AUTHORIZATION AGREEMENT FOR ACH DEBITS (ISSUER)

[Enter appropriate classification here] AUTHO RIZATIO N A GREE MENT FOR AC H DEBIT S

Issuer Name: DDA

Bank Name:

Bank Address: Transit/ABA #: Account #: Checking/Savings (Please verify)

The undersigned (the “issuer”) hereby authorizes The Depository Trust Company (“DTC”) to initiate debit entries from time to time through the automated clearing house system (the “ACH System”) to the account identified above (the ”Account”) at the bank identified above (the “Bank”) for the purpose of collecting payments (each, a “Payment”) due to DTC or to its nominee, Cede & Co., in respect of securities for which are issued by the Issuer and for which the issuer acts as a paying agent or in a similar capacity, and the Issuer hereby authorizes the Bank to debit such debit entries to the Account.

Prior to initiating each debit entry to the Account through the ACH System, DTC will communicate with the Issuer to confirm the amount of the Payment to be collected by the debit entry. The timing and form of such confirmation will be in accordance with the procedures established from time to time by DTC that purpose.

The Issuer agrees that whenever it determines that a Payment made to DTC by a debit entry to the Account through the ACH System was improper in whole or in part for any reason (including, without limitation, insufficient funds in the Account or the bankruptcy or insolvency of any organization), the Issuer will seek the return of such Payment (a “Disputed Payment”) or a part thereof by contacting DTC outside of the ACH System, and Issuer will not enter into the ACH System a return entry, debit, entry, correcting entry, reversing entry or any other entry of instruction which seeks the return of a Disputed Payment in whole or part. Upon the Issuer’s request at any time, DTC will furnish the Issuer with an explanation of the procedures established by DTC to enable the Issuer to seek the return of a Disputed Payment.

The Issuer hereby represents and warrants to DTC that the Account is an account of the Issuer and that the execution, delivery and performance of this authorization agreement by the Issuer have been duly authorized by all municipal, corporate and other action.

The foregoing authorization is a continuing one and shall remain in full force and effect until this authorization agreement is terminated by the Issuer in accordance with the paragraph. This authorization agreement may be terminated by the Issuer for any reason by giving both DTC and the Bank written notice of such termination not less than 30 calendar days prior to the effective date of such termination. Such notice shall be sent by registered mail, return receipt request, shall be deemed given upon receipt and shall be addressed to DTC, 55 Water Street, New York, NY 10041, attention of the Vice President, P&I Cash Processing. This authorization agreement shall continue in full force and effect with respect to any debit entry initiated by DTC in the ACH System and any Payment received by DTC System and any Payment received by DTC prior to the effect date of such termination.

Upon completion of below, please e-mail form to dd ac h a n g e r e q u e st@d t cc . c o m . You can also reach this mailbox if you’ve got any questions or concerns.

Dated:

(Issuer Name)

Signed

Print Name

Authorized Signature

Agreed to:

THE DEPOSITORY TRUST COMPANY

By:

Approved- Vice President