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<br />TREASURY SERVICES DELEGATION OF AUTHORITY FORM <br /> <br />This fonn is optional and is to be used when you wish to delegate authority to sign various authorization folmS to someone <br />other than the person who signed the Authorization and Agreement fonn in the front of this Booklet. <br /> <br />By signing below, you authorize the incumbent of the specified position listed in Section A or each person listed in section B <br />below, acting alone, to execute documents that we may request, and any amendments or renewals thereof, pertaining to the use <br />of Services, including but not limited to designating one or more persons (which may include himself or herself) authorized to <br />initiate, amend, cancel, confirm or verify the authenticity of instructions to us for Services, whether given orally, electronically or <br />by facsimile instructions, and to revoke any authorization granted to any such person, as he or she deems appropriate. The signer <br />of this fonn has the same authority described above for each Service with us, unless otherwise specified. We are entitled to rely <br />upon this delegation until written notice of its revocation is received by us. <br /> <br />Guidelines for Completion: Fill out either section A or section B, or both, depending on your needs. <br />. To delegate authority to any person holding a specific title, fill out section A. <br />. To delegate authority to specific individuals by name, fill out section B. <br /> <br />For each name or title, indicate "All" in the "Service" column if the person or title has authority to sign documents for all <br />Services which you receive from us. Otherwise, indicate specific Services for which the person or title has authority. For each <br />name or title, indicate the entity or entities for which the person or title has authority to sign documents. <br /> <br />A. TO DELEGATE AUl'HORI'I'Y TO ANY PERSON HOLDING SPECIFlC POSITIONS <br /> <br />Title <br /> <br />Service <br /> <br />Entity <br /> <br />(\-<"1 ~ I\.N I\<SE.\Z f\LL L \\''( ()~ SIJI'iNI( ISL\:.S 'bCACH <br />\:\N'A~ lE.. \) \ RfLiU\L ~LL C\\'''l m: S\JMMIl/ \SLfs 1)t.~L\-\ <br /> <br />B. TO DELEGATE AUl'HORI'I'Y TO SPECIFlC INDIVIDUALS <br /> <br />Name <br /> <br />Service <br /> <br />Entity <br /> <br />Specimen Signature <br /> <br /> <br />CLIENT AUTHORIZATION <br /> <br />Client Authorization Instructions: The same person who signed the Authorization and Agreement for Treasury Services <br />fonn must sign this Treasury Services Delegation of Authority form. C' t f S lIB h <br />1 Y 0 unny s es eac, <br /> <br /> <br />Dated <br /> <br />(Print Title (include the legal name of any member, <br />managing member, manager or general partner who is <br />signing and who is not an individual)] <br /> <br />AD-AG-0455B (2004-2) <br /> <br />3 <br />