EFTA Document EFTA01378786

The Undersigned understands and agrees that DBSI has the right to require additional verification and • documentation from the Undersigned or the Undersigned's Agent(s) in certain transactions that DBSI, in its sole discretion, deems necessary. In addition, DBSI has the right to request that either a new Authorization/ Power of Attorney be executed or that the Agent(s) verify in writing the validity of the current Authorization! Power of Attorney. r _ Agent Name: Address: TIN of Agent: