EFTA01465789.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby authori2es and directs Deutsche Bank Alex. Brown ("Deutsche Bank Alex. Brown" or "DBAB") to follow the below asset movement instructions. II you wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name: Southern Tru.st Company, Inc. Account #: Journal Q Journal Funds In the amount of $ Q Journal Holdings: Qty/Symbol/Security; Qty/Symbol/Security: Q Journal All Holdings To DBAB Account #: Account Name: Wire Q Wire federal funds in the amount of $ 250,000.00 To Bank Name: First Bank. Puerto Rico City / Slate: ABA #: 1519 Ponce De Leon Ave. PR 00908 221571473 Further credit to Intermediary Financial Institution (Optional) Account #: Name: Ultimate Beneitciaiy Infomnadon: Beneficiar Name' Southern Trust Company. Inc. ccoun : Ree Delivaifes ❑ Please deliver the seourities indicated below to: Additional Instiuctions: DTCC#: Name of Receiving Firm: Check Q Issue a check in the amount of $ Recipient's Name: Recipient's Mailing Address: Account Name: payable to Account Number: at Receiving Firm Qty/Symbol/Seourity: EFTA01465789 Qty/Symbol/Socurity: Standing Authorization Q The undersigned hereby requests that this authorization act as a standing authorization. The undersigned understands and agrees that this authorization will remain in effect until Deulsche Bank Alex. Brown requests a new authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire, check or journal on the Q The undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal Instructions Irom the undersigned to wire funds, issue checks or journal funds lo/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 the undersigned decides to vary either the date or the amount o( 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 further understands and agrees to comply with the procedures of Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal instructions. for a term of day of The undersigned hereby acknowledges that (i) the information contained in this form is complete and accurate to the best 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 instructions via lax (including desktop (ax), via email or as an image attachment to email (a.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 Irom and against loss from any action, claim or demand of any person as a result of Deutsche Bank Alex. Brown's receipt of or compliance with this authorization and/or any instructions that may be given to Deutsche Bonk Alex. Brown pursuant to this authorization (including any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may, but is not required to, seek verification of the undersigned's instructions by oali EFTA01465790 back and that Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such instructions (including standing instructions) given pursuant to this authorization, without incurring any iiability, if undersigned furthei^^rhaerstandfe that D pursuant to this atfthorization wlthoutlo Bank Alex. Brown has reason to believe such insiructions (or standing instructions) have not been provided by the undersigned. The " s€he Bank Alex. Brown retains the right to refuse to execute any instructions to transfer funds or securities to any account(s) on instructions bearing original 5igx)ature(s) of the undersigned. Signature L7 Print Name Date Signature Print Name Date 111111111111111111 LOA 10-PWM-0177S (12/10) EFTA01465791