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efta-01404070DOJ Data Set 10Other

EFTA01404070

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Unknown
Source
DOJ Data Set 10
Reference
efta-01404070
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2
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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 Aiex. Brown ("Deutsche Bank Aiex. Brown" or "DBAB") to foiiow the beiow asset movement instructions. if you wish to request multiple wires, checks, journals or free deliveries, piease use the iong form DBAB Account Name: Jeffrey E Epstein Account 4: Journal Q Journal Funds in the amount of $ Q Journai Hoidings: Qty/Symboi/Security: Qty/Symbol/Seourity: Q Journal Ail Holdings To DBAB Account I: Account Name: Wire Q Wire federai funds in the amount of $ 12.506.12 To Bank Name: Bank of America City / State: ABA4: Further credit to Intermediary Financial Institution (Optional) Account 4: Name: Ultimate Beneficiary infbnnation: Benefidaiy Name: Complete Data Installation Services. LLC Account 4: Additional Instajctions: InV 1403 Free Deliveries Q Please deliver the securities indicated beiow to: DTCCI: Name of Receiving Firm: Check Q issue a check in the amount of $ Recipient's Name: Recipient's Mailing Address: Account Name: payable to: Account Number: at Receiving Firm Qty/Symbol/Seourity: Qty/Symbol/Seourity: Standing Authorization Q The undersigned hereby requests that this authorization act as a standing authorization. The under signed understands and agrees that this authorization will remain in effect until Deutsche Bank Alex. Brown requests a new authorization. The undersigned autho rizes 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 th e 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 undersi gned 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 verbal instructi ons. 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 (ii) the undersigned is responsible for the method of transmission of any instructions issued pursuant to thi s authorization. If the undersigned elects to transmit any such instructions 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 undersigned bears the risk of loss arising from such method of trans mission in the event of transmission errors, misunderstandings, impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other ent ities, the undersigned further acknowledges that the undersigned is authorized to issue the above asset movement instructions under the terms of the governing documents EFTA01404070 and any applicable laws. The undersigned hereby releases and holds harmless Deutsche Bank Alex. Brown from and against loss from any action, claim or demand of a ny person as a result of Deutsche Bank Alex. Brown's receipt of or compliance with this authorization and/or any instructions that may be given to Deutsche Bank Ale x. Brown pursuant to this authorization (including any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may, but is not required to, seek verific ation of the undersigned's instructions by call back and that Deutsche Bank Alfx. Brown may in its sole discretion refuse to execute such instructions (including standing instructions) given pursuant to this authorization, without incurring any liabifftyJf Deutsche Bait'Alex. Brown has reason to believe such instructions (or stand ing instructions) have not been provided by the undersigned. The undersigned furtwetylinderstands th<ft Deutsche Bank Alex. Brown retains the right to refuse to exec ute any instructions to transfer funds or securities to any account(s) pursuant to this/aufhorization wihrloul'wrttteniBStructions bearing original signature(s) of the and ers igned. f Beller Print Name 2-6-2014 Signature 7/ Date Signature Print Name Date LOA 10-PWM-01773 (12/10) EFTA01404071

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