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efta-01400310DOJ Data Set 10Other

EFTA01400310

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DOJ Data Set 10
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efta-01400310
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
I Deutsche Bank Private Wealth Management I Authorization for Asset Movement For Non-Retirement Accounts Tha undersigned hereby auihorizes and directs Deutsche Bank Alex Brown ("Deutsche Bank Aiex. Brown" or "DBAB") to follow the below asset movement instructions If you wish to request multiple wires, checks, journals or free deliveries, please use the long form DBAB Account Name Jeffrey E Epsteln iiiiiiilif: Journal Q Journal Funds cn the amount of $ LI Journal Moldings; Oly/Synibol/Security Oiy/Symbol/Securily: L] Journal All Holdings To DBAB Account * Account Name. Wire [Zl Wire lederal lunds in ihe amount of S 3.936.33 To Bank Name: JPMorgan ChasB City / State- ABA# ur i edit to Intermediary Financial Institution {Optional) Account # Name Ultimate BaneficiatY Infotmation; BenefioarvName lon NiCOla Account#: Free Delivorws LI Please deitver ihe securities indicated below to June 17 2014 inv & expenses Addiiional InsmcaonS' DTCCK: Name of Receiving Firm: Account Name: Check Q Issue a check in the amcunt of $ Recipient'a Name- Recipient's hMing A EFTA01400310 payable to Account Number: at Receiving Firm Qlv/SymboirSecuiiiy Qty/Symbof/Secunty, Standing AuthorizaiicHi Q The undersigned hereby requests that ihrs authonialron act as a standing authorieation. The undersigned understands and agrees that this aulhcnzation will remain in effeci unlit Deutsche Bank Alex. Brown requests a new authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire. check or journal on the , . . Q The undersigned further authorizes Deutsche Bank Alex, Brown to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds Ic/from the above listed accounts. The undersigned will provide verbal instructions as to the dale and the amount of the wire, check or journal. If the undersigned decides to vary either the date or the amount of the wire, check or journal, the undersigned hereby aulhorizes Deutsche Bank Alex. Brown to accept the verbal instructions from the undersigned regarding the change or changes. The undersigned further understands and agrees to comply with the procedures of Deutsche Bank Alex Brown to verify the authorization and accuracy of verbal instructions. day of for a term of The undersigned hereby acknowledges that (i) the information contained in this form is complete and accurate to the best knowledge of the undersigned: and (li) the undetsigried is responsible for the method of transmission of any mstrucuons issued pursuant to this authorization If the undersigned elects to transmit any such rnstiuciions via fax (including desktop fax), via email or as an image attachment to email (e g , as a PDF. TIF or other image of such instructions), the undersigned understands and agrees that the undoisigned bears the risk of loss ansmg from such msthod of transmission in the event of transmission errors, misunderstandings, impersonations, transmission by unauthonzed persons, forgery or intercepts. For trusts or other entities, the undersigned further acknowledges that the undersigned is authon/oa to issue the above asset movement instructions under the terms of the governing documents and any applicable laws. The undersigned hereby releases and holds harmless Deutsche Bank Alex. Brown from and against loss from any acbon, claim or demand of any person as a result of Deutsche Bank Alex. Brawn's receipl of or compliance with this authorization and/or any instructions that may be given to Deutsche Bank Alex Brown pursuant to this authorization (including EFTA01400311 any standing authonzahon). The undersigned understands that Deutsche Bank Alex Brown may, but is not required to. seek venficalion of the undersigned's insiruclions by call back and that Deutsche Bank Alex. Blown may in its sole discretion refuse to execute such instructions (including standing inslruciicnsj given pursuant to this aulhorization, without incurring any liability. if Deutsche Bank Alex. Brown has reason to believe such instructions (or standing instructions) have not been provided by the undersigned. The undersigned further understands that Deutsche Bank Alex. Brown retains the right to refuse to execute any instructions to transfer funds or securities to any accountls) pursuant to this authorization wnhout ' anng original signature(s) of the undersigned. instmolf Darren Indyke 6-17-2014 Print Name Signalu Date Print Name Signature Date LOA 10-PWM-0177S (12/10) EFTA01400312

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