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IRA Distribution

COMMAND & Investor Accounts Pruco Securities, LLC

Member FINRA, SIPC

Use this form to request or make changes to your First Clearing ("FCC") Individual Retirement Account About IRA Distribution (IRA) with Pruco Securities, LLC distribution. A distribution is a payment from a COMMAND or Investor IRA Account made to either the account owner or beneficiary. This form must be completed by the account owner or, if the account owner is deceased, the beneficiary may complete the form. Do not use this form to transfer assets directly to a new custodian or trustee; please contact them for their paperwork. Your request will be processed upon receipt. If the account balance is insufficient to satisfy the entire distribution, the total current balance will be distributed. If you are opening a COMMAND or Investor IRA Account at this time, please attach this form to your account opening materials. To request or make changes to an IRA distribution: 1. Complete sections 1 through 6 as appropriate. Please print using black ink. 2. Read and sign the authorization in section 7. Overnight Prudential 3. Mail completed Prudential address: COMMAND Service Center form to: COMMAND Service Center 2101 Welsh Road P O Box 70198 Dresher, PA 19025 Philadelphia PA 19176 For assistance in completing this form, please contact your Pruco Securities financial professional or call the COMMAND Client Service Center at (800) 235-7637. Our representatives are available to assist you Monday through Friday from 8:30 a.m. to 7:00 p.m. Eastern time.

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Account Information

This section contains information about your COMMAND or Investor Account and should be completed with the information on your statement or the account opening materials being submitted with this request. For existing accounts, please fill in your account number in the box at the top of the form. · SSN represents the Social Security number (SSN) of the account owner. · Account owner represents the name under which the account was opened. · Date of birth represents the birth date of the account owner. · Beneficiary's name should be completed by the beneficiary if the account owner is deceased. · Beneficiary's SSN/EIN represents the Social Security number (SSN) or employer identification number (EIN) used for reporting income taxes. · Beneficiary's address represents the mailing address of the beneficiary. Note: If there is more than one beneficiary for the account, each should fill out a separate form, but all forms should be submitted together. This section contains information about the type of distribution. In this section, liquidate means that all or part of your COMMAND or Investor Account will be converted to cash. Transfer refers to the movement of assets from your COMMAND or Investor Account into another COMMAND or Investor Account. Please choose one type of distribution, partial, periodic, or total, and complete each section as applicable. Partial distributions occur when only a portion of the total balance is withdrawn. This option allows you to take a single withdrawal for a specific dollar or share amount. · If you choose to liquidate part of your account, indicate your instructions in section 3. · If you want to transfer your distribution, indicate your instructions in section 3. Include the account

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Type of Distribution

(continued)

Securities products and services are offered through Pruco Securities, LLC, 751 Broad Street, Newark, NJ 07102-3777, a Prudential Financial company. Pruco Securities, LLC clears its trades through First Clearing, LLC, a non-bank affiliate of Wells Fargo & Company. PSC 10738 Ed. 1/2012 Page 1 of 7

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Type of Distribution

(continued)

number of the account you are transferring to in section 4. Periodic distributions allow you to take a series of partial distributions at the frequency you select. There are three methods for periodic distributions. You can choose one or more, depending on your needs. · Fixed payout allows you to specify a dollar amount to be taken from your cash and money market balances. · Mutual fund redemption allows you to redeem mutual funds at the frequency you select. · Payout of dividends and interest in cash allows you to receive dividends and interest only. · Payment start date represents the date that the distributions will begin. Please allow at least 15 days for the distribution to take effect. · Frequency represents the payment schedule. Please select monthly, quarterly, semiannually, or annually. A total distribution is a one-time withdrawal of the entire value of the IRA. This amount is issued to you and your account will be closed. Please note that a termination fee may be charged to your account. · Liquidate means that your account will be converted to cash. · Transfer means that the assets will be transferred to another COMMAND or Investor Account or an outside financial institution as indicated in section 4, Payment Instructions. Your partial or periodic distribution can be funded in several ways. This section allows you to indicate the assets in your IRA that will be liquidated or transferred to fund your distribution. Unless a specific mutual fund is indicated, the distribution will be taken from the cash balance and money market funds. When you select mutual funds, please provide us with the following information: · Mutual fund name represents the name of the mutual fund you want to liquidate or transfer. The name should be taken directly from the fund prospectus. Note: Money market funds cannot be used. · Ticker symbol represents the abbreviation used to identify the mutual fund. If you do not know the appropriate ticker symbol, please consult your Pruco Securities financial professional or the COMMAND Service Center. · Share class represents a specific class being offered by the fund issuer and can be found in the fund's prospectus. Please indicate the appropriate share class if it is other than A, B, or C. · Dollar amount represents the dollar amount (including cents) you want to redeem to fund your distribution. · Shares represents the number of shares you would like to redeem to fund your distribution. Indicate the payment instructions. There are three payment options: · Transfer to another COMMAND or Investor Account allows you to credit another COMMAND or Investor Account. Remember to include the account number. · Automated Clearing House Authorization allows you to transfer the funds electronically to another account, such as an outside checking or savings account. Please remember that you must also complete an Automated Clearing House Service Authorization form (PSC10807) if you select this option. · Mail check to allows you to send a check for the distribution amount to the address of the account owner or beneficiary. This section is used to indicate the reason for your IRA distribution. Please read each option carefully before making your selection. For further assistance making this selection, please contact your Pruco Securities financial professional. Important information for required minimum distributions: · If your required minimum distribution has to be made by April 1st because it is your first required distribution, this form must be completed and received no later than March 15th. · If this is a subsequent required minimum distribution that has to be made by December 31st, then the form must be completed and received by December 15th. We cannot assure timely payment of distribution amounts if the form is not received by these dates.

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Source of Distribution

(For partial and periodic distributions only.)

4

Payment Instructions

5

Reason for Distribution

PSC 10738 Ed. 1/2012

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Tax Withholding Election

This section contains information on federal and state income taxes. We have presented this information based on our understanding of tax law. You may wish to consult with a tax adviser because neither we nor our representatives can provide tax advice. · Federal income tax law requires that federal income tax be withheld unless you indicate otherwise. The fixed tax rate of 10 percent will be calculated based on the gross amount of your IRA distribution. We are required to inform you that if you choose not to have federal income tax withheld, or if the amount of tax withheld is not enough, you may be required to pay estimated income taxes. You may be subject to tax penalties if your withholding and tax payments are not adequate. You may also elect to have an additional dollar amount or percentage withheld in addition to the 10 percent. If your account does not contain your correct SSN/TIN, we cannot honor your request not to have income tax withheld and must withhold 10 percent of the payment for federal income tax. · State income tax withholding requirements vary by state. If federal income tax is withheld in DE, IA, KS, MA, or ME, state income tax must also be withheld. If withholding applies in your state of residence, the state statute will prevail. You may want to consult a tax adviser in your residence state for additional information on state income taxes on IRA distributions. · Residents of MI: If you elect to not have state income tax withheld, you are certifying that your distribution is not taxable because you were born before 1946 or you believe you will not have a balance due on your Michigan Individual Income Tax Return MI-1040.

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Authorization/ This section contains the legal authorization(s) necessary to process your request. It should be read and Signature(s) signed by the account owner or the beneficiary.

PSC 10738 Ed. 1/2012

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IRA Distribution

COMMAND & Investor Accounts Pruco Securities, LLC

Member FINRA, SIPC 1

ED DATE SUB FIRM BR CODE RR CODE ACCOUNT NUMBER DOC. I.D.

01/12 164

9709

Account Information

Name of account owner (first, middle initial, last name) Account owner's address City Telephone number State ZIP code SSN (do not include dashes)

Date of birth (mm/dd/yyyy)

Complete the following only if the account owner is deceased: Name of beneficiary (first, middle initial, last name) Beneficiary's address City Telephone number State ZIP code

o SSN or o EIN (do not include dashes)

You may wish to contact your tax advisor for any tax advice regarding this distribution as neither we nor our representatives can provide tax advice.

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Type of Distribution

Please select partial, periodic, or total distribution and indicate applicable options. If you select the liquidation, transfer, or mutual fund redemption options, please remember to fill out section 3, Source of Distribution. o Partial (This is a one-time payment from your account.) o Liquidation as indicated in section 3, Source of Distribution. o Transfer as indicated in section 3, Source of Distribution. o Periodic (This is a series of payments from your account that will continue until the funds are depleted.) Please indicate your preferred method(s) of periodic distribution: , , . o Fixed payout of $ (Will be taken from cash and money market fund balances.) o Mutual fund redemption and payout as indicated in section 3, Source of Distribution. This method of payment is available on a monthly, quarterly, semiannual or annual basis. o Payout of dividends or interest in cash.

(continued)

Securities products and services are offered through Pruco Securities, LLC, 751 Broad Street, Newark, NJ 07102-3777, a Prudential Financial company. Pruco Securities, LLC clears its trades through First Clearing, LLC, a non-bank affiliate of Wells Fargo & Company. PSC 10738 Ed. 1/2012 Page 4 of 7

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Type of Distribution

(continued)

Payment start date (mm/dd/yyyy) Frequency: o Monthly o Quarterly

2 0

o Semiannually o Annually

o Total (Your account will be closed and termination fees may be charged.) o Liquidation o Transfer to account number indicated in section 4, Payment Instructions.

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Source of Distribution

(For partial and periodic distributions only.)

This section is required for partial and periodic distributions with liquidation, transfer, or mutual fund redemption options. If you have selected a total distribution, please skip this section. o Money market (or cash balance) o Other (describe) Amount: $ Amount: $ . .

o Mutual fund redemption as indicated below (Please note, if your mutual fund redemption is subject to fees, they will be subtracted from the redemption amount.) Mutual Fund Name (Use the exact fund name. Money market funds cannot be used.) Ticker Symbol Share Class A B C Other

o o o o o o o o o

Amount $ $ $

or Shares or or or

4

Payment Instructions

Please choose one payment option for your distribution. This section is required for all types of distributions. o Transfer to another COMMAND or Investor Account o Automated Clearing House (Requires Automated Clearing House Service Authorization form [PSC10807]) o Mail check to: o Account owner at the address in section 1 o Beneficiary at the address in section 1

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Reason for Distribution

Please select one reason for distribution. If you have questions about distribution reasons, please contact your Pruco Securities financial professional or the COMMAND Client Service Center. o Normal distribution. (A payment to an account owner who is age 59 ½ or older.) o Required minimum distribution. (i.e., upon attaining age 70½) o A. Based on my life expectancy and the Internal Revenue Service tables. o B. Based on my and my spouse's life expectancy. (Use this method when your spouse is more than 10 years younger than you. Otherwise select Option A for a minimum distribution payout. Complete the information on your spouse and recalculation options below.) Name of spouse (first, middle initial, last name) Spouse's date of birth (mm/dd/yyyy) Spouse's Social Security number

(continued)

Securities products and services are offered through Pruco Securities, LLC, 751 Broad Street, Newark, NJ 07102-3777, a Prudential Financial company. Pruco Securities, LLC clears its trades through First Clearing, LLC, a non-bank affiliate of Wells Fargo & Company. PSC 10738 Ed. 1/2012 Page 5 of 7

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Reason for Distribution

(continued)

If you do not wish us to recalculate life expectancy annually please check one or both of the boxes below. Note: This election is permanent and cannot be reversed. o Do not recalculate my life expectancy each year. o Do not recalculate my spouse's life expectancy each year. o Premature "early" distribution. (A payment to the account owner prior to attaining age 59½, which is not described in the choices immediately below. A 10 percent IRS tax penalty is imposed.) o Premature "early" distribution, exception applies (i.e., prior to the account owner's attainment of age 59½; in substantially equal payments payable over the life expectancy of the account owner or the joint life expectancy of the account owner and the account owner's beneficiary. You may wish to consult a tax advisor for guidance.) o Divorce. If you are required to transfer some or all of the assets in your IRA to your spouse or former spouse due to a divorce or separate maintenance agreement, generally the assets are directly transferred to the (ex)spouse's IRA. Attach a copy of the court executed divorce decree or separate maintenance agreement, along with additional paperwork, as may be required. o Distribution due to the death of the account owner. Please attach a certified copy of the account owner's death certificate, the latest copy of the beneficiary designation or IRA Application and any additional paperwork, which may be required. o Distribution due to the total and permanent disability of the account owner. (By checking this box I certify that I meet the Internal Revenue Service's definition of Disabled, which requires that an individual be unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or to be of longcontinued and indefinite duration.) o Return of excess contribution for the tax year. If corrective withdrawal of excess deferrals is made before the account owner's federal income tax return date (with extensions, if any), the earnings on the excess contribution must be included on the amount withdrawn. Indicate the amount of any such earnings here: $ , and include this with your partial withdrawal amount. o Conversion of traditional IRA to a Roth IRA. Select this option if you currently have a traditional IRA and would like to convert it to a Roth IRA. Please consult your tax adviser to make sure you are eligible to convert. Limits on adjusted gross income and the number of conversions allowed per year apply. o Recharacterization of a rollover or contribution. Please select one option below. o Rollover ­ You rolled over a traditional IRA to a Roth IRA and you are qualified to convert back to a traditional IRA. Please remember that there are limits to the number of times you can convert each year. Consult your tax adviser for more information. o Contribution ­ You can recharacterize your annual contribution for the current tax year. For example, if you contributed to a traditional IRA and later decide that you want to change that contribution to a Roth IRA, you can recharacterize your annual contribution.

Securities products and services are offered through Pruco Securities, LLC, 751 Broad Street, Newark, NJ 07102-3777, a Prudential Financial company. Pruco Securities, LLC clears its trades through First Clearing, LLC, a non-bank affiliate of Wells Fargo & Company. PSC 10738 Ed. 1/2012 Page 6 of 7

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Tax Federal Income Tax. Federal income tax law requires that federal income tax be withheld at a rate of 10 Withholding percent unless you indicate otherwise. Election o I do not want federal income taxes withheld from my IRA distribution.

o In addition to the 10 percent withholding of federal income taxes from my IRA distribution, I want an additional $ or % (percentage in whole numbers only) withheld.

State Income Tax. Requirements vary by state. Mandatory for DE, IA, KS, MA, or ME residents if federal income tax is withheld. Residents of MI: If you elect out of state withholding, you are certifying that your distribution is not taxable because you were born before 1946 or you believe you will not have a balance due on your Michigan Individual Income Tax Return MI-1040. o I do not want state income taxes withheld from my IRA distribution. o I do want my applicable state income taxes withheld from my IRA distribution. o I do want my applicable state income taxes withheld from my IRA distribution plus an additional $ or % (percentage in whole numbers only).

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Authorization/ Signature

By signing this form, I understand and agree that this authorization will remain valid until a written revocation is received by the COMMAND Client Service Center. Also, my federal or state income tax withholding election is applicable to any subsequent distribution until it is revoked by me under the procedure established by the custodian, First Clearing, LLC. I certify that I am the proper party to receive payment(s) from this IRA and that all information provided is true and accurate. I expressly assume the responsibility for any tax implications and any adverse consequences which may arise from this withdrawal, and I agree that Pruco Securities, LLC and First Clearing, LLC shall in no way be held responsible. Neither Pruco Securities, LLC nor First Clearing, LLC has given me any tax or legal advice in connection with this distribution. I understand the tax implications of this distribution and understand that it is my responsibility to determine the taxable amount of this distribution.

X

Account owner's or Beneficiary's signature Date

Securities products and services are offered through Pruco Securities, LLC, 751 Broad Street, Newark, NJ 07102-3777, a Prudential Financial company. Pruco Securities, LLC clears its trades through First Clearing, LLC, a non-bank affiliate of Wells Fargo & Company. PSC 10738 Ed. 1/2012 Page 7 of 7

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