EFTA01403971.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undenigned hereby euihofuet end directs Deutsche Bank Alex. Brown ('Deutsche Bank Alex. Brown' or 'OBAB*) to follow the below easel movement Insbuctxtns. checks, loumab or free dellveiiss, please use the long fonn. If you wish to request m DBAB Account Name: Daifan K Inatykn PI I C. Account #: Journal ❑ Journal Funds in the amount of S ❑ Journal Holdings: Qty/Symbol/Security; Oty/Symboi/Security: ❑ Journal AH Holdings To DBAB Account #: Account Name. VMre Q Wire federal funds in the amount of S 1800 To Bank Name: EasCorp Federal Credit Union 35 Comoiate Drive Burtlngten. MA 01803 211391773 City/Slate: ABA#' Furtlwr credit to Intermediary Hnandal Institution (Optional) 211381754 Account#: Name: MIT Fadaral Crodtf Union Uhkneto BarwfidlBy kdbrmadon: Beneineivhteme-. JOBCha Bach Acoount#: 75388 Addkixial hsauctionr ❑ Please deliver the securities inchcaied below to: DTCC# Name of Raoeivfng Firm; Account Name: Ovir ❑ Issue a check In the amount of S Raopienl's Name; .. naofaem'sMisfaig Address: peyeUalD; Account Number: at Receivjng Finn EFTA01403971 Oly/Symbol/Securily; Oty/Symbol/Socuilty; Stankig Aiahaifaadan Q The undersigned hereby requests that this aulhorttalion act as a standing authorization. The undersigned undaraiands end agrees that this authorization will remain In effect until Deutsche Bank Alex. Brown requests a new authorizaiion. Tire undersigned authorizes Deutsche Bank Alex. Bmwn to issue the wire, check or journal on thedayof Q The undeieigned further authorizes Deutsche Bank Alex. Brown to accept verbal instructions from the undeiaigned to wire funds, bsua cheeks or Journal funds Ut/from the above listed accounts. The undersigned will provide verbal Instnxitions as to the dale and the amount of the wire, check or journal. If the undersigned decides lo 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 umlersigned hirther understands end agrees lo comply with the proctxlures of Deutsche Bank Alex. Brown to verify the aulhorizalion and accuracy of verbal kistmetions. for a term of The undersigned hereby acknowfedges that (i) the infcrmalion contained In this form is complele and aocurate to the best knowledge of the undersigned: and (a) the undersigned Is responsible for the method of transmission of any Instmctlons Issued pursuant to this authorization. If the undersigned elects to transmit any such instructions via lax (induthng desktop fax), via amail or as an image altaohment to email (e.g.. as a PDF, TIP or othar image of su^ instructions), the undersigned understands and sgmeslhet the underaigned bears the risk of lost arising from sudt rnethodof trensmisston in the event of transmission errois, mliurKterslandingi, impersonal ions, uensmtsslon by umHilhorized persoris, forgery or intensepls. For trusts or other endties, the undarslgnixt further acknowledges that the urtdeialgniid is euthonzed to issue the above asset nxivemenl insirucl>uns under the terms of the oovaming riocumenis and any applcable taws. T)w undersigned hetehy releases and hoktt harmless Deutsche Bank Alex. Browrr from end against loss from any action, claim or demarvd of any person as a tesuh of Deutsche Bank Alw. Brovwi's receipt of or oompiance with this authonzation and/or any Instructions that may be given to Deutsche Bank Alex. Brown pursuant lo this authorization (including any standing authorization). The undersigned understands iliat Deutacha Bank /Max. Brown rnay. but is not required to, seek verification of the undeiaigned't instructions by can back and that EFTA01403972 Deutsche Bank Alex Brown may in ils sole discretion refuse to execute such instructions (including standing insliuclions) given pursuant lo this authonzation, wlihovi incurring any liability, if Deutsche Bank Alex. Brown has reason to beUeve such insiruetiona (or standing instructions) have not bean provided by the undersigned. The undersigned lurther understands that Deutsche Bank Alex. Brown ratalns the right lo refuse lo execute any instructions to liansfer funds or securities to any aocounKs) instructions bearing original sjgnalure(s) of the undarsignad. Darren Indyke gursuant to this aulhoilzi^n wilhoupMiil^ V 06*18-16 Print Name Slgilgiurs Pnnt Name Signatvctt JOWWITTS (12/10) EFTA01403973