EFTA Document EFTA01480395

POWER OF ATTORNEY INFORMATION DATE POWER OF ATTORNEY EGAN RECEIVED 38 ' c e4. lil \29 POWER OF ATTORNEY ADM NAME 37 CITY PONE 40 BENEFICIARY INFO N a account complete the following Information for your beneficiary) BENEFICIARY WU E 41 ADDRESS (Simi Nu/300 42 CITY STATE TIP CODE BENEFICIARY DA OF EOM 43 1 1 1 1 1 TAXPAYER IDENTIFICATION NUMBER /7/ &WNW 44 I I I L I I RBATIONSTIP TO DEPOSITOR 45 ADDITIONAL ACCOUNT SIGNERS - (For Estate and Trust accounts, as neede