EFTA01403888.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby eulhorijes and directs Deutsche Bank Alex. Brown ("Deulseho Bartk Alex. Brown" or "DBAB") to follow the below asset movement instruolions. If you wish to request multiple wires, checks, loumels or free deliveries, pleese use the long form. DBAB Account Name; Jeffrey E EPSteIn Account: 35266976 Journal Q Journal Funds in the amount of S Q Journal Moldings: aiy/Symbol/Security: Oty/Symbol/Security. G Journal All Holdings To DBAB Account #: Account Name: Wire [21 Wire federal lunds in the amount of $ 500.00 To Bank Name: Bank of America City/Stale: ABA #: Further credit to Intermediary Financial Institution fOptlons0 Account ff: Name: Ultimate Bonofidat Infbtmatkin: BamliQavNamB- Account H: ' tructiorts: Fmo DelivQriea G Please deliver the securities Indicated below to: OTCCk; Name of Receiving Firm: Account Name: Check G Issue a check in the amount of S Recipient's Name: Reopent's Mading Address - payable to: at Receiving Firm Account Number: EFTA01403888 Qiy/Svmbol/Sccuiity: plV/SvmboWSecurity: Standing Auihoriiation G The undeisigned hereby requests that this aulhorisalion eel as a standing aulhorization. The undersigned understands and agrees that this aulhorizaiion will remein in ellect until Deutsche Bank Alex. Brown requesisa new aulhorization. The undersigned authorizes Deutsche Bank Alex. Brown to Issue ihe wire, check or journal on the G The undersigned further authorizes Deutsche Bank Alex. Brown lo accept verbal instiuctions from the undersigned to wire funds, issue checks or journal funds lo/from the above listed accounts. The undersigned will provide verbal instruolions as to the data and ihe amount of the wire, check or journal. II the undersigned decides lo vary either the date or the amount of the wire, check or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to accept the verbal instructions from the undersigned regarding the change or changes. The undersigned further understands end agrees lo comply with the proc^uras of Deutsche Bank Alex. Brown to veiily the authorization and accuracy of verbal instructions. day of for a term of The undersigned hereby acknowledges that the informalion contained in this form is complete and accurate to the best knowledge of the undersigned; and (ii) the undeisigned is responsible for the method of transmission of any instructions Issued pursuant to this authorization. II the undersigned elects to transmil any such mslrucirons via lax (including desklop lax), via email or as an image allachment 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 avam of transmission errors, misunderstandings, impersonations, transmission by unauthorized persons, lorgary 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 dooumonts and any applicable laws. The undersigned hareby releases and holds harmless Deutsche Benk Alex. Brown from and againsi loss from any action, claim or demand oi any person as a result of Deutsche Bank Alex. Brown's receipt of or compliance wilh this aulhorizaiion and/or any instructions that may be given to Deutsche Bank Alax Brown pursuant to this authorization (including any standing authonzalion). The undersigned understands that Deutsche Bank Alex. Brown may, but is net taquired to. seakvelilication oi the undersigrved's insttuebons by cell back EFTA01403889 and that ❑euischa Bank Alex Brown may In Its sola discretion refuse to execute such inslruclicns linciudmg standing instiuctions) given pursuant 10 this eulhoiiisiian, wilhcut incurring any liability, if Deutsche Bank /Uax. Brown has reason to beliave such instructions [or standing insliuciicns) have not been provided by the undersigned. The undersigned further understands that Oeui"e Bank Alex. Brown retains the right to reiuse to execute eny insttuciions to Ironsler funds or secuiiilas to eny ecoounfs) pursuanttp this authonzation without wntfert ft"suuctronjr 1"eig original signalurats) of the undeisigned. ^Darren Indyke 7-7-2015 Ci AXA Print Name SignstuiG Date Prir^Hame We Si0j^3lur0 III I III nil 11 III III LOA 10-PWM-0177S (12/10) EFTA01403890