Income Payment Request For Non-Retirement AccountPage 1 of 3

J.P. Morgan Securities LLC Member FINRA and SIPC

For your protection, a representative may call you at the number on file for your account to confirm this transaction before it is processed.

ACCOUNT HOLDER NAME (PLEASE PRINT IN ALL CAPITAL LETTERS) JPMS Account Number

33348_DWM 03-01-2018

INVESTMENT AND INSURANCE PRODUCTS ARE: • NOT FDIC INSURED • NOT INSURED BY ANY FEDERAL GOVERNMENT AGENCY

• NOT A DEPOSIT OR OTHER OBLIGATION OF, OR GUARANTEED BY, JPMORGAN CHASE BANK, N.A. OR ANY OF ITS AFFILIATES • SUBJECT TO INVESTMENT RISKS, INCLUDING POSSIBLE LOSS OF THE PRINCIPAL AMOUNT INVESTED

Use this form to request distributions of dividend and/or capital gains ("income earnings") from a J.P. Morgan Securities LLC ("JPMS") brokerage account or to change an existing income payment plan. PLEASE NOTE: Do not submit this form for a retirement account.

Please be aware:

•

You may elect to have the earnings on certain mutual funds and/or eligible stock distributed based on the dividends and capital gains instructions currently in effect on your account or you may elect to change the dividend and capital gains instructions to distribute ALL mutual fund dividends and capital gains and ALL eligible stock dividends in cash to you.

• The income earnings that are paid in cash and credited to your account will be distributed in accordance with the frequency and payment method selected below.

• If new positions are acquired in your account after the income payment plan has been established, the earnings on those new positions will be paid in cash to the brokerage account and will be included in your income payment plan until JPMS is notified otherwise.

• If your income payment plan is terminated, the dividends and capital gains instructions in effect at that time will remain in effect until new instructions are established.

• The minimum income payment that can be distributed by check is $25. If the income payment balance of your account is less than $25 on any scheduled payment date, a payment by check won't be issued until the cash balance in your account reaches $25. A check will then be issued on the next scheduled payment date.

• The maximum income payment that can be distributed under your plan to another account is $99,999.99. If the income payment balance is greater than $99,999.99 on any scheduled payment date and you have elected to have payments distributed to another account, a distribution of only the maximum amount of $99,999.99 will be processed and the balance of the income earnings will accrue in your account. The remaining distribution amount will be sent on the next scheduled payment date.

1. Income Payment Instructions - select oneDistribute the income earnings in my account based on the dividends and capital gains instructions currently in effect for my account, in accordance with the frequency and payment methods selected below.

Change my current dividends and capital gains instructions to pay ALL mutual funds dividends, capital gains and eligible equity dividends in cash to my account and distribute the income earnings in my account in accordance with the frequency and payment methods selected below.

Cancel existing payment and frequency options. Proceed to Section 4.

2. Payment Frequency - not required for a cancellation requestDaily - May only be selected if C or D is selected in Section 3 - Delivery Instructions.Weekly - Payments will be scheduled to distribute on Friday of each week.Monthly - Payments will be scheduled to distribute on the 26th of each month.Semi-Monthly - Payments will be scheduled to distribute 15 days apart.Quarterly – Payments will be scheduled to distribute on the 26th of March, June, September and December.

Income Payment Request For Non-Retirement AccountPage 2 of 3

J.P. Morgan Securities LLC Member FINRA and SIPC

ACCOUNT HOLDER NAME (PLEASE PRINT IN ALL CAPITAL LETTERS) JPMS Account Number

33348_DWM 03-01-2018

3. Delivery Instructions - not required for a cancellation requestA. Check(s) mailed to the address of record (not available for Daily payments).B. Check(s) paid and/or mailed to the alternative payee and/or address provided below (not available for Daily payments).

PLEASE NOTE: Third- Party authorizations need to be re-verified in writing by you annually.

C. Deposited into my Chase bank account indicated below.

D. Deposited into a non-Chase Bank/Financial Institution account using Automated Clearing House ("ACH") settlement. The Bank/Financial Institution account information must be provided below.

Alternate Payee Name

Mailing Address

City State Zip Code

Account Type (select one)

CheckingSavings

ABA Routing Number Chase Bank Account Number

Account Type (select one)

CheckingSavings

Attach a copy of a voided check (counter or starter checks will NOT be accepted).Attach a letter containing the account holder's name, account number, ABA routing number, account type (e.g., money market savings) and a notarized signature of the individual acting on behalf of the Bank/Financial Institution. The notarized letter must be signed on the Financial Institution's letterhead (account holder signature will NOT be accepted).

ABA Routing Number Bank/Financial Institution Account Number

If you wish to link your brokerage account to a non-Chase Bank deposit account, you will notice a $1 charge and $1 credit to your deposit account as we validate the account before linking it to your brokerage account.

Income Payment Request For Non-Retirement AccountPage 3 of 3

J.P. Morgan Securities LLC Member FINRA and SIPC

ACCOUNT HOLDER NAME (PLEASE PRINT IN ALL CAPITAL LETTERS) JPMS Account Number

33348_DWM 03-01-2018

4. Account Holder Signature(s)PLEASE NOTE: If you require more than two Account Holder Signatures, please submit an additional copy of the Income Payment Request For Non-Retirement Account form.I/We authorize JPMS to make the above distribution(s) from my/our account indicated above. I/We authorize JPMS to direct transfers of money electronically according to the instructions outlined on this form between my/our JPMS brokerage account and my/our Bank/Financial Institution account as designated above and authorize that Bank/Financial Institution to credit and/or debit the same to such account. I/We acknowledge that the origination of ACH transactions to or from my/our account must comply with the provisions of U.S. law. This authorization is to remain in full force and effect until JPMS has received written notification (provided to J.P. Morgan Securities LLC, Attn: Account Processing, IL1-0291 4th Floor, 131 South Dearborn Street, Chicago, IL 60603-5506) from me (or any of us) of its termination in such time and in such manner as to afford JPMS and the Bank/Financial Institution a reasonable opportunity to act on it.

Account Holder Signature Date (mm/dd/yyyy)

Joint Account Holder Signature (if applicable) Date (mm/dd/yyyy)

5. Notary - section must be completed by a Notary PublicA notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

STATE OF ___________________________________________________ COUNTY OF _________________________________________________ Subscribed, sworn to and acknowledged before me by ___________________________________________________________ , Name of Document Signer this ________ day of____________________ , __________ . Month Year X___________________________________________________________ Signature of Notary Public My commission expires: ________________

Place Stamp Here

) ) SS: )

A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

STATE OF ___________________________________________________ COUNTY OF _________________________________________________ Subscribed, sworn to and acknowledged before me by ___________________________________________________________ , Name of Document Signer this ________ day of____________________ , __________ . Month Year X___________________________________________________________ Signature of Notary Public My commission expires: ________________

Place Stamp Here

) ) SS: )

Income Payment Request For Non-Retirement Account

J.P. Morgan Securities LLC Member FINRA and SIPC

Reference Sheet Only - do not send this page

33348_DWM 03-01-2018

Please keep a copy of this form for your records.

After reviewing and signing this form, please select how you'd like to submit it:

•

Fax: send the form and any attachments to (800) 805-3909 • Email: please visit www.Chase.com/brokerageforms for instructions on how to submit this completed document and any

attachments • Regular or Overnight Mail: send the form and any attachments to:

J.P. Morgan Securities LLC Attn: Account Processing IL1-0291 4th Floor 131 South Dearborn Street Chicago, IL 60603-5506

Questions? Please call us at (800) 392-5749.