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EFTA01402457
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
Tha undanigned hereby auihorizas and direcis Deutsche Bank Alex. Brown
("Oaulsche Bank Alax. Brown" or "DBAB"! to loUow the below asset movement
instructions.
II you wish to request multiple wires, checks, journals or free delivsries,
please use the long form.
❑BAB Aocomt Name: Southern Trust Company Inc.
Account #; "mK90944
Journal
^ Journal Funds in the amount of $ 1.250.000,00
K Journal Holdings:
Qty/Symbol/Seourity:
❑ty/SymboVSecunty:
K Journal All Holdings
To DBAB Account #;
A000um Name: Moft Inc.
Wire
Q Wire federal funds in the amount of $
To Bank Name:
City/Stale:
ABA#;
Further credit to Intermsdiery Hnaneial Institution (Optional)
/Account*:
hbme;
Ullimsie BeneflciBiy Inbnnallon:
BsriefciaryNamet
A000utl#-
Additionel Instruclians:
FraeDsKvein
Q Please deliver the securities inoicaied below to:
DTCC#:
Name of Receiving Firm-
Account Name:
Check
Q Issue a Click in the amount of t
ReopientlsName:
RooponfsMaingAdttess:
pateUeio;
Account Number:
el Receiving Firm
Olv/SymboirSectinty:
Orv/SymbolrSecunty:
StendhgAiilhotMon
Q The undersigned hereby requests thet this autharizeilon act as a standing
EFTA01402458
authorization. The undersigned understands and agraas that this
authorization win
ramaln in ellect until Dautscha Bank Alax. Brown requests a new
authorization. Tha undersignad authorizes Deutsche Bank Alex. Brown to issue
the wire,
cheokoriournaionlhedayof:
Q The undersignad further aulhoifias Deutsche Bank Alex. Brown 10 accept
verbal instructions from the undersigned to wire funds, issue checks or
journal
funds lo/from tha above listed accounts. The undersigned will provide verbal
instructions as to the dale end the amount of the wire, check or journal. If
the
undersigned decides to vary sllhar the date or tha amount of the wire, check
or journal, the undarsignsd hereby authorizes Dautscha Bank Alax. Brown to
accept the verbal instructions from the undersigned regarding the change or
ch"es. Tha undersigned further understands and agrses lo compty with the
proe"uras of Deutsche Bank Alex. Brown lo verify the authorization and
accuracy of verbal Instruclions.
for a term of
The undersigned hereby acknowledges that (i) the informabon contained in
this forni is compieie and accurate to the best knowfedge of the
undersigned; and (a) the
uridersignsd Ja rGSponsihIo for the method of transmisalon of any
instructions issued pursuant to this authorization, if the undersigned
elects to transmit any such
inslruclions vie fax (including desktop fax), via email or as an image
enechmenl to email (e.g.. as a PDF, TTF or other imega ol such Insuuciionsl,
the undersigned
understarxls and agtaos "1 Ihs undersignad bears the risk of lots anting
Irom sutdi method of transmission in the event ol trammiasion eirors,
misurxlerstandEngs,
impersonations, transmission by unauthorized parsons, forgery or intercepts.
For trusts or other sntiliss, the undersigned further acknowledges that the
understgnad is
authorized to Issue the ebove esset movement instructions under the terms of
the governing documents and any applicebla laws. The undersigned hereby
releases and
holds harmlasa Deutsche Bank Alax. Brown from end against loss from any
action, claim or demand ol any person as a result of Deutsche Bank Alax.
Brown's receipt ol
or compliance with this authorization and/or any msbuclions that may be
given to Deulscha Bartk Alex. Brown pursuant to this euthorization
(includtng any standing
authorizalionl.
The undersigned understands that Deutsche Bank Alex. Brown may, but Is not
required to, seek venlicauon of the undersigned's Instructions by call back
and that
Deutsche Bank Alex. Brown may in its sole discretion refuse 10 execute sudi
insiruceona (including standing instructions) ghran pursuant to tNs
authonzaiion, without
ineumng any [iabifitv, it Deutsche Benk/Uex. Brown has reason to bekeve such
EFTA01402459
insiructxins (or standing instnjctions) have trot been provided by the
undersigned. The
undersigned further urtderstands that Deutsche Bepk Alex. Brown reains the
right lo refuse to execute any instructions to transfer funds or securities
to any acoountfs)
pursuant to this authorizalion wlhoul wttttg)i ms^cilons beanng onginal
signature(sl of the undersigned.
Darren Indyke
10-1-2015
PnntName
Date
PFiSTNime
Signature
Date
LOA
10-PWMJ)T77S (12/10)
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Qfetrt Instructic-'
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Approver/
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Client/Au*s
Phone
OMK.
Ume:,
Name/ -v -
(Print).
^^o"«A>ffloclkS(gT,atu,e
Hl^ Msk Madia • Callback VerHtcatlon
Method of Inith
Pax P fiTiaft
IndemnlRcatlon Agreement on file
Signature Verified
Vertfled Account has sufficient cash
^irenSKdon consistent w/expected activity
Signature Vertfled
EFTA01402460
I Qt0er Authenticated
i Vetlflad Account/Amount/Redplent
Redplentof
Client Instructions;
Approwr/
Callback
I
fUent/AiithS1Bialnne (11/yfA L> AXt Date-^
Phone#: 'H'^1 Time: 7MP.PM^
eclplentS1^W^W AppmCr/Callback Sl^aref^
EFTA01402461