EFTA01405300.pdf

High Risk Media - Callback Verification Holhoflnf rx:>. Client Instructions: jati;tisluie Ve.iiied ETVeiified Account has sufficient c.: ^Transaction consistent w/enpH tr. Deutsche Bank Private Wealth Management ^JenaluicVctiiicd - 10"alU'r A j;,Vr'l.c.;:r'd 6 VcMfied Actoimt/.--uf,i.Mi/Recipicni Approver/ Callback Authorization for Asset Movement For Non-Retirement Accounts Alo*. Brown" or "OBABfllo loUow the bolciw assot Icrtl^nt/Autli SlEnatopiSjTirirft0 I pyjt Phone#: t2>Z) ^ , movement Instruon ms. The undersigned hereby authorites and directs Deutsche Bank Alex. Brown ("Deutsche Bary II you wish to request multiple wires, checks, journals or free deliveries, please use the long DBAS Account Name; Southftrn Trust Company Inc. Account #: 44129244 >1^ 5- n»te- Name j^rinp: ( , JOU Hi Wire leclpi(!nt Signatuie Q Nmwnal Ftimis In Ihn nmniinLol S Aj'F>ovjifci5??sii;natu.e Q Wire Isderel funds in the amount of S 91.119.85 To Bank Name; Banco Popular City / State: ABA#: Q Journal Holflmgs: Otv/Symboi/Security Oiv/Symboli'Secunly _ Li Journal All Holdings To DBAS Account #. 021502011 Further credit to Inteimediary Financial Institution (Optional) EFTA01405300 Account t: Name: Account Name; Ultimate Beneficery Inibnnation: Benaikinv Mama: Terrence E Rabsatt ccount AddnkjnaHnstnjcwms: Final Payment Floe Dellveriee Q Please deliver the securitiae indicated below to: DTCCIi: Nari'.e o( Receiving Firm: Check Q Issue a check in the amount of $ Rectpieni'sNanie; Reapianrs Malmg Address: Aodouni Name: ptbahbto; at Rocoiving Firm Account Numbei. QlV/Symbol/Sociirity: Oiy/Syn iboUSecurity: Standing Authorization Q The undersigned hereby requests that this authorization act as a standing authoiizaiion. the undeteigned undarslands and agrees that this aulhorizallon will remain in ellect until Deutsche Bank Alex Brown requests a new aotiiorization. The undersigned authorizes Deutsche Bank Alex. Brown lo issue the wire. check or journal on the .1% Q The undersigned luither authorizes Deutsche Bank Alex. Brown to accept verbal instruclions horn the undersigned to wire funds, issue cheeks or journal funds to/from the above listed accounts. The undersigned will (iruvtile verbal iitsuuctions as lo the date and the amount of lha wire, check or journal. If the undersigned decides io vary either the date or the amount of the wire, check or lournal, the undersigned hereby auihorizes Dauischa Bank Alex Brown to accept the verbal inslruclions from the undersigned regarding the change or changes The undersigned lurther understands and agrees to comply with the procedures of Deutsche Bank Atex. Brown to verify the authorization and accuracy of verbal instructions. day of for a leuii of The unao'signed hereby acknowledges that (i) the information contained in this form is complete and accurate to the best knowledge of the undersigned; and (S) the undersigned is io5pons>bie for the method of transmission 01 any insuuctions issued pursuant to this eulhotization. If the undersigned elects to transmit any such EFTA01405301 Instructions via tax (including desktop lax), via email Or as an mage attachment to email le.g., as a PDF. TIP or other irrwge ol such instructions), the undarsignod understands and ogteas that the unders.gnod bears the risk ol loss ansuig Irom such method of transmission In the event of transmission errors, misunderslendings. impersonauons, transmission by utvaulhonzed persons, forgery of .i.tui. v,... i u tiosla or other enlilios, lha undersigned lurther acknowledges that the undersignod Is authoiizod ID issue tha above asset movement instructions under ilie terms ol the governing documents and any applicabts laws. The undersigned hereby rofeasas and holds harmless Deulscha Bank Alex. Brown from and agsmsi loss I'-m nnvaci- on, claim or demand of any parson as a result 01 Oeuiseho Bank Alex Brown's receipt of or compliance with this aulhorizaticn and/or any Inslruotions that m.., bo rsnoii lo Deulscha Bank Alex, Brown pursuant to this authorization (including any standing aulhorizaiicni. Tite undetsigned understands lliai Doutsclie Bank Alex. Brown may. but is nol requnad to. seek vaiilication of the undersigned's instructions by call back and that Douischa Bank Alex Brown may in its sole discrollon refuse to axnoiin iixh inslruclions (including standing instructions) given pursuant to this authorization, wilhoul incuirirtg any liabllily. it (Jeulsche Bank Alex. Brown has reason to tx'i'Cvo such inslioctions lot standing instructions) have nol bean provided by the undersigned. The undersigned further understands that Deutsche Bank Alex. Brown ii-ljins t'lu tight to refuse lo execute any Instructions lo Vansfoi funds or socuriiles lo any Bccount(s) B505uani lo this authorization wil(i(oql written ip^iuclyfljes bearing onginal signature(s) of the undersigned. Darren Indyke 1-23-2015 Signatum Print Name Signature •'11 1B.PWM-01775 (12/10) EFTA01405302