EFTA01401156.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts Tho undersignad hereby authorizes and directs Deutsche Bank Alex. Browrt ('Deutsche Bank Alex. Brown" or *DBAB") to IoIIdw the below asset movement instructions. If you wish to request multiple wires, checks, journals or free deliveries, please use the long form. OBAB Account Nnme: leffrey E Epgteln Account #; Journal Q Journal Funds in the annoum of S Q Journsl Holdings: Oty/SymbolASecurity: Oty/Symbol/Secunty; . Q Journal All Holdings To OBAB Account #: Account Name; Wim Q Wire federal funds in the amount of To Bank Name; TD Bsnk City/State: Further credK to Intermediary Rnendal Inetitution (Opttonel) Account #• Name: Account #: FreeDelMrfee Q Please deliver the secunties indicated below to: Rent - May 2014 Adducrtal Instiuctions: DTCCK: Name of Receiving Firm: Account Name; OiBck Q Issue a check in the amount of $ Reoptenl's Name; Reopieni's Maiii^ AeUiess- payebleto: at Receiving R/m Atccouni Number: EFTA01401156 Qly/Symbol/Security: OlyrSymboi/SecurilY: Standng Authortzalim Q The undeisigned hereby requests that this authorization act as a standing authorization. The undersigned understands and agrees that this aulhorization will remain in effeci until Deutsche Bank Alex. Brown requests a new authorization. The undersigned authorizes Deutsche Bank Alex, Brown to issue the wire, check or journal on theday of ❑ The undersigned further aulhorizes Deuische Bank Alex. Brown to accept voibal instruotkins Irom the undersigned to wire funds, issue checks or journal funds lorirom the above lisifid accounts. The undersigned will provide verbal Insiruclions as lo the dale and the amount of the wire, check or journal. If the undersigned decides lo vary either tho date or tho amount of tho wire, check or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown lo accept ttiB verbal insloictionB from tho undarsignod regarding the change or changes The undersigned further understands end agrees to comply with the procures of Deuische Bank Alex. Brown to verily the authorization and accuracy ol verbal Instructions far a term ol The undersigned hereby acknowledges that (i) the inforroation oomalned in this form is complete and accurate to the best knowtodge ol the undersigned; and (U) the undersigned is responsible far the method of transmission of any insiruclions issued pursuant lo this authorization. II the undersigned elects lo transmit any such insiruclions vie lax (including desktop (ax), via email or as an imago aitachment to email !c.g.. as a PDF, TIF or other image of such instructions), iha undotsignBd understands and agrees that the undersigned bears the nsk of loss ertsing from such meinod of transmission in the ovanl of transmission coiS, misunderstandings, impeisonations, transmission by unauthorized petsons, faigory or intercepts. For trusts of other ortlities, the undarsignod further acknowledges that the undeisigned is auttioiized to issue tho above asset movement in.stiuclions under the terms of the governing documents and any applicable laws. The unrieisigned hereby releases and holds harmless Deutsche Bank Alex. Brown from and against loss from any action, claim or demand ol any person as a result ol Deutsche Bank Alex. Brown's receipt of or compliance with this euthonzatlon andfor any instructions that may be given to Deuische Bank Alex. Brown pursuant to this authorization (including any standing authonzaiion). The undersigned understands that Deutsche Bank Alex. Blown may, but is not required to, seek verilicaiion of the undersigned's insiruclions by call back and that EFTA01401157 Deutsche Bank Alex. Biown may in its sole discretion refuse to execute such instructions (Including standing insirucUons) given pursuant to this aulhonzaioir, without incurring any liability, if Deutsche Bank Alex. Brown has reason lo believe such insiruclions (or standing insirucions)have not been provided by the undersigned The undersigmtd furlhat understands that Deuische Bank Alex. Brown retains the right lo tcluso to execute any iiisitucuons to transfer funds or securities to any account(sl pursuant to this authorization withoul wrarten inst"lioi"bearing original signaluie(s) of the undersigned. Jjo L Darren K Indyke Signature ^ ^ ^ ^ ^ 5-27-2014 Print Name ISie rnnl Name T5ato S"nature III nil IIII Nil III LOA Si ^ X' C/j 10-PWM-0I77S (12/10) V, EFTA01401158