EFTA01404289.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts Ths underaignsd hareby authorizaa and diracte Deutecha Bank Alax. Brown ('Dautecba Bank Alex. Brown" or "DBAB") to follow tha below asaet movement inairucnone If you wiah to request multiple wiraa, checks, journals or free deliveries, please uee the long form. DBAB A000unl Name: Jeffrey E EPSteIn Account fh 3526697B Journal CJ Journal Funds in the amount of i Q Journal Koldingi: Qty/Symbol/Secutity: Oty/Syinbcl/Securviy; Q Journal All Holdinga To DBAB Account #. Who Q Wire lederalfunda In the amount of S 600.00 To Bank Name: JP Morgan Oty/Stela: ABA#: Further credit to IntermsdiaiY Financial Institution (Optional) Account #: Nuns: Account Name: Utenete BenefiauY IrdbnntfHK Baneiic»YMane Svatlana Poihldaeva 946328564 Aeoount#; AtUeond insmcsorB: rflimb. for classes FiooMvHiB ❑ Please deliver the aecuritieB indcatsd below to: DTCC#I Name of Receiving Finn; Account Name: Check Q lasue e check in the amount of $ RedpianTa Ish>ne: RedpwiTeMBkngAddaa: payable to; Account Number: at Receiving Rrm Oiy/SymbolrSecunty: EFTA01404289 OtyiSymboVSecurtty: BtnvBnaAKhafadion Q The undersigned hereby requeela that thie eulhonzation actee e standing authorization. The undBrsignad understands and agraae that this aulhonzalion will remain m affect uniil Deuts^a Bank Alex. Brown requests a new authorization. The undersigned aullionzes Deutsche Bank Alex. Brown to iasuatha wire, check or journal on lhaday of Q The undersigned further euihoritae Deutsche Bank Alex. Brown to accept vortiel inslructions from the underagned to wire funds, istua checks or journal futtda to/from the above liated e000unta. The undareiBned will provide verbal inatAiOBona at to tha date and the amount of the wire, check or journal. If the undersigned dectdea to vary ertherthe date ortho amount of the wire, check or journal, the undersignod hereby authonzea Deutssha Bank Alax. Brown to accept the verbal instructions from the undersigned regarding the change or changes. The undersigned further undaretanda and agrees to comply with the proc^uras of Deutecha Bank Alax. Brown to verify tha authorization arxf accuracy of verbal instructiona. for a term d The undersigned hareby edcnowledgee that (i) the information eonlalnad in ihia form le eompleta and aoeurate to the beet knowledge of the underelgnBd: and Ii) tha undersigned ie responsible for the method of trenamieaion of any inatructions iaausd pursuant to thia authorization. If the undersigned elects to trsnsmit any such instructions via fax (including desktop fax), via email or as an image attachment to email (e g, ea a PDF. TIF or other image of such Instructions), die undersigned undarstsnds and atpeas that the undersigned beers the dak of lose arising from such method of transmission in tha event of tranamiaston errors, misunderaiandings, impersonations, tranamisaion by unauthottiad persons, forgery or intercepts. For trusts or other entities, the undersigned further acknowtedgee that tha undetsignsd is euthorized to issue the above asset movement Instructions under ths terms of ths got'eming documents and any eppllcabla laws. The undersigned hereby releases end holds harmless Deutsche Bsnk Alex. Brown from and ageinst loss from eny action, claim or demand of any person es a result of Dautecha Bank Alex. Brown's teoeipt of or complianoa with this authonzation and/or any instructions that may be given to Deutsche Bank Alax. Brown pursuant to thia authorization (including any standing Buthorizaiion). Ths undersigned understands that Deutsche Bank Alax, Brown may, but is not requited to, seek venfioaoon of the understgned'a inainjctioha by call beck and that Deutsche Bank Alax. Brown may in ita ade diacretion refuse to execute such EFTA01404290 Insuuotione (including mending Inslructoos) gwan pursuant to thia authorization, without incurring any liability. If Deutaehe Bank Alax. Brown hae reason to baJiave such ineiruciiona (or standing instructtone] have not bean provided by tha undersigned. The undersignedfurther underelands that Deutsche Bank Alax, Brown rateine the right to refuse to execute any inetructnns totranafarfundsor securitisato any acoount(e) licne bearing original signatura(a) of the undersigned. pursuant to this auihorizstion wi^ut wntt^lnstnic 04-2B-14 At 1 PftnTTwmft 'Data Print Narno SigneturF III I III III 11 III III I LOA 61" Hi 1()-PWM3)177S (12/10) EFTA01404291