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efta-01405315DOJ Data Set 10Other

EFTA01405315

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DOJ Data Set 10
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efta-01405315
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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 Ths undersigned hereby auihorizes and o'lrecls Deutsche Bank Alex. Brown ('Deutsche Bank Alex. Brown* or 'DBAB') to follow the below asset movement instructions. II you wish to request multiple wires, checks, journals or free deliveries, please use the long lornt. DBAB Account Name; JaffraV E EPSteln Account #; 35266976 Journal Q Journal Funds in the amount of $ Q Journal Holdings: Oty/Symbol/Seourity: Qty/Symbol/Securfty: Q Journal All Holdings To DBAB Account #; Account Name: (Mrs Q Wire federal funds in lha amount of S 3,000 Tb Bank Name: Bsnk of AthOIICS City/State: ABA »: 026009S93 Further credit to Intermediary Rnancial InstHulion (Optianall Account f: htame: UlliTtatB Benafitaat liifutnaliun: BrxwtoarvNiime: Account#; Addtkxtal Instntclions; FraeDelKiaies Q Please deitver the securities indirtated below to: DTCC#: Name of Receiving Firm: Account Name: Oieck Q Issue a chock in the amount of S Reopieot's Name: r.op>j --S Maiing Address: payobtoic; Account Number: at Receiving Firm oly/Symbolr'Security. Oty/Symboi/SBCUitiy: EFTA01405315 Stanrfing Authorizatluri Q The undersigned hereby requests that this authorization act as a standing authorization. The undersigned understands and agrees that this authorization will remain in erieci until Deuts^e Bank Alex. Brown requests e newauthizrizmiun.'The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire, check or Journal on the day of(or a term of. 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 dale and the amount of the wire, check or Journal. If the undaisigned decides to vary either the date or the amount of the wire, check or journal, the undaisigned 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 instnictions. The undersigned hereby acknowledges that (il the information contained in this form is complete and accurate to the best knowledge of the undersigned; and (iij the undersigned Is responsible for the method of transmission of any instructions issued pursuant to this authorization. If the undersigned elects to transmit any such instructions via fax (including desktop fax), via email eras an image attachment to email (eg., as e PDF, TIF or other image of such insiiuctionsj, 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 authoiized to issue the above asset movement Instructions under the terms of the governing documents and any applicable laws. The undersigned hereby releases and holds harmless Deutsche Bank Alex. Blown from end 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 instructions 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 instructions by call back and that Deutsche Benk Alex. Brown may in Ks sole discretion refuse to execute such instructions (Including standing insiiuctionsj given pursuant to this aulhonzalion, without EFTA01405316 incurring any liability, if Deutsche Bank Alex. Brown has reason to believe such instructions (or standing instructions) have not bon provided by the undersigned. The undersigned further understands that Deutsche Bank retains the right to refuse to execute any instructions to transfer funds or securities to eny accounl(s) pt^ani to this authorization without wril/eh Insimctt^-^ring onginal signaturefs) of the undersigned. PaiTon K Indyke 10-07-2014 Print Name Sigribtgre Date Pnnt Name Signature Date III mill 11 III III LOA 10-PWM-01775 (12/10) EFTA01405317

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