EFTA01411049.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby auihonzes and di'eeis Deutsche Bank Alex Brown ['Deulscha Biink Alex Brown* or *OBABHI to foUow the below asset moventem instructions l( you wish to request multiple wires, chedtt, joutnats or free deliveries, piedse use the long lorm DEJAB Account Name Southern Trust Company. Inc. Account*. Journal Q JOjinji Funds in the arroun; o( S iQ Jojrra: Holdings OtyrSyii !".'m Oiy/Svi-ii,01. 1Sucurily. 0 Jourra All Holdings To DBAS Account I Accn.ir.i Vime' Wire Q Wire federal lurtds m the amount of $ First Bank, PuertoJlico To Bank Nama City / State ABAC 1519 Ponce De Leon Ave. PR 0090B 221571473 Furthar credit to Intermediary Rnencial Inailtution (Opliortal) Account *. ■ Name. Uhmate Benetkaaiy Infomatian: BateficiarvName Southern Trust Company. Inc. 721-1-099346 Accoumi Free Deftveifas Q Please Jc ivcr the securities indicated boiow to Additional insinrciions' lilrcrs- of Receiving Fir>>r Check CD Issue a check in the amount of S fJerapiBtn's hbriie Recipienfs Mafcig Address: Account Name. pay^l0. EFTA01411049 at Receiving Firm Accc„M .\uml5ar- QtyrSvir.cj/Security. Qty/Sven.'Wi/Secufilv Sienrfng Authoroalion 171 The undersigned hereby requests that this authorisalion act as a standing 3ulho'jGt.on The undersigned jndersiarids end agrees that this author saiion will remain ui effect until Deutsche Bank Alex Brown tnquesis a now euthorlsaiion The urtile-signed Suihonrcs Deutsche Bank Alex Brown to issue the wire, check or journal on the CD The undeisigited further eulhorizas Deutsche Bank Alex. Brown to accept verbal insUuctioris from the unde'Srgnad to wire funds, issue checks or lournai funds tofirom the above listed accounts. The undetsignod w.0 provide verbal insiruci>nns as to the date and tne amount of the wire, check or journal If the undersigned decides to vary either the data or the amount of the wire, check or journal, trie undersigned hereby authotues Deutsche Bank Alex. Brown to accept the verbal instructions Irom the unders gned regarding liio change or cnanges Tne undersigned lurtnof understands and agrees to comply with the procedures ol Deutsche Bank Alex Brown to verily the auihonaaiion end accuiacy of vC'Dai mslrucl ons. day ol for a term of The undersigned neretv acknowledges that (il the mformai on comained m Pus form is coippieie and accurate to rte best knowledge ol the undersigned; end Inl the undersigned is -esponsibie for the method ol ireosm ssiori ol any msiiucuons issued puisuam to ih s authoriiaiior.. If Pie undersigned e ecis to iransmii any such insitucitons via lax (including desktop tax), wa email or es an image attachment to ama.l is g.. as a PDF. TIF or other image ol sucn irtsuuciiorsl, the undaisigned understands and agrees that the undersigned bears the risk ol loss arising from Sucn ii.i rnou ol uaesmission m the evcrit ol transmission errors, misunderstandings, mpersonauons. transmission by unaulhoriied persons, forge ry or intercopis For iiusls or oinor entities, the undersigned lurlher acknowledges thei the undersigned is authorized to issue the above eseai movement instructions under the terms of the governing documents and any applicable laws Tne undersigned hereby releases and holds harmless Deutsche Bank A;ex Brown Irom and aga nsi loss from any act.or'. ca m o' demend ol any person as e result ol DOutscha Sank Alex. Brown's receipt of or complience with this euihorizeiion and/or any instructions that may be given 10 Dtutsc Ba-x Alex Brown pursuant to this Buttioriiation lincluding any standing auihonzalion). The undersigned understands that Deutsche Bank Alex Brown may, but is not EFTA01411050 required to. seex venlxaiion of tne undeisignod's instruciions by call back and that Deutsche Bank Alex. Brown may m 15 sole discretion 'cluse to execute such insiiuCLons iinc udiito siar.d.rg i,-.struclonsi given pu'suam to this authorization, without incurring any liability, it Deutsche Bank Alex Brown has reason to beinvo suCh mstfuCiions lor iioiiding insiruidkms) have not been provided by the undersigned The unottrsignad lurlher understands that Deutsche Bank Alex. Brown retains the tigni to tcluse to nxirCuie any nsiruciions 10 translc' funds or securities to any eccounils) pursuant to this euthoreaiion wthoul written instructions oee'ing or ginai signatuntisi of the unders-gned Daw Prim Name Date Print Name signature III I 111 II I II III III LOA IO-PWM-0177S (12/101 EFTA01411051