholding amounts specified. For withholdings specified as apercentage, the withholding amounts will be calculated on the grosscash amount plus the value of in-kind securities.Section 6: Distribution FrequencySelect the appropriate distribution frequency.Systematic distribution. Select the Systematic Distribution checkboxand complete the schedule information. Note: Allow up to 7 days fromreceipt of this form for the systematic distribution to be activated,updated or cancelled.Important: Your first distribution may be delayed to the next scheduleddate if this form is received less than 8 days before your first requestedwithdrawal.Note: Systematic distributions will be withdrawn from the models in theaccount according to the account’s model distributionpercentages. If you select a day of the month for distribution withdrawal of the 29th,30th or 31st, please note that your distribution will be made on the lastbusiness day of the month.Important: Your first distribution may be delayed to the next scheduleddate if this form is received less than 8 days before your first requestedwithdrawal.More than two securities. For a partial distribution, if there are morethan two securities being requested, list the information for theadditional securities on a separate piece of paper and check the‘Additional securities information provided’ box at the end of thesection.Note: Systematic distributions will be withdrawn from the models in theaccount according to the account’s model distribution percentages.Section 5: WithholdingImportant: Funds sent overnight via check or wired may be subject toa fee, which will be deducted from your account balance. YourInvestment Advisor can provide you with fee information regarding thistransaction.Important: The distributions you receive from your retirement accountare subject to federal and possibly state income tax. Even if you electnot to have tax withheld, you are liable for payment of income tax onthe taxable portion of your distribution. You may also be subject to taxpenalties under the estimated tax payment rules if your withholding orpayments of estimated tax, if any, are not adequate. Note: Foradditional information, consult your tax advisor or the IRS.A. Federal WithholdingCheck the box indicating the federal withholding and the percent oramount to be withheld. Note: The total amount withheld must be no lessthan 10% for an IRA distribution or 20% for a non-IRA distribution.If an IRA distribution, you may elect no federal tax withheld by checkingthe second box. To elect no federal withholding, TCA by E*TRADE musthave a street address on file for your account.Important: If no election is made, federal withholding of 10% for IRAsor 20% for non-IRAs will be withheld.Section 7: Distribution MethodSelect the appropriate distribution method(s).For Cash and in-kind instructions. Check either the By ElectronicTransfer or By Check box for the cash portion of the distribution andcomplete the By Security Delivery information for the in-kind portion. By electronic transfer. For cash distributions only. Select the typeof electronic transfer and provide the bank information below. If youselect either Checking Account or Savings Account, enter yourbanking information. If you select the Voided Check Provided box,provide a blank check with this form. Note: Allow 1-2 business daysfor delivery from the processed date for ACH, and the same or nextbusiness day for wires. If the bank account type is not selected, TCAby E*TRADE will default to the checking account. Bank on File, Bank of Record as provided on the AdvisorAuthorization for Distribution/Contribution form or active systematicdistribution/contribution record.B. State WithholdingCheck the box indicating the state withholding and the percent oramount to be withheld or specify that you want no state tax withheld.Note: All state withholding will be rounded to the nearest whole dollar.The account’s legal address of record at the time of the distributiondetermines the state withholding requirements.Important: State withholding is not available for all states. For a list ofstates available for withholding and the withholding rules by state, referImportant: All systematic distributions will be processed by ACH,even if the By Wire box is selected. By check or security certificate delivery. Select the box indicatingto whom the check should be payable or the certificate registeredand where the check or certificate should be sent. If applicable,enter the third party payee information and the address informationfor this request. Note: Contact your Investment Advisor forinformation regarding any re-registration fees. Allow 10 business0218-TCABENDISTREQ-B65483E*TRADE Savings Bank, doing business as “TCA by E*TRADE”: 7103 South Revere Parkway, Centennial, CO 80112. Member FDICPage 5 of 6

BENEFICIARY DISTRIBUTION REQUESTInstitutional Advisor Servicesdays for delivery of mailed checks and four to six weeks for securitycertificates.Important: Checks will be sent to the beneficiary listed in Section 3for death distributions and to the account owner at the address ofrecord for Beneficiary IRA distributions if no election is made. By internal transfer to my TCA by E*TRADE account. Thismethod moves the cash and securities from the deceased accountowner’s IRA or your Beneficiary IRA to another TCA by E*TRADEretirement or non-retirement account in your name.Check the box indicating if it is a new or existing account. For newaccounts, enter the type of account and attach the appropriate TCAby E*TRADE account application to this form. For existing accounts,provide the TCA by E*TRADE account number, account type andaccount title.Important: Only IRA spouse beneficiaries can move cash andsecurities into their own TCA by E*TRADE IRA.Section 8: SignatureSign and date the form.Section 9: Employer or Approved ProviderAffirmationFor 403(b), 403(b) Roth, 457, or pooled PSP account distributions dueto a death, provide signature of approved provider or employer toauthorize distribution.Return your completed form as instructed by your Investment Advisoror your client representative. Questions regarding this form should bedirected to your Investment Advisor.0218-TCABENDISTREQ-B65483E*TRADE Savings Bank, doing business as “TCA by E*TRADE”: 7103 South Revere Parkway, Centennial, CO 80112. Member FDICPage 6 of 6

Traditional IRA, Roth IRA, SEP IRA, SARSEP IRA, or SIMPLE IRA Beneficiary IRA or Beneficiary Roth IRA 403(b), 403(b) Roth, or 457 account Profit Sharing Plan (PSP) account Other, list. Select one: New account Existing account _ TCA by E*TRADE Acc