USA Trustees
Account Transfer Form Clearing Number: 007

IMPORTANT: Please be sure to attach a complete copy of the latest statement of the account you are transferring.

A. Information about your account. If opening an account, please attach an account application to this form.
Name__________________________________________________________________________________________________
Your USA Trustees Service Account Number____________________Your Social Security or Tax ID_____________________ ________________Number_____________________

B. Information about the account you are transferring.
(Please refer to your statement for the following information and attach a complete copy of your statement to this form.)
Name of Firm or Fund Company_______________________________
Your Account Number_______________________________________
Name(s) and the title of the account as shown on your statement__________________________________________________

Custodian or trustee of this account:

Please select only one of the following: section C, D or E.
(Please use a separate form for each account you transfer.)
q C. Brokerage or Trust Account Transfer.
q I wish to transfer my entire account. (Please skip to signature section.)
q I wish to transfer only the following assets from my account. (Please do not complete the following information if you are transferring your entire account. Section to be used for partial transfers only. Please attach additional forms if necessary.)

Non-ACAT transfers only.
q Deliver all securities in kind and uninvested credit balance.
q Issue a certificate for all whole shares, liquidate all
fractional shares, and discontinue dividend reinvestment.

Description of Asset
(Partial transfers only)
Quantity
(Indicate # of
shares or “All.”

Description of Asset
(Partial transfers only)
Quantity
(Indicate # of
shares or “All.”

q D. Mutual Fund Transfer. (Please use one form for each mutual fund company.)
Indicate below how you would like your shares transferred and your dividends and capital gains credited. If you do not otherwise indicate below, PTS Service Corporation will transfer all shares and reinvest your dividends and capital gains.
*Requests to sell mutual fund positions are dependent upon the delivering firm receiving and processing the request and may take several weeks to complete.

Name of Fund
Fund Acct. #
Quantity
(Indicate # of shares or “All.”)
Omnibus Account

Transfer my shares
Sell my shares, transfer cash.*
Reinvested
shares
Cash

Handling (Check one.)
Credit Capital Gains and Dividends as (Check one if transferring shares.)

q E. Bank, Savings & Loan or Credit Union Transfer. (Check one.) Please transfer:
q Transfer without liquidating q All cash and savings. q All Certificates of Deposit (CDs) q Stocks q Bonds q Securities q All other assets
q Liquidate all and transfer as cash IMMEDIATELY. q Liquidate upon maturity, then transfer as cash. Maturity date_____/_____/_____
I am aware of, and acknowledge any tax and/or penalty I will incur from any early withdrawal. (Please submit 2-3 weeks before maturity date.)

F. Please sign this section.
“If this account is a qualified retirement account, I have amended the applicable plan so that it names USA Trustees as successor custodian.
Unless otherwise indicated in the instructions above, please transfer all assets in my account to USA Trustees. I understand that to the extent any assets in my account are not readily transferable, with or without penalties, such assets may not be transferred within the time frames required by NYSE Rule 412 or similar rule of the NASD or other designated examining authority.
Unless otherwise indicated in the instructions below, I authorize you to liquidate any nontransferable proprietary money market fund assets that are part of my account and transfer the resulting credit balance to the succesor custodian. I authorize you to deduct any outstanding fees due you from the credit balance in my account.
If my account does not contain a credit balance, or if the credit balance in the account is insufficient to satisfy any outstanding fees due you, I authorize you to liquidate the assets in my account to the extent necessary to satisfy that obligation. If certificates or other instruments in my account are in your physical possession, I instruct you to transfer them in good deliverable form, including affixing any necessary tax waivers, to enable the successor custodian to transfer them in its name for the purpose of sale, when and as directed by me. I understand that upon receiving a copy of this transfer instruction, you will cancel all open orders for my account on your books.
I affirm that I have destroyed or returned to you credit/debit cards and/or unused checks issued to me in connection with my securities account.”
Disposition of money market fund assets other than liquidation and transfer:___________________

X
Your Signature Date
X
Joint Account Holder Signature Date
Delivering Agents: Please refer to the reverse side of this form for delivery instructions.

Letter of Authorization (USA Trustees completes.)
To the prior trustee or custodian: Please be advised that USA Trustees will accept the above captioned account as successor custodian.

Successor Custodian Authorized Signature
Date
Date of Trust

q Brokerage
q IRA
q Rollover
q Keogh/Qualified Pension Plan
q Broker change only
q ACAT
q Non-ACAT Full
q Partial
q Mutual Fund

Delivery Instructions
All deliveries MUST include client name.

All DTC-Eligible Securities
Call (949) 497-3600 for instructions.
All deliveries MUST include client name.
Dividend Reinvestment
or Closed-end Mutual Funds
Issue a certificate for all whole shares, liquidate all fractional shares and discontinue dividend reinvestment. All deliveries MUST include client name.
Physical Delivery
of Securities
USA Trustees
668 N. PCH #400
Laguna Beach, California 92651
Book-Entry GNMA Securities
Call (949) 497-3600 for instructions.
All deliveries MUST include client name.
Fed-Entry Securities
(e.g. Treasury Notes)
Call (949) 497-3600 for instructions.
All deliveries MUST include client name.
Liquidate Money Fund and transfer
All deliveries MUST include client name.
Fed-Wired Monies
Wire to:
All deliveries MUST include client name.
Forward Checks
USA Trustees
668 N. PCH #400
Laguna Beach, California 92651
All deliveries MUST include client name.
ACAT Mutual Fund Registration
Instructions
USA Trustees
668 N. PCH #400
Laguna Beach, California 92651
Dividend & Capital Gains Option:
þ Reinvest þ Deposit to New Plan

Wells Fargo Bank
Laguna Beach California (92651)
ABA # 121000248
FBO: USA Trustees
A/C # 6960716801
For the Account of_____________________________________

Receiving Firm Information
Name and Address: USA Trustees
668 N. PCH #400
Laguna Beach, California 92651

© 1998 Forms Service Corporation TRANS 9008

Note: All deliveries MUST include client name.

Business Development Manager
Swiss American Banking Group
High Street, P.O. Box 1302 Re: __________________________________
St. John’s (Name of Representative)
Antigua, West Indies
Dear Sir:
The undersigned wish to advise that the subject party is authorized to represent my/our interest in the following business with your group: (delete where applicable, and initial).
q Formation of an International Business Corporation.
q Payment of IBC fees.
q Arrangements for establishing offshore account(s).
q Submission of secured credit card application.
q Arrangements for establishing security deposit account(s).
q Receive credit card on my/our behalf.
q Transmit any general instructions regarding my/our account(s).
The subject party will continue to represent my/our interests with your Group until or unless further instructions to alter the arrangement, I/we understand that the representation of our interests by the subject party is without any commitment on the part of your banking group to fulfill my/our requests.
For confirmation of this authority you may contact the undersigned:
Signature(s): __________________________________________________________
__________________________________________________________
Name(s): __________________________________________________________
Address: __________________________________________________________
__________________________________________________________
Phone/Fax: __________________________________________________________
_____________________ State }
} ss.
_____________________ County }
On this _____day of _________________, A.D. 19____, before me,___________________________________________
(NOTARY), personally appeared, ____________________________________________________________________
_____________________________(SIGNER(S)), q personally known to me -OR- q proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
______________________________________
Notary’s Signature

Note:
Please Notarize Signature

Business Development Manager
Swiss American Banking Group
High Street, P.O. Box 1302 Re: PROFESSIONAL TRUST SERVICES
St. John’s Jay Lashlee, Trustee
Antigua, West Indies (Representative)
Dear Sir:
The undersigned wish to advise that the subject party is authorized to represent my/our interest in the following business with your group: (delete where applicable, and initial)
q Formation of an International Business Corporation.
q Payment of IBC fees.
q Arrangements for establishing offshore account(s).
q Submission of secured credit card application.
q Arrangements for establishing security deposit account(s).
q Receive credit card on my/our behalf.
q Transmit any general instructions regarding my/our account(s).
The subject party will continue to represent my/our interests with your Group until or unless further instructions to alter the arrangement, I/we understand that the representation of our interests by the subject party is without any commitment on the part of your banking group to fulfill my/our requests.
For confirmation of this authority you may contact the undersigned:
Signature(s): __________________________________________________________
__________________________________________________________
Name(s): __________________________________________________________
Address: __________________________________________________________
__________________________________________________________
Phone/Fax: __________________________________________________________
_____________________ State }
} ss.
_____________________ County }
On this _____day of _________________, A.D. 19____, before me,___________________________________________
(NOTARY), personally appeared, ____________________________________________________________________
_____________________________(SIGNER(S)), q personally known to me -OR- q proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
__________________________________
Notary’s Signature

Note:
Please Notarize Signature

STATE OF CALIFORNIA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC-1 (REV. 1/90)
IMPORTANT - Read instructions on back before filling out form
wolcotts form ucc-1ca

STOCK # 82901
(price class 13C)

This FINANCING STATEMENT is presented for filing and will remain effective, with certain exceptions,
for five years from the date of filing, pursuant to Section 9403 of the California Uniform Commercial Code.

1. DEBTOR (LAST NAME FIRST—IF AN INDIVIDUAL)
1A. SOCIAL SECURITY OR FEDERAL TAX NO.

1B. MAILING ADDRESS
1C. CITY, STATE
1D. ZIP CODE

2. ADDITIONAL DEBTOR (IF ANY) (LAST NAME FIRST—IF AN INDIVIDUAL)
2A. SOCIAL SECURITY OR FEDERAL TAX NO.

2B. MAILING ADDRESS
2C. CITY, STATE
2D. ZIP CODE

3. DEBTOR’S TRADE NAMES OR STYLES (IF ANY)
1A. FEDERAL TAX NO.

4. SECURED PARTY
NAME
MAILING ADDRESS
CITY STATE ZIP CODE
4A. SOCIAL SECURITY NO. FEDERAL TAX NO.
OR BANK TRANSIT AND A. B. A. NO.

5. ASSIGNEE OF SECURED PARTY (IF ANY)
NAME
MAILING ADDRESS
CITY STATE ZIP CODE
5A. SOCIAL SECURITY NO. FEDERAL TAX NO.
OR BANK TRANSIT AND A. B. A. NO.

6. This FINANCING STATEMENT covers the following types of items of property (include description of real property on which
located and owner of record when required by instruction 4).

7. CHECK
IF APPLICABLE
7A. PRODUCTS OF COLLATERAL
ARE ALSO COVERED
7B. DEBTOR(S) SIGNATURE NOT REQUIRED IN ACCORDANCE WITH
INSTRUCTION 5(A) ITEM:

(1)
(2)
(3)
(4)

X

8. CHECK
IF APPLICABLE
DEBTOR IS A “TRANSMITTING UTILITY” IN ACCORDANCE WITH UCC § 9105 (1) (n)

X

9. DATE:
SIGNATURE(S) OF DEBTOR(S)
TYPE OR PRINT NAME(S) OF DEBTOR(S)
SIGNATURE(S) OF DEBTOR(S)
TYPE OR PRINT NAME(S) OF SECURED PARTY(IES)

10. THIS SPACE FOR USE OF FILING OFFICER
(DATE, TIME, FILE NUMBER
AND FILING OFFICER)

11. Return copy to:
NAME
ADDRESS
CITY
STATE
ZIP CODE

C
O
D
E
1
2
3
4
5
6
7
8
9
0

(1) filing officer copy

FORM UCC-1
Approved by the Secretary of State