FOREX CUSTOMER PROOF OF CLAIM FORM

FOREX CUSTOMER PROOF OF CLAIM FORM INSTRUCTIONS: We have created this guide to help you complete the following document. We believe these instructions to be accurate but cannot guarantee it. Information about the claim forms changes nearly every day. We are here to help as best as possible. Lastly, to provide all the help we can, we have set up a specific email to assist you with the Claim Form process. Questions, account statement, etc., can be directed to: [email protected]. Use these instructions as you fill out your Forex Claim Form. Follow along with the circled letters located next to different sections on the pages on the sample Claim Form below. (Scroll down to see.) A. This section is for your account information. Remember that for non-personal accounts, e.g. trust, corporate, IRA, etc., the name on the account may be different than the contact person. B. For accounts owned by individual(s), enter your social security number. For corporate entities, enter your Tax ID. For IRA Accounts, please name your IRA Custodian and enter your IRA number. C. Here is where you record the total claim amount for the account named on the claim form. Remember that you must fill out one claim form for each account. The exception is master accounts that have multiple sub-accounts underneath it. You need only fill out one claim form per master account. D. If you agree with the dollar amount given on your most recent statement, then check “No.” If you do not agree, then follow the directions for submitting adequate documentation and evidence for your different claim. E. State the capacity in which you hold the account. For IRA accounts, we suggest you mark “j.” and physically write in that it is an IRA account, the name of your IRA Custodian and that you are the beneficiary. F. If you have a joint account and you are unsure as to the ownership percentage of your account, please consult your original account forms. Joint Accounts with Rights of Survivorship are held as 100% by both parties. If you have other forex accounts at PFG, note them in section C. Remember that you must fill out one claim form for each account. The exception is master accounts that have multiple sub-accounts underneath it. You need only fill out one claim form per master account.

G. If you are unsure if you owe PFG any amounts not included in your attached statements, then you probably don’t. Checking “No” does not admit to any amount owed to PFG.

H. If someone has helped you with these forms, kindly record their contact information here. I. Sign and date. If you have a joint account, both parties must sign. J. Be sure to include all the appropriate documentation such as statements and trust agreement, relevant corporate articles if applicable. We suggest you sign and date your statement(s) and supporting documents. K. When submitting your claim online, you must scan your pages into one document and submit it on the www.pfgchapter7.com website. Otherwise please mail your claim to: Peregrine Financial Group, Inc. dba PFG Best c/o Rust Consulting/Omni Bankruptcy Attn: Claims Processing 5955 DeSoto Ave., Suite 100 Woodland Hills, CA 91367

Again, these instructions are accurate to the best of our knowledge. Please email us at [email protected] with any specific questions. We appreciate the change to assist you with these forms.