EFTA01400954.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts Ths undersigned hereby aulhoriaes and directs Deutsche Bank Alex Brown ("Deutsche Bank Alex. Brown" or "DBAB") to lollow the below asset movement Instructions. If you wish to reouest multiple wires, checks, journals or (ree deliveries, please use the long form DBAB Acco nt N m - effrey E Epstein Accounto: Journal Journal Funds m the amount of $ !_j Journal Holdings- QlvfSymbolfSecurity. Qlv/Symbol/Securitv: Q Journal All Holdings To DBAB Account Account Name- Wire 0 Wire federal funds in the amount of A Citibank To Bank Name. Ciiv/Slate; ABA #: Further credit to Intermediary Finenctal Inalftulion (Optional) Account S. Name Ultimate Banefitaary Information; BenefciarvName Account# Free Defivwtee Q Please deliver the srMtunlies indicated below to: DTCCS: Nemo of Receiving Firm: Accouni Name Addmonal Insmjctions- Check Q Issue a check m the amount of $ flecipienl-s Name: Recrpienrs Maimg Address: pavebfe to- at Receiving Firm Accouni Number: Otv/SYinboi/Security EFTA01400954 Gtv/Svmbol/Security; SuniJing Authorization Q The undersigned hereby requests that this authorization act as a standing authorization. Ttie undersigned understands and agrees that this authorization will remain in elfect until Deutsche Bank Alex. Brown requests a new authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire, chock or Journal On the Q 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 acoounis. The undersigned will provide veibal instructions as to the dale and the amount of the wiie, check or journal. If the undersigned decides to vary either the date or the amount of the wire, check or journal, the undersigned hereby authorizes Deutsche Bank Alex Brown to accept the verbal instructions from the undersigned regarding the change or changes. The undersigned lurthar understands and agrees to comply with the procedures of Deutsche Bank Alex Brown to verify the authorization and accuracy of verbal instructions. dayol for a term of The undersigned hereby acknowledges that 11) the mlormation contained in this forni Is oompletB and accurate to the bast knowledge of the undersigned; end (ii) the iindcisigned is tesponsible for the method of transmission of any instructions issued pursuant to this authorization. II the undersigned elects to transmit any such instructions via lax (including desktop fax), via email or as an image attachment to email !e.g„ as a PDF, TIF or other image of such instruclionsl, the undersigned understands and agrees that the undersigned bears the nsk of loss arising from such rnethod of Iransmission in the event of transmission errors, misunderstandings, impersonations, transmission by unauthorized persons, forgetv or intetcapta. 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 anyaoiion, claim or demand of any person as a result of Deutsche Bank Alex. Brown's receipt of or compliance with this authorization andfor any iristrucuons that may be given to Deutsche Bank Alex. Brown pursuant to this authorization (including any standing aulhorlzetion). The undersigned understands that Deutsche Bank Alex, Brown may, bui is not required to, seek verification of the undersigned's instructfons by call EFTA01400955 back and that Deutsche Bank Alex Brown may in lls sole discretion refuse to execute such instnjciicns (including standing instructions) given pursuant to this euihonzalion, without incurring any liability, it Doulsoho Bank Alex. Brown has reason to believe such instructions (or standing instructions! Iiave not been provided by the undersigned The undersigned funher understands that Deutsche Bank Alex Brown retains the right to refuse to execute any instructions to transfer funds or securities to any accountfsl pl^ueni to this aulhorization cliors bearing original signeiurefs) of the undersigned hout writ Darren Indyke 6-16-2014 PrmrNarne Date Siflnaturo Prinl Name Date SignatuiinP LOA -d 10-PWM-0177S(12/t0) EFTA01400956