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efta-01404824DOJ Data Set 10Other

EFTA01404824

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Unknown
Source
DOJ Data Set 10
Reference
efta-01404824
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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 Aiex, Brown ("Deutsche Bank Aiex. Brown" or "DBAB") to foiiow 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 Epsteifl Account #: Journal d Journal Funds in the amount of $ Q Journal Holdings: Qty/Symbol/Security: Qty/Symbol/Security: Q Journal All Holdings To DBAB Account #: Account Name: Wire Q Wire federal funds in the amount of $ 1065.80 To Bank Name: TD Bank City / State: ABA#: 031101266 Further credit to Intermediary Rnancial Institution (Optional) Account #: Name: UbnalB Benelicaiy Inibitnalicn; BeneliciatvName: Account# Additional instnjctions: exD reimbursement Free DeftmieE [J Please deliver the securfties indicated below to: DTCC#: Name of Receiving Finn: Check Q Issue a check in the amount of $ Redpienfs Name: RedpierTfs MaSng Address: Account Name: payable to: Account Number: at Receiving Rrm Qty/Symboi/Security: Qty/Symbol/Seourity: EFTA01404824 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 theday of Q The undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal instmctions 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 accuracy of verbal instmctions. 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 instmctions issued pursuant to this authorization. If the undersigned elects to transmh any such instmctions 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 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 instmctions 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 action, claim or demand of any person as a result of Deutsche Bank Alex. Brown's receipt of or compliance with this authorization and/or any instmctions 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 verification of the undersigned's instmctions by call back and that Deutsche Bank Alex. Brown may in its sots discretion refuse to execute such EFTA01404825 instructions (including standing instmctions) given pursuant to this authorization, without incurring any liability, if Deutsche Bank Alex. Brown has reason to believe such instmctions (or standing instmctions) have not been provided by the undersigned. The undersigried further uiMerstands that Deutsche Bank Alex. Brown retains the right to refuse to execute any instructions to transfer funds or securities to any account(s) pursuariwo this auti^zation without written instructions bearing original signature(s) of the undersigned. 11-221'013 Signature ! eaST Signature Print Name Date III I III nil 11 III III LOA 10-PWM-0177S (12/10) EFTA01404826

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