EFTA01401117.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non—Retirement Accounts TTie undersigned hereby authorizes and directs Deutsche Bank Alex, 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 deliveries, please use the long form. DBAB Account Name; I in Account#: 976 Journal Q Journal Funds in the amount of $ Q Journal Holdings; Qty/Symbol/Securlty: Qty/Symbol/Security: Q Journal All Holdings To DBAB Account #; Account Name: Wire (2 Wire federal funds in the amount of 5 9,561,40 To Bank Name: JPMorgan Chase City / StatB: ABA #: 021000Q21 Further credit to Intermediary Financial Institution (Optional) Account #; Name; Ultimate Benefidary Information: Beneficiary Name: 10f1 NiCOlS Account#: Additional Instructions; Feb 3 2014 Inv & expenses 819949496 Free Delrveries G Please deliver the securities indicated below to: DTCC#: Name of Receiving Firm: Check G Issue a check in the amount of $ Recipient's Name: Recipient's Mailing Address: Account Name: payable to: Acoourri Number: at Receiving Firm EFTA01401117 Oty/Symbal/Securiiy: Oly/Sym boi/Socur ity: Standing Authorization G undersigned hereby requests that this authorization act as a standing authorization. The undersigned urtderstands and agrees that this authorization will remain in effect until Deutsche Bank Alex. Brown requests a new authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire, check or journal on tha day offor a term of. G The undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds to/from the above listed accounts. The undersigned will provide verbal instructions as to the date and the amount of the wire, check or journal, If tha undersigned decides to vary either the date or tha amount of the wire, check or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to accept the verbal instructions from the undersigned regarding tlia change or changes. The undersigned further understands and agrees to comply with the procedures of Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal inslructrons. The undersigned hereby acknowledges that (i) the information contained in this form is complete and accurate to the bast knowledge of the undersigned; and (ii) the undersigned is responsible for the method of transmission of any instructions Issued pursuant to this authorization. If the undersigned elects to transmit any such instmotions via fax (including desktop fax), via email or as an image attachment to email (e.g., as a PDF, TIF or other image of such Instructions), the undersigned understands and agrees that the undersigned bears the risk of loss arising from such method of transmission in the event of transmission errors, misunderstandings, impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other entities, the undersigned further acknowledges that the undersigned is authorized to issue the above asset movement instructions under the terms of the governing documents and any applicable laws. The undersigned hereby releases and holds harmless Deutsche Bank Alex. Brown from and against loss from any action, claim or demand of any person zi a result of Deutsche Bank Alex. Brown's receipt of or compliance with this outhorization and/or any instructions that may be given to Deutsche Bank Alex. Brown pursuant to this authorization (including any standing euthorizationj. The undersigned understands that Deutsche Bank Alax. Brown may, but is not required to, seek verificetion of the undersigned's instructions by call back and that Deutsche Bank Alex. Bi EFTA01401118 incurring any liability, if undersigned further uti pursuant to this I may in its sole disc^rion refuse to execute such instructions (including standing instructions) given pursuant to this authorization, without iwii has reason to believe such instructions (or standing instructions) have not been provided by the undersigned. The Bank Alex. Brown retains the right to refuse to execute any Instructions to transfer funds or securities to any account(s) fh insl^li^ns bearing original slgnaturals) of the undersigned. fuische Bank Alex. B. stands that Daui ion without writ "Tlarry Seller 2-6-2014 Date Print Name Signaluie Signature Print Namd Date III I III nil 11 IN HI LOA 10-PWM-01775 (12/10) .v EFTA01401119