Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undeisigned hereby aulhorizes and directs Deutsche Bank Alex. Brown
("Deutsche Bank Alex. Brown' or "D8AB") to tollow the below asset movement
instructions.
If you wish to request multiple wires, checks, journals or free delivenes,
please use the long form.
DBAS AccouilliSfrcy E Epatflln
Account #:
Journal
Q Journal Funds in the amount of S
❑ Journal Holdings:
Oty/Symbol/SecuritY;
Qty/Symboi/Kccurity:
Q Journal AH Holdings
To DBAB Account if;
Wire
Q Wire federal funds in the amount of $ 3000
To Bank Name: TD Bank
City f Slate:
ABArl:
Further cntdH to Intermediary Hnanclal Inedtution (Optional)
031101266
Account #;
Name:
Account Name:
Uhinate Benehiair kifomalion:
BnnetWrwName:
Account#-
RaeDeEveiles
G Please deliver the securities indicated below to:
Addiuonal Instructions:
DTCCi»:
Name of Receiving Firm:
Check
G Issue e check in the emount of $
RedpienfsName; .
RedpienVs Mating Address;
Account Name:
payable to:
Account Number:
et Receiving Firm
Qty/Symtxjl/Security;
EFTA01401629
QtV/Symbol/Sscurily.
Standarg AuthartaPion
G the undersigned hereby requests that this authorization eel as a standing
eulhorization. The undersigned understands and agrees that this
authorization wilt
remain in eHcct until Deutsche Bank Alex. Brown requests a new
authorization. The undersigned euihorizcs Deutsche Bank Alex. Brown to issue
the wire,
cheek or (ourna ton the
G The undersigned further aulhorizos Deutsche Bank Alex. Brown to accept
verbal inslrucllpns from the undersigned W wire funds. Issue checks or
journal
funds lo/from the above nsied accounts. The undersigned will provide verbal
Instructions as to the date and the amount of the wire, check or journal. If
the
undersigned decides to vary either the dale or the amount of the wire, check
or journal, the undersigned hereby authorizes Deutsche Bank Alex. Blown to
accept the verbal Instructions from the undersigned regarding the change or
changes. The undersgnod further understands and agrees to comply with the
procedures of Deutsche Bank Alex, Brown to venfy the nulhorizalion and
accuracy of verbal insimetions.
for a term of
dev Of
The undersgned nmeby acknowledges that (i) the (nformstion coniainad In this
form is oompiele and eccurale to the best knowledge of the undersigned: and
(ii) the
undersigned Is lesponsibie for the method Of transmission of any
instructions issued pursuant to this authorization. II the unueisgned elects
to transmit eny such
instructions via tax (Including desktop (ax), vie email or es en Image
ellachment lo email (c.g., as a PDF, TIF or other image of such
instructions), the undersigned
understands end agrees that the undorsigned bears the risk of loss arising
from such method of transmission In the event of transmission errors,
misunderstandings,
irnpersonetions. transmission by unauthorized persons, forgery or Imercepis.
For irasts or other entities, the undersigned further aeknowiedges that the
undersignad is
authorized to issue the above asset movement msirtreiions under the terms of
the governing documents and any applkable laws The undersigned hereby
releases and
holds harmless Deutsche Bank Alex. Brawn from and againsi loss from any
aclton, claim or demand of any person as a result of Deutsche Bank Alex.
Brown's receipt of
or oompliartco with this authoriiBlion anilfor any instructions that may bo
given ui Ocuischo Bank Alex. Brown pursuant lo this authorization (including
any standing
authorization).
The undersigned understands Ihsi Deutsche Bank Alex. Brown may, but is not
requirixl to. seek verification of the undersigned's instructions by call
EFTA01401630
back and that
Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such
Instructions (including slsndlng instructions) given pursuant lo this
authorization, without
incurring any liability, if Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing instructions) have not bron provided by the
undersigned. The
^undeisignsd further understands that Deulschs Bank A(^. Brown retains the
ligni to refuse to execute any instructions lo transfer funds or securities
to any Bocmunl(s)
^qrsuBnt lo this authorization iMhoul/vtiiien Ins^cligry bearing original s
gnatureis) of the undersigned.
Darren K Indyke
07-27-2015
Prim Name
Dale
Slgniiur^
Dale
Pnni Name
IIIIIIIIIJIIIIIIII
LOA
10-PWM-0177S (12/1 (>>
EFTA01401631