EFTA01403975.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movennent For Non-Retirement Accounts The undersioned hereby aulborrzes end directs Deutsche Bank Alex, Brown ('Deutsche Bank Alex. Brown' or 'DBAB'J to follow the below asset movement instructions II you wish to request multiple wires, checks, journals or tree dellvenes. please use the long lorm. DBAS Account Name: JaffreV E Epstflln Account». 35266976 Journal Q Journal Funds in the emount of S Q Journal Holdings: Oiy/Symbol/Seouritv: Otv/SymboVSecumy: o Journal All Holdings To DBAS Account #: Account Name: Wire Q Wire iederal lunds m the amount of S 25i0Q0 To Bank Name: BflnR of Afn6lica City/Slate: ABA#. Further credit to Intarmedlary Rnoncial Institution (Optional) Account #; Name: Ultrnata Banaficiary kifamilbon: Rfinefram Marne Account#, Floe DsDveiias G Please deliver the securities indicated below to: Additional Instructions; DTCCfc Name of Receiving Fum: Check QI Issue a check in the amount of $ Reopieni's Name: Recipieni's Maiing Address: Account Name: payable to: Account Number; at Receiving Firm Otv/Symboi/Secutity; Qiy/Symboi/Seourity: EFTA01403975 Standing Authorizalian Q The undersigned hereby requesls that this authonration act as a standing authorization. The undersigned understands and agrees that this aglhorization will remain in elfeci until Deutsche Bank Alex. Brown requests a now euihorizaiion. The undersigned authorizes Deutsche Bank Alex. Brown to Issue the wire, check or journal on the ❑ The undersigned further authorizes Deutsche Bank Alex. Blown lo accept verbal instructions from the undersigned to wire lunds. 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. II the undersigned decides to vary either tha date or the armuni of the wire, check or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to accept the verbal instruciions 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 instruciions. day of for a term of The undersigned hereby acknowledges that (I) the Infotmat'xin contained in this lorm is oomplate and accurate to the best knowledge of iho undersigned; and (li) the undeisigned is 'esponsib e for the method of itsnsmission of any Instructions issued puisuanl lo this authorization. If the undersigned elects lo iransrrUt any such instructions via fax (inefuding desktop tax), via email or as an imaga attachment lo email (e g . as a PDF. TIF or other image of such msliuotions), Iho undersigned understands and agrees that the undersigned bears the risk of loss arising from such moihod of tiansrmssion in the event of transmission cnois. misunderstandings, impersonations, iransmlsston by unaullmrized poisons, lorgeiv or intercepts. For trusts or other entities, tho undoisignod further acknowledges ihat tho undersigned is aulhonzed to issue the above asset movement insiiuciions under the terms of the governing documents and any applicable laws. The undeisignoc hereby releeses end holds harmless Deutsche Bank Alex Brown from and against loss from any aalon. 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 msiructions lhal may be given to Deutsche Bank Alex. Brown pursuant to this authorization (including any standing auihorizalxm). The undersigned understands that Deutsche Bank Alex. Brown may, but Is not icqui/ed to. seek verilioalian of the undersigned's insitucllons by call back and that EFTA01403976 Deutsche Bank Alex Brown may in its sole discretion refuse to execute such insttuclions (including standing Instructions) given pursuant to this authortzatlon, without incurring anyTiabitlly, if Deutsche Bank Alex Brown has reason to believe such instructions (or standing in.siruciioiv:) have not bwn prenrided by the undor^ned The undersigned lunher understands Uiat Deutsche Bank Alex. Bsbwn retains the right to refuse to execute any insuuctions to transfer lunds or secunlies 10 any accounifs) pur^ucini 10 this authorization wriAoui written insirucijo^ ^^ring original signature(s) of the undeisignod. / A. Sigrwtofe Darren K Indyke 11-04-14 Print Name Dale Pnni Name Dete Srgnflture z LOA tO-PWM-0177S (12/10) EFTA01403977