EFTA01402328.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts the undersigned hereby euthorises end directs Deutsche Benk Aiex. Brown ['Deutsche Bsnk Alex. Brown' or 'DBAB') to Foflow the bekrw esset movement instructions. II you wish to request multiple wires, checks, (oumels or Free deliveries, plesse use the long form. DBAB Account Nemo; JeffTBV E Epotaln Acooum f 35266976 Joumel ❑ Joumel Funds in the emount of $ Q Joumel Holdings: Oty/Symbol/Securily; aty/Symbol/Socurity. Z1 Journal All Holdings To DBAB Account#: Account Name: VW re Q Wire federel funds In the amount of S 757,62 To Bsnk Name: Bank Of Amwilca City / Slate - ABA#: Further credit to Intermediary Rnancial Institution (Optional) Account»: Name: 021QQq??2 Utknsto BemrlkriBy brinmstiaii: Renitawvhhme: YuIIh Slllnskava Account#: AddlionalhstiicloK 6X0 relmb, 4630 5666 6989 FteeDeMaa ❑ Please deliver the securities indicated below to- DTCC#: Name of Receiving Firm: Account Name: Check Q Issue a check in the amount oft Reopnnl'sNsma: HedpoiTsMakigAildiess: payefalela; at Receiving Rrm Account Number: Qty/SymboiiSecuiily: EFTA01402328 Qty/Symbol/Sscuiily; lii StBsftvA o The undersigned hereby requests that this euihorization act es a standing authoriation. The undersigned understands and agrees that this nulhorualion will remain In effect until Deutsche Bank Alex. Brown requests a new author'uation. The undersigned authorizes Dauteehe Bank Alex. Brown to issue the wire. check or journal on the , o The undersigned further sulhorizes Deutsche Bank Alex. Brown to aocapt verbal Instructions from the underslgnad to wire funds, issue checks or journal funds lofftom the ebove listed eocounts. The undeisigned will provide verbal instructions as to the dale and the amount of the wire, check or journal. If the undersigned rleckkss to vary either the date or the amount of Ibe wire, check or journal, the unrleisignBd hereby authorizes Deutsche Bank Alex. Blown to accept the verbal insiruciicns from the unrieisigned regarding the change or changes. Tha underslgnad further understands and agiees to iximply with the procedures of Deutsche Bank Alex, Brown to verify the auihoiizalion and accuracy of verbal inslmdions. day of for e term of The undersigned hereby acknowledges that (i) the informeiion oonuined in this form Is complete and accuteta to the best knowledge of the undsrsignad; and (iij the undersigned is responsible for the method of transmission of any Inalnioions issued pursuant to this eulhoriisUon. H the undersigned elects to transmit any such instructions via lax pncluding desktop fax), via email or as an image attechmenl to email {e.g.. as a PDF. T)F or other image of such instmmions), the under^ned understands end agrees that the underslgnad beers the risk of loss arising from such method of tisnamlesiofl in the svenl of irensmission errors, misunderstandings. Impersonations, transmission by unaulhorfzed persons, forgery or intercepts. For mists or other entities, the undersigned luither acknowledges (hat the undersigned is auihonzed to issue the above asset movemem Instructions under the terms of the governing documents end airy appticabte lawe. The undersigned hereby leleasas and holds harmless Deutsche Bank Alex. Blown from and against loss from any action, claim or demand of any person ss a result of Deutsche Bank Alex. Brawn's receipt of or compfience with this authorization and/or any instructions that may be given to Deutsche Benk Alex. Brown pursuant to this auihorizelion finduding any standing authrxizationj. EFTA01402329 The undersigned undersisnds that Deutsche Bank Alex. Brown may, but is not required to, aeek verincalJon of the underaigned's instructions by cell beck and that Deutsche Bank Alex. Brawn may In its sole diseralion refuse to execute such instructions (including standing instnjctions) gn<<n pursuant to this euihorization, without Incurring sny liability, if Deutsche Bank Alex. Brown hae reason to bekeve such instructions (or standing msimctions) have not been provided by the undersigned. The undersigned lurthar understands thaLPeutsche BenluAleiftBrown reteins the right to refuse to execute eny instructions to transfer funds or securities to any e000umfsj purs^i to this authonzBiion witb/ul Vhfanfis^dCijons/Jearing original signaiurels) of the undeisigned. Darren K Indyke I 11/05/15 Print Name Pnni Name Signaiuis 10-PWM-0177S (12/I01 EFTA01402330