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efta-01401302DOJ Data Set 10Other

EFTA01401302

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DOJ Data Set 10
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efta-01401302
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3
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby authorizes and directs Deutsche Bank Alex. Brown ["Deutsche Bank Alex. 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. Epstein Account #: Journal Q Journal Funds in the amount of $ 0 Journal Holdings: Qty/Symbol/Secunty; Otv/Symbol/Security: Q Journal All Holdings To DBAB Account (f; Wire IZI Wire federal funds in the amount of $ 25.000.00 To Bank Name: DBAB City/Stale ABA#: Further credit to Intermediary Financial Institution (Optionall Account #: Name: Account Name. Ultimate Beneficiary Information; RflnpSrtarvName' JSC IntCriOrS LLC Account#- Fine Deliverraa Q Please deliver the secumias indicated below to: Addilional Instructioos: DTCC#: Name of Receiving Firm: Check Q Issue a check m the amount of 1 Recipient's Name: Reapient's MaEng Address: Account Name; parable to; at Receiving Firm Account Number: Oly/Symbol/Sacurity; Oty/Symbol/Secunty: EFTA01401302 Standing Authorization Q 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 authonzes Deutsche Bank Alex. Bro-wn to accept verbal instructions from the undersigned to wire funds, issue checks dr journal funds to/liom the above listed accounts. Tha undersigned will provide verbal instructions as to the date and the amount of the wire, check or lournal. If the undersigned decides to vary either the dale 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 accuracy of veibal instructions. for a term of day 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 (ii) tha undersigned is responsible for the method of transmission of any instructions issued pursuant to this authorization. If the undersigned elects to transmit any such insiruciions via fax (including desktop fax), via email or as an image attachment to email le.g., as a PDF, TIF or other image of such instructions), the undersigned understands and agrees that the undersigned bears tha risk of loss arising from such method of transmission in the event of transmission errors, misunderstandings, impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other entities, the undersigned further acknowledges that the undersigned is authorized to issue the above asset movement instructions under the terms of the governing documents and any applicable laws. The undersigned hereby releases and holds liarmless Deutsche Bank Alex. Brown from and against loss Irom any action, claim or demand of any person as a result of Deutsche Bank Alex. Brown's receipt of Of compliance with this authorization and/or any insuuctions that may be given to Deutsche Bank Alex. Brown pursuant to this authorization (including any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may. but is not required to. seek verificatian of the undersigned's instructions by call back and that EFTA01401303 Deutsche Bank Alex Brown may in its sole discretion refuse to execute such instructions (including standing instructions) given pursuant to this authorization, without mcurnng any liability, it Deutsche BagtAleK. Brown hzKJPaspn to believe such instructions (or standing instructions) liave not been provided by the undersigned. The sji"ersigned lurther understands thel Dedl"clie—Sahl<7SI55tr"ovim retains the right to refuse to execute any instructions to transfer funds or seouriiias to any acoountls) f/iSfteanUo this auihonzation witfioul writlji instructions be"ng original signalure(s) of the undersigned. \ A I ^ ^ Darren Indyke 3-27-2015 Date Print Name Signature Print Name ■ Date Signature III nil III mil III LOA 10-PWM-01775 112/101 EFTA01401304

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