EFTA01401111.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby euthorizos and directs Deutsche Bank Ale*. Brown ("Deutsche Bank Alex. Brown" or "DBAB") to follow the below asset movement Instructions, If you wish to request multiple wires, cheeks, journals or free deliveries, please use the long form. DBAB Account Name: Jeffrey E EpSteIn Accounto: Journal Q Journal Funds in the amount of $ Q Journal Holdings: Otv/Symbol/Sacurity: Oty/Symbol/Soourity: Q Journal All Holdings To DBAB Account #: Account Name: Wire Q Wire federal funds in the amount of $ 12,506.12 To Bank Name: Bank of America City / State: ABA#: Further credit to Intermediary Rnancial Institution (Optionall Account #: Name: Ultimate BenefidarY Information: BeneiiciaiYName Complete Data Installation Services, LLC Account #: Additional Instructions: InV 1403 Free MkmlttS Q Please deliver the securities indicated below to: DTCC#: Nome of Receiving Firm: Acoouni Name: Check Q Issue a check in the amount of $ Recipient's Name: Redpient's Mailing pavBbteto: Address' at Receiving Firm Aocounl Number: Qty/Symbol/Security: EFTA01401111 Qty/Symbol/Security: Standing Authorization 0 The undersigned hereby requests that (his 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 authorizes Deutsche Bank Alex. Brown to issue the wire, check or journal on the _ ❑ 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 accounts. The undersigned will provide verbal Instructions as to the date and the amount of the wire, check or journal. If the undersigned deddes to vary either the date or the amount of the wire, check or journal, the undersigned hereby authorizes Deutsche Bank Alex. Biown to accept the verbal instructions from the undersigned regarding the change or changes. The undersigned further understands and agrees to comply whh the procedures of Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal Instructions, fora 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 fax (Including desktop fax), via email or as an image attachment to email (e.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 from 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 Bank Alex. Brown pursuant to this authorization (including any standing authorization). The yncfereigned understands that Deutsche Bank Alex. Brown may, but Is not required to, seek verification of the undersigned's instructions by call back and that EFTA01401112 Deutsche flank Atex, Brown may in its »le discretion refuse to execute such instructions (including standing instructions) given pursuant to this euthorlzatlon, without Incurring any Deutsche Bank^ox. Brown has reason to believe such instructions (or standing instructions) have not been provided by the undersigned. The undersigned furiUorXndorsiande that Deutsche Bank Alex. Brown retains the right to refuse to execute any instructions to transfer funds or securities to any account(s) pursuant to ihisjEiLynofizaiion bearing original signature(s) of the undersigned. Jdairy Beller 2-6-2014 Date Print Name Signature 777 Date Print Name Signature LOA t. 10-PWM-01775 (12/10) EFTA01401113