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efta-01405211DOJ Data Set 10Other

EFTA01405211

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DOJ Data Set 10
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efta-01405211
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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 undBrsigned horeby authorizes and directs Doutscha Bank Ale*. Brown ("Deulsohe Bank Ala* Brown" or "DBAB") to follow the below asset movement Instructions. II you wish lo request multiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name; Account #; 35266976 Jountsl ' Q Journal Funds in the amount of $ Q Journal Holdings: Oty/Syrnhol/Securlty: Oly/Synibol/Socurity: Q Journal All Holdings To DBAB Account #: Account Name: Wire Q Wire federal funds in the amount of S 6.350,00 To Bank Name. Bank of America City/State; ABA e: 026009593 Further credit to Intermediary Finsnclel Institution [Optional) Account *. Name. Ultimate Benelnaiy Infocmatian; HaneiinnivNemn Cambridge Mercantile Coro Account (r AtMtoiSlnalniaioo!; Inv # 07-020-2014 Free DeCverias Q Please deliver the securities indicated below to: DTCCit; Name of Heceiving Firm: Account Name; Check Cl Issue a check in the amount of £ Recipient's Name: Recipient's Maiing AMress- ptnrableta: Account Number: at Receiving Firm Oty/SvmbodSecurity: OiyrSymbdUSeLutiiy, EFTA01405211 Standing Authorization Q The undeisigned hereby requests that this authortzalion act as a standing authorization The undersigned understands and agrees that this euthoriralion will remain in effect until Deutsche Bank Ale*. Brown requests a new authonzation. The undersigned euihoilres Deutsche Bertk Alex. Brown lo issue the wire, check or journal on the Q The undersigned further authorizes Deutsche Bank Alex. Brown lo accept verbal insirucllcns from the undersigned lo wire funds, issue checks or journal funds to/lrom the above listed accounts. The undersigned will provide verbal instrucsons as to tha dale and the amount of the wire, check or journal. II the undersigned decides to vary either the date or the amount of the wire, check or journal, the undersigned hereby authorizes Daulsche Bank Alex. Brown to accept the verbal mslruolions Irom 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 end accuracy of verbal instructions. day of for a term ol The undersigned hereby acknowledges that (i) the information contained in this fomi 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 this authorization. If the undeisigned elecis lo transmit any such insiiiictions 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 mslruolions), the undersigned understands and agrees thet tha undersigned bears the risk ol loss ensmg from such method ol transmission In the event ol uensmissfon aiiois, misunderstandings, impersonations, transmission by unauihonzed persons, forgery or intercepts. For trusts or other entities, the undersigned further acknowledges that the undersigned is auihpiized to issue the above asset movement insiiuciions under the terms ol tho governing documents and eny 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 e result ol Deutsche Bank /dex, Brown's receipt ol or compliance with this authonzation and/or any instiuotions that may be given to Deutsche Bank Alex, Brown pursuant lo this authorization (including eny standing aulhcrization). The undersigned understands that Deutsche Bank Alex. Brown may. but is not required to, seek verification ol the undersigned's instructions by call back and that EFTA01405212 Deutsche Bank Alex. Brown may m its sole discretion refuse to execute such instructions (including standing instructions) given pursuant to this auihorizaiion, without incuriing any llsbilitv, it Deutsche Bank Alax. Brown has reason to believe such instructions (or standing inslruclions) have not been provided by the undersigned. The undersigned (uither understands thet Deutsche Bank Alex. Brown retains tha right to refuse to execute eny instructions to transfer funds or securities to any sccounl(s) pursuant lo this authorization without written instiuctions baanitg onginal signaiurels) of the undersigned. Darren Indyke 7-15-2014 Print Name Date Stgnaturfl Print Name Signature Date LOA 10-PWM-01775 lli/101 EFTA01405213

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Phone5266976
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Wire RefWire federal

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