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efta-01392961DOJ Data Set 10Other

EFTA01392961

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DOJ Data Set 10
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efta-01392961
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
• Principal agrees that DBSI shall not be obligated to proceed with instructions that are inconsistent with the terms of any agreements governing the Account(s), or that would violate any applicable laws, rules or regulations, or that would be otherwise limited by the account type or documentation on file. THE UNDERSIGNED AUTHORIZES THE AGENT(S) TO RECEIVE COPIES OF ACCOUNT STATEMENTS AND TRANSACTION CONFIRMATIONS UPON THE AGENT(S)'S REQUEST. DBSI RETAINS THE RIGHT IN ITS SOLE DISCRETION TO REFUSE TO ACCEPT INSTRUCTIONS BY THE AGENT(S) TO CHANGE THE MAILING ADDRESS ASSIGNED TO THE UNDERSIGNED'S ACCOUNT(S) OR ANY BENEFICIARY DESIGNATIONS. NOTE: If you want to authorize your Agent(s) to make gifts of your money or assets or other property held in the Account(s) during your lifetime, without restriction, to any one or more persons, including the Agent(s) himself, herself or themselves, you will need to execute a Statutory Major Gifts Ridor. Giving such a power to your Agent(s) grants your Agent(s) authority to take actions which could significantly reduce your properly .or change how your property is distributed at death. DBSI shall not be responsible to monitor whether any payments or transfers are gifts and/or require the execution of a Statutory Major Gifts Rider. SELECT AND INIRAL THE APPLICABLE BOX FOR LIMITED OR FULL TRADING AUTHORIZATION O LIMITED TRADING AUTHORIZATION. In all such purchases, sales or trades, DBSI is authorized to follow the instructions of Agent(s) in every respect concerning the Account(s), and Agent(s) is/are authorized to act for the Undersigned and on the Undersigned's behalf in the same manner and with the same force and effect as the Undersigned might or could do with respect to such purchases, sales or trades as well as with respect to all other things necessary or incidental to the furtherance or conduct of such purchases, sales or trades. Note: This Limited Authorization does not permit •Agent(s) to withdraw or transfer assets from the piccount(s). — OR (if/ EI<ULL AUTHORIZATION TO TRADE AND MOVE ASSETS. DBSI is authorized to follow the I— instructions of Agent(s) in every respect concerning the Account(s), and to make deliveries or transfers of assets (including cash), from the Account(s) and payment of moneys as directed by Agent(s), without restriction -(Lelael:..,,S41.,...Argervtlek himself, herself or themselves except in connection with IRAs) in accordance with DBSI's terms and conditions and account type. In all matters and things aforementioned, as well as in all other things necessary or incidental to the furtherance or conduct of the Account(s), Agent(s) may act in the same manner and with the same force and effect as the Undersigned might or could do. Note: This Full Authorization grants Agent(s) unrestricted authority to trade in the Account(s) and to withdraw or transfer assets from the Account(s). For IRAs, Agent is authorized to elect whether to make tax withholding elections in connection with distributions. This Authorization/Power of Attorney shall remain in full force and effect until DBSI receives actual written notice signed by the Undersigned of its revocation to be delivered to the Undersigned's DBSI Client Advisor or his or her branch manager. However, the limited power of attorney granted hereunder is not a durable power of attorney and will cease to be effective upon actual receipt by DBSI of written notice of the occurrence of either of the following events: (i) the Undersigned is judicially declared to be incompetent, or (ii) the death of the Undersigned. Notwithstanding the foregoing, the Undersigned acknowledges that DBSI shall be entitled to continue to rely upon this Authorization/Power of Attorney until such time as DBSI receives such actual written notice. 7 I 1.PWW. 0965 (t) I +17) 00S611-DICV.7 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0098293 CONFIDENTIAL SDNY_GM_00244477 EFTA01392961

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SWIFT/BICASSIGNED
SWIFT/BICBENEFICIARY
SWIFT/BICTRANSACTION
SWIFT/BICUNDERSIGNED
Wire Reftransfer assets

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