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Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authoriies and directs Deutsche Bank Alex. Brown
('Deutsche Bank Alex. Brown' or 'DBAB') to folkjw the bdow asset movement
instructions.
it you wish to request multiple wires, checks, journals or free deliveries,
please use the long form.
DBAB Account Name: Jeffrey E
EPSteln
Acooum#:
Journal
CJ Journal Funds in the amount of S
Q Journal Holdings:
Qty/Symbol/Security:
(Tty/Symbol/Security;
K Journal All Holdings
To DBAB Account #:
Wire
IZi VWre federal funds in the amount of $ 757.47
To Bank Name: Bank of America
City / State:
ABA#.
026009593
Further credit to Intermediary Hnanciel Institution (Optional)
Account #:
Name:
Uhsnate Beneficiary bifoniialHsi:
Beneiidaiy NamB:
Account Name:
Account#;
FreeDefimiea
Q Please deliver the securities Kidicaied below to:
Addannal Instmaions:
DTCC#;
IVame of Receiving Finn:
Account Name:
Check
(_1 Issue a check in the amount of S
Redpiant's Name:
Hodpient's Mailng Address:
payable to;
T
Account Number
at Receiving Rmn
EFTA01410876
Oty/Symbol/Securily:
Qty/Symbol/Securily:
Stantino Authornetkin
Q The undersigned hereby requests that this authorization act as a standing
authorization. The undersigned understands and agrees that this
authorization will
remain in effect until [Jeulsche Bank Alex. Brown requests a new
authorizaiion. The undersigned aulhonzos Deutsche Bank Alex. Btown to issue
the wire,
check or ioumal on the
. _
Q The undersigned further authorizes Deutsche Bank Alex. Btown to accept
verbal instructions from the undersigned to wire funds, issue checks or
journal
funds to/from the above listed ecoounts. 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 date or the amount of the wire, cheek
or journal, the 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 with the
procedures of Deutsche Bank Alex Brown to verify the authorization and
accuracy of verbal instructions.
day of
for a term of
The undersigned hereby acknowledges that Ii) the information contained in
this form is complete and accurate to the best knowledge ol the undersigned;
and lit) the
undersigned Is responsible for the method of transmission of any
instructions issued pursuant to this authonzation. If the undersigned elects
to transmit any such
instructions via fax (including desktop fax), via email or as an Image
attachment to email (e g., as a PDF, TIF or other image of such
instructions), the undersigned
understands and agrees that the undersigned bears the risk of loss arising
from such method of transmission in the event of transmission errors,
misundersiandings,
impersonations, transmission by unauthorized persons, forgery or intercepts.
For trusts or other entities, the undersigned further acknowledges that the
undersigned is
authorized to issue the above asset movement instructions under the terms of
the governing documents and any applicable laws. The undersigned hereby
releases and
holds harmless Deutsche Bank Alex. Brown from and against loss from any
action, claim or demand ol any person as a result of Deutsche Bank Alex.
Brown's receipt of
or compliance with this authorization andtor any instructions that may be
given to Deutsche Bank Aiex. Btown pursuant to this authorization (including
any standing
authorization).
The undersigned understands that Deutsche Bank Alex. Brown may, but is not
required to. seek verincalion of the undersigned's instructions by call back
EFTA01410877
and that
Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such
insbuotions (including standing instructions) given pursuant to this
authorization, without
incumng any liability, if Deutsche Bank Alex. Brown has reason to believe
such inslructions (or standing irstructionsl have not been provided by the
undersigned. The
' . Brown retains the tight to refuse to execute any instructions to
transfer funds or securities to any account(s)
bearing original signalure(s) of the undersigned.
V Darren K Indyke
undersigned further understarrds 1
It wrJllen
;iyctior
purs
is-
Signature
Print Name
Date
Pnnt Name
Signature
Dale
LOA
10-PWM-01775 (12/10)
EFTA01410878