EFTA01404098.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The uruJarsigned heieby authorizas and directa Dautsohe Bank Alex. Brown ("Deulsohe Bank Alex. Brown" or "DBAS") lo follow the belowaasat movemant instiuoiions. If you wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name: Account #: Journal Cl Journal Funds m the emouni of S G Journal Holdings. Otv/Symbol/Sacuflty; Oty/Symbol/Security; G Journal All Holdings To DBAB Account #; Account Name: Wire Q Wire federal funds In the amount of $ 3.600.00 To Bank Name' Wells Fargo Bank City / State: ABAS. 026D12BB1 Funher credit to Intermadiary Ffnandal Inatitutton (Optional) Account*: Name' Uftimsie Beneficiary Infbrtnatior; BenofoavName Golnar Adlll Aodxintk. Adchooallnstructions Painting -12 days 1010120241987 Free DcCvuties G Please deliver the securities indicated below to: DTCCff. Name of Receiving Firm: Check G Issue a check In the amount of $ Reopienl's Name: Recipient's Moling Address: Account Name: payable to: Account Number: at Receiving Firm Oly/SymbDl/Sacuiily; Qly/SvmboVSociirity. EFTA01404098 Standing Authorizelian Q The undoisigned hereby requests that this authorization act as a standing authodzaiion. The undersigned underetands end agrees that this authorization will remain in effect until Deutsche Bank Alex. Btown requests a new authorization. Iha undersigned author!,-es Deutsche Bank Alex. Brown to Issue the wire, check or journal on the G The undersigned fudher auihorites Deutsche Bank Ajax. Brown to accept verbal Instructions from the undersigned to wire funds, issue checks or journal funds lo/from the above ffsted accounts. The undersigned will provide verbal instructions as lo the data and the amount of the wire, check or journal. If ihe undersigned decides to vary either the data or the amount of ihe wire, check or journal, lha undersigned hereby authorizes Deutsche Bank Alex. Brown to accept the verbal instructions from the undersigned regarding the change or changes. The undersigned further understands and agrees to comply wrth the procedures of Deutsche Bank Alex. Brown to venfy the authorization and accuracy of verbal instructions. for a term of asy of The undoisigned hereby acknowladges that ft) the Informaiicn contained in this form is complete end accurate lo the best knowledge of the undersigned: and (ill the Ur^deislgned is lesponsible for the method cf transmission of any Instructions issued pursuant to this authorization. If the undersigned elects to transmit eny such instructions via lax (including desktop fax), via email or as an image attachment to emeil (e.g.. as a PDF. TIF or othar imaga of such instructions), iho undersigned understands and agrees that tha undersigned bears the risk of loss arising from such method of transmission in the event of transmission enors, misunderstandings, impsrsonations, transmission by unauthorized persons, forgery or intercepts. For trusts or othar entities, the undersigned further acknowledges that lha undersigned Is authorized lo Issue the above asset movement instiuctions under the tenrts of the governing documents and any applicabla laws, the undersigned hereby releases and holds harmless Deutsche Bank Alex Brown from and egamst loss from any action, claim or demand of any person as a result of Deutsche Bank Alex. Brown's receipt of or cotnpllence with this aulhonzalion and/or any Instructions that may be given lo Deutsche Bank Alex. Brown pursuant lo this aulhorizallon Oncludlng any standing authorization). Tf^e undersigned understands that Deutsche Bank Alex, Brown may, but is not required to, seek venfication of the undersigned's instructions by call back and that EFTA01404099 Dauische Bank Alex. Brown may In its sole discretion refuse to execute such instructions (Including standing instructions! given pursuant to this authonzaiion, without incurring any liability, if Deutsche Bank Alex. Brown has reason to believe such instructions (or standing insituoilons) hays not bean provided by the undersigned. The undersigned further understands that Deutsche Bank Alex. Brown retains the fight to refuse to execute eny instructions lo transfer funds or securities to any sccounl(s) ounuani to this authorization without wrillOn imtrmSiqns'30earing original signatura(s) of lha undersigned. V Darren K Indyke 1/ .n VIA 1-13-15 >[ LA TSatF Prim Name -Signature Print Name Signature Data LOA 10-PWM-0I77S (12/101 'j EFTA01404100