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efta-01401097DOJ Data Set 10Other

EFTA01401097

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01401097
Pages
4
Persons
0
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
High Risk Callback Verification Deutsche Bank Private Wealth Management of fnftfptfmr J-1 rn n i : 2* Ion A^rtKm v^[v\ fi GKisn a lu re Vcr I.iCi I 9 W eriftcd Account haAMRMn Recipient of Client Instructions: ail Authorization for Asset Movement For Non-Retirement Accounts TransKtEon consistent w/expected activity 0^nature Verified omVerified Accounl/Amount/Redpient Approver/ qtalffii^lP")>o fallow t The undersigned hereby authorizes end directs Deutsche Bank Alex. Brown ("Deutsche Bank Alex. Brown If you wish to request multiple wires, checks, journals or free deliveries, pleese use the long form. DBAS Account Name: Jeffrey E Epstein Account»: Cllent/AuthS[an3t0IV:A/<H rrY fV/f nit^ iT 1^ Phoneff: (2-^^ tgOS Timn Journal Q Journal Funds Q Journal Holdin Qly/Sym&qf/Seajrity: _ QlV^ymbolfSecurity: 0 Journal All Moldings To DBAB Account #: Wire Wire federal he amount of To Bank Name: City / State; ABA#: Name n tho^ pPrim^^ EFTA01401097 Nam tf. m/mi f'fifcdffifnfsij lature Appdpver/Callback Signature Further credit to Intenriediary Financiel Institution (Optionai) Account #: Name: Account Name; Ultimate Benefi ' ; Benefida Name: ccoun ; AddHonal Inslmctions: Loan Fine Defivariee Q Please deliver the securities indicated below to: DTCC#: Nome of Receiving Firm: Account Name: Check Q Issue a check in the amount of $ Recipient's Name: Recipient's Mailkig Address: payable lo: at Receiving Firm Account Number; Oly/Symbol/Eacurity: Qty/Symbof/Security; Standing Autfiorization The undersigned hereby requests that this authorization act as a standing authorization. The undersigned understands and agrees that this authorization will remain in effect until 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 to/from the above listed accounts. The undersigned will provide verbal instructions as to the date 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 authorizes 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 EFTA01401098 accuracy of verbal instructions. day of for a term of The undersigned hereby acknowledges that (i) the Infoimetlon contained in this form is complete and accurate (0 the best knowledge of the undersigned; and (tl) the undersigned Is responsible for the method of transmission of any inslrucliorts issued pursuarrl to Utis authotizarioo. If the urtdersigned elects to trarrsmit any such tnstructions vfa fax (including desktop fax), vria ernaii or as an image attachmaoi to arnetl (a.g., es a PDF TIF or otfter image of such instruciiens), the undersigned understands and agrees that the undersigned beers the risk of less arising from such rnethod of trensmissiort in die event of trsnsmisslun errors, misunderstandings, impersonations, transmission by unauthorized parsons, forgery or intercepts. For trusts or other entities, the undersigned further acknowledges that the undersigned fs authorized to issue the above asset movetnani Ineiructions under the larrtis of thS governing documente and any appllcabla laws. The undarsignod hereby releases end holds harmless Deutsche Bank Alex. Brown from and egainsi kyis frotfi'anY action, claim or demand of any person as a result of Deutsche Bank Alex, Brown's receipt of or compliance with thls^autiVSrizStipn and/or any instr^orzsTfSt may be given to Deutsche Bank Alex, Brown pursuant to this authorization (including any standing authorization). \ The undersignttd'understands that Oeuischeli^k Alex. Brown may, but is not required to, seek verifoation of tha undersigned's instructions by call back and that The undersigned'understanda that Oet^hglSank Alex. Brown mey. but is not required to, seek verifoation of tha undersigned's instructions by call back and that Deutsche Bqnk Afax. Brown may ipjtd^le discretion refuse to execute such instructions (Including standing Instructions] given pursuant to this authorization, without incurring any liability. If Deutsch^ank /klox. Brown has fedson to believe such (nstructions {or standing instrucilons) hove not bean provided by the undersigned. The undarstgrtaf further undOrstSndS Ifpi Doutscha Bank Alex, Brown 'Veins the right lo refuse to execute any instructions to transfer funds or socuritlos to any eccountls) tit to this authorization wit ut written instructions bearing Cflyiml signature(s) of the undersigned. putsua Jeffrey Epstein 1-17-2014 Date Print Name EFTA01401099 Signdlure Date Print Name Signature LOA 10-PWM-01773(12/10) EFTA01401100

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