EFTA01402913.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts Ths undersigned hereby aulhotues and diracts Deutsche Bank Aiex. Brown (*Deutsche Bank Alex. Brown' or *DBAB') to follow the below asset movement instructions. If you wish to request multiple wires, checks, journals or free deltvanes, please use the long form. DBAB Account Kama: JaffTBv E Epalalti Account#: Journal Q Journal Funds in the amount of $ ❑ Journal Holdings: Oly/Symbol/Security; Oiy/Symboi/Secunty; Cl Journal All Holdings To DBAB Account #; Account Name; Wire B Wire federal funds in the amount of S 2776. To Bank Name; Bank of America City/State: ABA I. 021000322 Further credit to Intermediary Hn Bon (Opihme0 In Account #m Name; UihiBlB BsiaAciirv*#onnB8an: BenefeiatvName; Yulla SllltlSkava A000unl#: Addsnellnaniotians: AKP fOimbt, 4830 5666 6969 FieeDdheriai ❑ Please deliver the aecurilleslndicaled below to: DTCC# Name of flacennng Firm; Account Name: Check Q Issue B check in the amount of Reopenfs Name; Reopienfs JtaSng Addieas: patebtolo: Account Number; at Receiving Firm EFTA01402913 Oty/Symboi/Secumy: Qty/Symbol/Seeurity; Skrxflng Authoifaafipi Q The undersigned hereby requests that this authorization act as a standing aulhofizat'on. The undersigned undarslands and agrees that this authoriution will remain in eHect until Deutsche Bank Alex. Brown requests a new authorization. The undersigned auihonzes Deutsche Bank Alex Brown to issue the wire, check or journal on the o The undersigned further authorizes Deutsche Bank Alex. Brown to aooapi verbal Instructions from the undersigned to wxe funds, issue checks nr journal funds to/ftom the above bled accounts. The undersigned will provide verbal insuuctions as to the date and the amount of the wire, check or journal. II the undersigned dscidea to vary either the date or the amount of the wire, check or journal, the underpgned haraby authorizes Deutsche Bank /Uex Bmwn to accept the verbal inslmclions from the undersigned ragaiding the change or changes. The undeisigned further understands and agrees to comply with the ptoo^ures of Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal Insiructkins. day of for a term of The undersigned hereby acknowledges that Ill the information contained in this form is oomplelB and eccucete to the best knowledge of the undeisigned: and (ii) the undersigned is responsible for the rnethod of iransmisslan of any mstroctloos Issued pursuant to this authorization. II the undorsigned elects to trenlmil any such insiructions via fax Onciuding desktop fax), vie email or as an image atlachmeni to email le g. as a PDF, TIF or other image of such insinjclxins), the undersigned understands and agrees that the undersigned bears the risk of loss arising from such meihod of transmission In the event of transmission enois, misunderslandngs, impersonations. Irantmiision by unauthorized persons, forgery or intercepts. For trusts Or Other entities, the undersigned further acknowledges that the undersigned is auihoiized to issue the shove asset movement msvuctions under the terms ol the governing documents and any applicabla laws. Ths undersigned hereby raleales and holds harmless Dauischa Bank Alex. Brown from and agsmsi loss from any cciion, claim or demand ol any person as a result of Deuischs Sank Alex. Brown's receipt of or eompbnce with this auihonzaiion and/or any instiuciions that may be given to Oeuische Bank Alex. Brown puisuam to this authorization (including any standing BulhonzBiion). Ths undersignad understands that Deutsche Bank Alex. Brown may. but is not EFTA01402914 required to, seek veiincabon of the understgnatfs insUuctkms by call back and that Deutsche Bank Alex. Brown may in its sole discreinn refuse to execute such iniiructons (including standing Inslrucikxis) given pursuent to this suthoiizetlon, withtnil meumng any bbility, it Deutsche Bank Alex. Brown has reason to believe such instructions (or standing insliLtctions) have not been provided by the undersigned. The undersigned further undeisiands that Deutsche Bank Alex. Brown retains the nghi to refuse to execute any instructions U> bansfer funds Or socunlias to any a000uni(s1 pursuant to this authgrtzation without wmian InsinicUons beating original signaiure(sl of the undeisigned Darren K Indyke 12/10/15 Print Neme ObM Pnnt Nome Diie 111111111111111111) LOA 10-PWM-OITTS (12/10) EFTA01402915