EFTA01400413.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts I The 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 muWpie wires, checks, joumais or free deliveries, pieass use the Tong form. DBAB Acco • Jeffrav E EPSteln Account#; Journal Q Journal Funds in the amount of $ Q Journal Moldings: Qty/Symbol/Seourity; Qty/Symbol/Seourity; Q Journal All Holdinge To DBAB Account #; Account Name; Wire 0 Wire federel funds in the amount of $ 2,500 To Bank Name; TD Bank City / State; Further credit to Intemrediary Financial Institution (Optional) Account #: Account#. FmsDebmiae J Please deliver the securities indicated below to; DTCC#; Name of Receiving Rnn; Account Name; Addhional Instructions' Check 0 Issue a checkin the amount of $ Redpiertt's Name: Redpienfs Maiing Addraee: payable to; Account Number: at Receiving Rrm EFTA01400413 QtV^ymbolfSsourity: QtySymbolfSecurity: Standing Amhatizalion 0 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 Deutsche Bank Alex. Brown requests a new authorization. The undersigned suthorizes Deutsche Bank Aiex, Brown to Issue the wire, check or Journal on the 0 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 acoounts. The undersigned will provide verbal Instructions as to tha date and the amount of the wire, check or Journal. If the undersigned decides to vary either the data or tha amount of the wire, check or journal, the undersigned hereby authorizes Dautsohe Bank Alex. Brown to accept tha verbal instructions from the undersigned regarding the change or changes. The undersigned further understands and agrees to comply with the procedures of Dauteehe Bank Alex. Brown to verify the authorization and accuracy of verbal instructions. for e term of day of The undersigned hereby acknowlodges that (I) the information contained In this form is complete and aocurata to tha best knowledge of the undersigned; and (ii) the undersigned is responsible for the mathod of transmission of any Instnrctions issued pursuant to this authorization. If the undersignad elects to transmit any such Inslruciicns via fsx (Including desktop fax), via email or as an Imsge attachment to email (e.g., as a PDF. TIF or other image of such Instructions), the undersigned understands and agrees that the underaanod bears the risk of loss arising from such method of transmission in the event of transmission errors, misunderstandings. Impersonations, transmission by unauthorized persons, fcrgery or intercepts. For trusts or other enthlss, tha undersigned further aeknowiedgss that ihs undersigned Is authorized to issue the above asset movement Instrucrions under the terms of the governing documents and any applicable laws. The undersigned hereby releases and holds harmless Deutsche Bank Alex. Brown from end against loss from any action, claim or demand of any person as a result of Dautsche Bank Alex. Brown's receipt of or compllanoa with this authorization and/or any instmctione that may be given to Deutsche Bank Alex. Brown pursuant to this eutfiorlzatlon (including any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may, but is not EFTA01400414 required to, seek verification of the undersigned's instructions by call back and that Deutsche Sank Alex. Brown moP In ita sole diaoretion refuse to execute such inatructions (including atanding instnjotions) given pursuant to this authorization, without incurring Any liability, if Deutsofe Bank Alex. Brown has reason to believe such instmctione (or standing instmotions) have not been provided by the undersigned. The undersized further undorrtantls that Deutsche Bank Alex. Brown retains the right to refuse to execute any instructions to transfer funds or securities to any eccount(s) pursuam to this suthotizajfoZyvithqin^prptten instructions bearing original signature(e) of the undersigned. 10>23.2gi3 Prtntptem* Date Print Name Signature Date B VERIFIED LOA TP SIG 10-PWM-01775 (12/10) BY. /olml DATE EFTA01400415