EFTA Document EFTA01393032

The Undersigned understands and agrees that DBSI has the right to require additional verification and documentation from the Undersigned or the Undersigned's AgeM(s) in certain transactions that OBSI, in its sole discretion, deems necessary. In addition, OBSI has the right to request that either a new Authorization/ Power of Attorney be executed or that the Agent(s) verify in writing the validity of the current Authorization/ Power of Attorney. Agent Name Address: I TIN of A Relationship