EFTA01400740.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby authorizes and directs Deutsche Bank Alex, Brown ('Deutsche Bank Alex Brown" or "DBAB') to fallow the below asset movement instructions. H you wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name; n Account #. Journal Q Journal Funds in the amount of S Q Journel Holdings: Oly/Symbol/Security: Oly/Symbol/Security: d Journal All Holdings To DBAB Account t: Account Name: Wire [ZI Wire federal funds in the amount of S 1610i82 To Bank Name: TD BaflK Ciiy/State: ABA »: 031101266 Further cradil to InteitnodlBry Rnanciol InalituUon (Optional) Account #m Name: Ultimate Benafidar fnftxmatian: Benefidary Account#- Flee Defivaries Q Please deliver the securities indicated below to: Additional Instiuclidrts: DTCC#; Name of Receiving Firm; Account Name: Omdc Q Issue a chock in the amount of S fiedpient's Name: Recipient's Maiing Address: payable to. Accouni Number; at Receiving Firm Oly/Symbol/Security: EFTA01400740 Qty/Symbol/Securily; Stsnfng AuthotBaticn Q 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 authorizes Deutsche Bank Alex. Brown to issue the wire, check or journal on the ❑ The undersigned further authonzes Douische Bank Alex. Brown to accept verbal instruclions from tha undersigned to wire funds, issue checks or journal funds loflrom the above listed accounts. The undersigned will provtde verbal insiructions as to the dale and the amount of the wire, cheek or journal If the undersigned decides to vary either the date or the amount of the wire, check or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to aocapl the varbal instructions from the undersigned regarding the change or changes. The undersigned further understands and agrees to comply with the procedures of Deutsche Bank Alex. Brown Ic verify the authorization and accuracy of verbal instructions. day of for a term of The undersigned hereby acknowledges that (!) the information contained in this form is complete and accurate to the best knowledge Of the undersigned; and (It) the undersigned Is resuonsibte for the method of trensmission of any insiructions issued pursuant to this authorization. If the undersigned elecls 10 transmit any such Instructions via fax (including desktop (ax), via email or as an Image attachment to email (e.g.. as a PDF. TIF or other image of such insituciionst, the undersigned understands and agrees that the undersigned bears the risk of loss arising from such melr^d of tranarYussion In the event of transmission errors, misunderslendinos, impersonations, transmission by unauthorized poisons, forgery or intercepts. For trusts or other eniiiios, the undersigned further Bcknowledges Ihei the undersigned i3 authorized lo 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, Brawn from and agamsi loss from eny action, claim or demand of any person as a result of Deulscha Bank Alex. Brawn's receipt of or complianc; ■•vith this suthorsrstior. snd'or sny ins'.iucuons that may bo gi-.-on to Doulcobo Bsn.h Aio,-, Bra.vn punruso; tc this cuthc.ritiitior, (inclodihg cr.y otcndir.g aulhorizationi The undersigned underslands that Deutsche Bank Alex Brown may, but is not required lo, seek verification of the undersigned's inslmclions by cell back and that EFTA01400741 Deutsche Bank Alex. Brown may in its solo discretion refuse lo execute such instructions [including standing instruclions) given pursuant to this authorization, without Incurnng any liability, if Deutsche Bank Alex. Brown has reason to believe such instructions (or standing instruofions) have not been provided by the undersigned. The undersigned further underslands that Deutsche Bonk Alex. Ern retains the righl lo refuse to execute any instructions to transfer funds or saourilies to any account(s) pursuant to this Bulhoriiatwm wi^joul ifisiructil3f b/i^a original signaiuteis) of the undersigned. Darren K Indyke 7-21-2014 f " 1 3 th > n Print Mamu Date 4 Pnnl Name Date Signature LOA 10-PWM-0177S (12/10) EFTA01400742