EFTA01404387.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts mRib undersigned hereby eutfiorUes and directs Deulsdw Bank Alex. Brown ("Deutsche Bank Alex. Brown" or 'DBAB") to follow the below asset movement Instructions. If you wish to request muhiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name: LSJEJJjC Account #; Journel ❑ Journel Funds In the emount of $ ❑ Journel Holdings: Oty/Symbol/Security: Qty/Symbol/Securlty: ❑ Journal All Holdings To DBAB Account #: Account Name: Wire [4) Wire federal funds In the amount of $ 3.525.00 To Bank Name: Bank Of America City / Slate: ABA#: Further credit to Intetmedlaiy Frnnnclal InetitutTon (Optional) Account #: Name. Ult'matB BansfitistY Infoimatian: BwwiifiwNamH Cambridge Mercantile Com. A000unt#: Additional Instructions: 20 Coconut Palms FTBoDeEvedea Q Please deliver the securities indicated below to; Inv #'s: 03-060-201S OTCC#: Name of Receiving Firm; Account Name: Chat* CD Issue a check in the emount of S Reapienl's Name: Recipient's MalriQ Address: payable to: EFTA01404387  at Receiving Firm Account Number: Oiy/Symbol/Securily; Oiy/Symbd/Securiiv: Standing Authorization Q The undersigned hereby requests (hai this euihorization ect as a standing authorization. TTte undersigned understands and agrees that this authorization will remain In ellect until Deutsche Bank Alex. Brown requests a new auihoiizailon. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire. chock or journal on theday offor e term of. ❑ The undersigned further ouihorlzes Deutsche Bonk Alex. Brown to accept verbel insinjcUons from the undersigned to wire funds, Issue checks or Journal ■ funds to/from the ebove listed e000unie. 'nia undersigned win provide verbal Insitucilons as to the date and the amount of the wire, check or journel. If the undersigned decides 10 very either the dele or the emount of the wire, check or journal, the undersigned hereby authonzes Deutsche Bank Alex. Blown to eocspt the verbal instructions front the undeisignad regarding the chenge or chenges. TTie undersigned further understands and agrees to comply with the procures of Deutsche Bank Alex. Brown 10 verify the eulhorizelion and eceurecy ol verbal insliucuons. TTte undeisigned haiabv aeknowtedges ihar (1) the Information contoinad in this form is complete end eccurelo to the best knowlodga ol the undersigned; end (ii) the undersigned is reeponsibio for the method a transmission ol any instructions issued pursuant 10 this authorization. II the unaorsignod elects to transmit any such insiiuciions via lax (Including desktop tax), via email or as an image atiaohmeni to email to.g. , as a PDF, TIF or other image ol such tnstruellons), the undersigned understands and agrees that the underslgnad beats the risk of loss arising from such method of iiansmisslon in the event of transmission errors, misunderstandings, impeisonaiions, transmission by unauthorized persons, (orgary or Inieroepts. For trust* or other eniilios, the undersigiwd further acknowledges that the undeisigned Is authorized to Issue the ebovo asset movement insttuciions unUer the terme ol the governing documents and eny applicable laws. TTie ondeisigned hereby releases end holds hetmloss Deutsche Bank Alex. Brown from and against loss from any action, claim or demand ol any person as a rasull ol Deutsche Bank Ale*. Btown'e receipt of or compliBnco with this authorization and/or any Instructions that may be given to Deutsche Bank Alex. Brown pursuant to this eulhorizalion (Including any standing authorization). TTie undersigned understands that Doulsche Bank Aiex. Brown may, but Is not EFTA01404388 requited to, seek verifrcaiion of the undofsigned's instruelions by call back end that Deutsche Bank Alex. Brown may In its sole disctation refuse to execute such instructions (including sumding instructions) given pursuant to this euihanraiion, without incumng onv liability. II Deutsche Bank AJex, Brown has reason w believe such insinreiions (or standing tnsiiuctions) have nol boon provided by the undersigned. Die undersigned luilher undarstandS/that Deutsche Bank /Ne*. Brown retains the tight to refuse to execute eny Instruelions to Uansfar funds or socunlles to any Bc000m(s) pi{t^nt to this authorization wahoiit writton^sWjtnlone boating original signalute(s) pi the undersigned. 03<24-201S TSate Prim Name Dale Print Name r\ Signature III I III III 11 ill III LOA 10-PWM-0177S 02/10) EFTA01404389