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Wire Transfer Authorization <br />*F!RSTAiR <br />Security Procedures <br />Firstar Bank offers three options for security procedures in accordance with the Transfer of Funds Terms and <br />Conditions. Please select one procedure to be incorporated with the Personal Identification Number (PIN). <br />Per your request, instructions are followed by the original Wire Transfer Authorization completed provided through <br />the original or amended documentation per your request. <br />PIN Only <br />Security is based solely on the Personal Identification Number (PIN). A unique PIN will be assigned to each <br />authorized representative and should be kept confidential. This is the default option. <br />❑ Call Back <br />For each wire transfer request, security is based on the Personal Identification Number (PIN) and telephone <br />verification by an authorized representative of your company. <br />❑ Call Back with Limits <br />Wire transfer requests exceeding the authorized dollar limit need telephone verification by your company's <br />authorized representative. <br />Nonrepetitive Transfer Limit $ Repetitive Transfer Limit $ <br />The customer agrees to notify Firstar Bank Wire Transfer Department in writing of any additions, deletions, or <br />revisions to this authorization. Correspondence should be sent to: <br />Firstar Bank <br />Attn: Wire Transfer <br />777 East Wisconsin Avenue, JS6N <br />Milwaukee, WI 53202 <br />We hereby request the Bank provide wire transfer services to us, in accordance with the Transfer of Funds Terms <br />and Conditions, a copy which has been provided to us. The Bank is authorized to accept wire transfer <br />instructions for the above account(s) from an authorized representative of our company subject to the Transfer of <br />Funds Terms and Conditions. <br />Customer Name e / T`, r <br />Date <br />Authorized Signer: /411_/4 -Al — . ? et 6=4, Title: r/.,c' <br />Authorized Signer: 7),4 r�4 171. SC',t/Lec '' Title: <br />For corporations only: <br />As corporate secretary, I certify that the above -signed individual(s) is(are) empowered to <br />execute this agreement and that the above signature(s) is(are) authentic. <br />Corporate ALL6Y-71eASecretary Date <br />***Firstar Bank Use Only*** <br />Firstar Employee Pin Authorization Request (Refer to the Wire Transfer Policies and Procedures) <br />Employee's Position: Mail Location: <br />Department Name: District Number: <br />Credit Administration Signature: <br />Regional/Department Head Signature <br />Cost Center: <br />Date <br />Phone: <br />Mail the completed form Interoffice to Wire Transfer Authority, Credit Administration, Mail Location 8025, Cincinnati, OH <br />