PowerofAttorney
ThisPowerofAttorney(“Agreement”)isgrantedthis dayof,20 ,byand
betweenDelawareDepositoryServiceCompany,LLC(“Depository”)ofWilmington,Delawareand
(“Customer”)
(together,the“Parties”).Whereas,Customerwishestofacilitatehis/herabilitytobuy,sell,deliver,transfer,trade,liquidate,pledge
orsegregatepreciousmetalsandotherassets(“Assets”)heldwithDepository;andwhereasCustomerwarrantsthathe/sheisoflegal
ageandmentallycompetent,thePartiesagreeasfollows:
1.AgentPowers:Customerappoints(“Agent”)
ashis/herattorney‐in‐facttoactashis/herAgenttodepositpreciousmetalintoCustomer’sAssetsaccount;todirectDepository
tobuy,sell,deliver,transfer,trade,liquidate,pledgeorsegregateAssetsinthisaccount;toexecuteanynecessarydocumentsto
accomplishanyoftheseauthorizedacts;andtoissueinstructionstoDepository, writtenorbyelectronicmeans.
Depositoryisauthorizedto,andisrequestedtoacceptandhonor,withoutlimitastoamountandwithoutfurtherinquiry,such
instructionstodepositortransferAssetsbywrittenorelectronicmeans,whendrawn,made,signed,issuedorendorsedbythe
Agentnamedherein,whethertenderedinpaymentoftheindividualobligationordepositedtothepersonalaccountofsuch
Agent,orotherwise.NotwithstandinganyotherprovisionsofthisAgreementtothecontrary,Customerwillindemnifyandhold
Depositoryharmlessfromanyandallliabilities,damages,losses,expenses,claims,demands,suits,finesorjudgments,including
butnotlimitedto,costsandattorney'sfeesCustomerorDepositorymayincur
asaresultofDepository’scompliancewiththe
instructionsofanyAgentnamedhereinasauthorizedtoactonCustomer’sbehalf.TheauthorityoftheAgentnamedherein
shallcontinueuntilrevokedbyCustomerbutDepositoryshallbefullyprotectedinactingonsuchauthorityandshallnotbe
chargedwithanynoticeoftherevocationofsuchauthorityortheremovalofanysuchAgentunlessand
untilitshallhave
actuallyreceivedanamendmenttothisAgreementsettingforthsuchrevocationorremoval.
2.AdditionalTerms:ThisAgreementshallbegovernedbyandconstruedinaccordancewiththelawsoftheStateofDelaware.
CustomeragreesthatthejurisdictionandvenueofanycauseofactionbyCustomeragainstDepositoryarisingfromthis
AgreementshalllieexclusivelywithStateorFederalCourtsinDelaware.
ThisAgreementcontainstheentireunderstandingbetweenthePartiesandmaynotbechangedormodifiedexceptbyawritten
agreementsignedbytheParties.Thisisadurablepowerofattorneyanditseffectivenessshallbeunimpairedbyany
subsequentdisabilityofCustomer.
ThisAgreementmaybecancelledbyeitherpartybygivingwrittennoticetotheother.ThisAgreementisexecutedsolelyforthe
benefitofPartiesandnotforthebenefitofanyotherperson.
INWITNESSWHEREOF,thePartieshereuntohavesettheirhandsonthedayandyearfirstwrittenabove.
PrintCustomerNamePrintCustomerName
SocialSecurityNumber SocialSecurityNumber
Address Address
City,State,ZIP City,State,ZIP
Telephone:(Day) (Evening) Telephone:(Day) (Evening)
X X
CustomerSignatureDate CustomerSignatureDate
DelawareDepository,3601NorthMarketStreet,Wilmington,DE19802
T:(302)765‐3889W:www.DelawareDepository.comE:ddsops@DelawareDepository.com F:(302)762‐2674R140804