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Get Inland American Custodial Forms

Ons for Transfer prior to completing this form. A - CURRENT ACCOUNT INFORMATION - Please print exactly as it appears on the account. Name Address City State Social Security/Tax ID # - Zip All or Inland American Account # . # of Shares to be Transferred B - CURRENT CUSTODIAN SIGNATURE - Must be signed by current custodian. Medallion Signature Guarantee REQUIRED Signature - Custodian Date Title of Signer All signatures must be medallion signature guaranteed C - TYPE OF TRANSFER - To.

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