EFTA01411052.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The gnderslgned hereby dulhofitei and cHrecia Deulscne Sank Alex Brown ('Oeulsche Bank Alex Brown' or 'DBAB") id IoHdw Lho below asset movemcni insrruci>ons II YOU wish 10 request multiple wires, chocks, journals or Iiao deliveries, pleasa use iha long form. OBab Account Name Southern Trust Companyf Lne. Account s Journal CD Jouina'Funtls in thr; amounio'S L] Jourra Hoidilfgs Otv/SymbO Ii^ucufity, . Otv/Svii 1C:i.."}uCjt;iy Q JOurns'All HoltJings To DBAB Account S: Accriur t Name - Wire [Z) Wire federal funds m me amount of $ 175.000.00 To Bank Name. First Bank. Puerto Rico City / State. ABA«. 1519 Ponce De Leon Ave. PR 009QS 221571473 Further credit to Intermediary Financial litstiiulion (OplionaH Account a Name Ultirwle Beneficiary Intomalion; BrvwrrBivMxnw Southem Trust Company, inc. 721-1-098521 Account I. ! Adifilkinal kislnictions' Free Detrwanas ❑ Please deliver the securities indicated below to DTCC# Name of Receiving Firm Accouru Narre: Check Q Issue a idieck in the amouni of S ReopiOM'sName Reopioii's MaifiB Address payable to Accjui - Number- at Recoiving Firm EFTA01411052 QiV/Syii'.hi:l.'icuurily 0!y/Svi'i>f i.'S'icurity Standing Audwniation Q The unrleisigned hereby requests that ihia auihoriiation act as a standing auiho'iiaiion The undersigned understands and agrees that this auihonzatittn will lemam in effect uniil Deuisdhc Bank Alex Brown requesis a new aulha'iialion The undersigned aui nonres Deutsche Ba'ik Alcii Brown to issue the wire, check or journal on the Q The undersigned luriher authorizes Deutsche Bark Alex. Brown to accept vcinal irrsirucfons from the undersigned to Wifo funds, issue checks of journal lunds lo/lrom the above haled accounts The undersigned will provide verbal instructrons as to the date and iha amoum of the wire, check w journal. If iha undersigned decides ID vary either the date or the amount ol 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 cnanges. The undersgned further understands and agrees to comply with the procedures of Deutsche Bank Alex Brown to verify the authoiization and accuracy of verba' inauLiciions. day isl (or 1 term of The undersigned hereoy acknowledges thei (i) the inlormaiion contained m this form is compiele and accurate to the best knowledge ol the undersigned, and In] the undcisigned is responsible lot the method of transmission ol any instructions issued pursuant to this auihonzetion II the uridu-signed cfects to transmit any such nstructions via lax (including desktop faxl. via email or es an image attachment to ema" le g, a' a PDF.TIF or oibei image of s^^i-. ,nstfuctionst. the undersigned understands and agrees that the i- idersigned bears me nek ol loss ans ng Irorn such memor) ol transmission in tne event ol iransh'-sson errors, misunderstandings. impeisonations. transmission by unauthorized persons, forgery or intercepts. For trusts or other anbiies. the undersigned luriher acshowladges ihai the undersigned is Snlicj zed 10 issue the above asset movement insirucuons urtder tho terms ol the gowetnuig docurnents and any appi'Caoiu laws The ..r-JeFsigned hereby releases and holds harmless Deutsche Bank Alex Brown from end agu nsi loss liom ony action, claim or dcrrai-f of any person es a lesull of Deutsche Bank Alex Brown's receipt ol or compliance wiih in.s authorization and/or any instructions that may be given to DOuischo Bank Alex Brown pursuarti to Ih s authorization (including any standing authoiization) The undersigned understands mat Deutsche Bank Aex Brown may. but is not required ic. scSi vcriliCBiion ol tho undersiqiied's insiructions by ca'I EFTA01411053 back and that Deutsche Bank Alex. Brown mey m its sole diS<7elion refuse to execute such instructions hncuding standing insirucbonsl givun pursuant to this suihorizauon, withoui incurring any iiatkliiy. if Deutsche Bank Alex Brown has reason to bolieve Such instructions (or standing instructions! have not been provided by the uridersigned The undersigned lunhei underslands mat Deutsche Bank A'ox Brown retains the right to rc'usa to execute any instructions to transler funds or securihes to any account(s) pursuant to this authorization without written insiiuchons oearing ong.nai signaturcls) of this undR'S gned (/)-;0-/5 F>nnt Name ISte Print Name Date Signature III I III Hill Nil III LOA lO.pWM-01TTS 1)2/10) EFTA01411054