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Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authorizes and directs Deutsche Bank Alex. Brown (*Dwyer,* Bank Alex. &c m' or -DBAlr) to follow the below don movement nstructicas.
If you WM to request multiple min, checks, i0OM011 or IN* deSetnee please use the long form.
DENI) Account Nemo:
Account V:
woks
la Wire federal funds in the amount of $ 1065.80
To Bank Nemo: TD Bank
City SUN:
ABA*
Further credit to Intenviedry Financier Institution (Optional)
Account t
Noma
DIMS Bertikiary Inforrntikti
Betsy
Aare IS
Addicael Inanctiont exp. reimbursement
Check
la Issue a check in the mount of S
pert* ex
Recipienti Nam:
lieripinfe Maio Acktiec
Journal
O Journal Funds in the amount of S
OtirSyrnbol/SecurIty:
Ottilymbotreemnh:
E
l
Journal All Holding*
To OBAB Account A:
Account Name:
Free Ddieres
U Please dew. the t4lOurthfl ockated below to:
OTCCIP:
Near of Reaming Fern:
Account Manic
Aocourt Number.
OryiSymboireacurihe
Oty(SymboVSecurity:
at Reconong Hrm
Stinting Aselsortition
K
The undersigned hereby requests that this nitwit:mien act es a standing euthorization. The undersigned understands and agrees that the authorization me
Ninon in effect unti Deuteche Beak Alex. Brown requests a now authorization. The undersigned authorize* Deutsche Bank Ala Brown to Mee the wire,
cheek or journal on the
day of
for • term of
U
The undersigned further authorizes Deutsche Bonk Alex. Brown to accept vertu' irestructons from the undersigned to wire funds. issue Meeks or journal
funds Nihon, the above lined accounts. The undersigned will provide vaster instructions es to the dote and the 'mown of the wire, check or Journal. V the
undersigned decides to my either the date or the amount of the wire. check or found. the undersigned hereby authorizes Deutsche Bank Aim. WONT to
accept the verbal Witanietnna from the undersigned moaning the chomps or Menges. The undersigned further understands and greet to comply with the
procedures of Deutsche Bank Alex. Brown to verify the 41.000261i011 end *wormy of verbal instructions.
The undimmed hereby acknowledges that (i) the Information contained In this form Is complete and accurst. to the best knowledge of the undersigned: and log the
undersigned b teapot stile or the method of transmission of any instructions issued pursuant to this anhonzertion. If the ends:monad elects to transmit any such
intuuctions vie fax (including detitop fax), via email a as en mom attachment to email (e.g., es a PDF. TeF or other Mem of ouch IMIOVOSOS), the undersigned
understands end egret that the undersigned been the risk of kiss sting from such method of Venal:Won it the event of transmission errors, misuntietendnor.
tillp•IICHWONfl, tonsrnission by unauthorized persons. forgery or intercepts. For Ousts or other entities, the undersigned further acknowledges that the undersigned is
authorized to issue the above asset movement instruction* under the terms of the (purring documents and any applicable laws. The undersigned Nally Sews end
holds hannties Deutsche Bank Alex. Brown from end %Rinse lot from any action, chin or demand of any person es a result of Deutsche Bank Alex. Brown'. receipt of
or COOlpilla with this authorization ondfor any instructions that my be given to Deutsche Bank Alex. Broom pursuant to this euthorizabon (inducing eery standing
authorization).
The undersigned understands that Deutsche Bank Alex. Brown may but is not required to, seek venSorion of the undenignees instructions by cal beck and that
Deutsche Bank Alex. Brown may in its sole discretion refuse to OX•CUM such instructions linckidng mincing instil/aims) given pursuant to this euthortzerion. without
ineumng s y liabiny. if pe.rri.o Bent Ala Brown has talon to believe such instructions (or standing instructions) have not been protided by the undersigned. The
under clod
en
further u
rata de that Deutsche Bank Ala Brown retains the right to refuse to execute
y IMMIX110/16 o twofer funds or securities to any account)
prove ieo this
ration without mitten hstructions besting COOS.' signature(*) of the ursine:med.
k„,4;u,.
Senators
11-22-2013
brim Homo
Dots
Print Name
Drs
WIN R
HI El
L
HOA
10-PWM-O177$ O VIO
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0049989
CONFIDENTIAL
SDNY_GM_00196173
EFTA01361115