EFTA01404548.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts Uie undersignad hereby aulhorizea and oiracts Deulache Bank Alex. Brown ('Deutsche Bank Alex. Brown* or 'DBAB') lo (allow the below asset movement instructions. H you wish to request mulbple wtrea. checks, Journals or free deltveiies, please use the long (orm. DBAB Account Name JaflTBy E Epatain Account f: Joum^ Ql Journal Funds in the amount or $ ❑ Journal Holdings: Oty/SymbotfSecurity. Oiy/Symbol/Secotiiy: ❑ Journal AH Holdings To DBAB Accounl #: Account Neme: VtAca Q VVire federal funds in the amount of S 10.000 lb Bank Name: CMbSnk City/State: ABA«: Fuitltar oredH to kitermadlary HnanciBl Institution (Optional) Account #. Nwte: UHenate BaneBeiay kdbiiiietlois BaneteawNsme SOPMe M. B[ddl» Account#: ReeDafvnae ❑ Please deliver the securities ktdicaled below to: DTCCf Name of Rscslving Finn: Account Name: Addkkmallndnclxtns: dtscic Q Issue a check in the amount of S Beopvn'sNane: Ftefient-s Mating Addrass: peyefalelo: Accounl Number _ Qty/Symbol/Sscuiity; Qty/Symbol/Secutily: EFTA01404548 at Receiving Film SMfng/^Ahafaatkn Q The undersigned hereby requests that this authoiiation act at a standing authorization. The undersigned unrferslands and agrees that litis aulhorizatien wiP lemain m cfleci until Deutsche Bank Alex. Brown requests a new aulhorizeilon. The undersigned suthorizes Deutsche Bank Alax. Blown to Issue the wve, check Of journal on the. day of (or a term o( Q The undersigned Further authorizes Deutsche Bank Alax. Brown to aocapl verbal instructions (tom the to wire funds, Issue checks or loumal funds to/fiom the above listed accoums The undaraigned will provide verbal insiructioni as lo the date and the amount of the wire, check or journal. If the undersigned decides lo vary either the data or the amount of the wire, check or journal, the undefined hereby authorizes Deutsche Bank Alex. Brown to accept the verbal insliuctions from the umfersigned regarding the change or changes. The undersigned further undaislsnds and agrees lo ocmpfy with the procedures of Deutsche Bank Alex. Brown to verily the authorization and accuracy of verbal instmclions. The undersigned hereby acknowledges that (I) the information contained in this form Is ocmplate and accurate to the best knowiedga of the underaignad: and (ii) the undersigned Is responsible for the method of transmission of any Instmclions issued pursuant to this aulhorizatlon. It the undersigned elacls to Irsnsmil any such msirucuons vis fsx (inciuding desnop fax), via imaP or as an image attschmant lo amsil (e g.. as a PDF, TiF or olhar Image of such instructionl), the undersigned understands and agrees that the undersigned bests the nsk of loss arising from such method of Usnsmission In tha event of liansmission errors, misundetslandlngs, impersonations, transmission by unauUwtued persons, forgery or Intercepts, fiir trusts or olhar entities, the undersigned funher acknowfedges thal tha 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 Alax. Brown from and against loss from any actnn, claim or demand of any person as a result of Deutsche Bank Alex. Brown's tecaipl of or oompfance vvith this authorization and/or any instructions that may be given to Deutsche Bank Alex. Brown pursuant lo Ihia authorization (induding any standing aulhorizaiion). The undersignad understands thal Deutsche Bank Alax. Brown may, but is not requved to, seek verifIcaUon of the undersigned's instructions by caP back and that Deutsche Bank Aiax. Brown may in Its sola discretion refuse to execute such Instructions (indudirg standing Instroctions) ghren pursuant to this EFTA01404549 authonzation. without Incurring any liability, if Deutsche Bank Alex. Brown has reason to believe such instructions (or suimting milruclions) have not bMn providod by the undersigned. The undersigned further understands that Deutsche Bank Alex. Brown reielns tho right to refuse to execute any instniciions to transfer funds or secuniios to any aocounl(s) pursuant to this authorization wiiimt wtill^ insti^tions bearing origlnel signalureisi of the undersigned. Sigtlaiuie Darren Indyke 5-13-2014 Pnnl Name Print Name Signature CjJ 10-PWM-0177S(12mn EFTA01404550