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efta-efta01400235DOJ Data Set 10CorrespondenceEFTA Document EFTA01400235
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DOJ Data Set 10
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Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authorizes and
('Deutsche Bank Alex Brown" or "DBAB"
instructions.
If you wish to request multiple wires
please use the lo.ng form.
DBAB Account Name: Jeffrey E Epstein
Account #:
directs Deutsche Bank Alen. Brown
) to follow the below asset movement
, checks, journals or free deliveries,
Journal
Q Journal Funds in the amount of $
Q Journal Holdings:
OtY/Symbol/Security:
Qly/Symbol/Security:
Q Journal All Holdings
To DBAB Account #:
Account Name:
Wire
IZ) Wire federal funds in the amount of I 1610.82
To Bank Name: TD Batik
City/State:
ABA ff:
031101266
Further credit to Intermediary financial Institution (Optional)
Account #m
Name:
LDtimste Benafidary InformatiGn:
Benefidary Name:
Account ff-
Flee Defiveries
Q Please deliver the secuimes indicated below to:
Additional Instructions:
DTCC/f:
Name of Receiving Firm:
Check
Q Issue a check in the amount of £
Recipient's Name:
Recipott's Mating Address;
Account Name:
payable lo.
Accouni Number;
at Receiving Firm
Oty/Symbol/Secunly:
EFTA01400235
Qty/Symboi/Securily:
Standino Airtharizatnn
Q The undersigned hereby requests that this authonzation act as a standing
authorization. The undersigned understands and agrees that this
authorization will
remain in effect until Deutsche Bank Alex. Brown requesis a new
authorization. The undersigned authorizes Deutsche Bank Alex. Brown lo issue
the wire.
check or journal on the
Q The undersigned further authonzes Deuische Bank Alex, Brown to accept
verbal instructions irom the undersigned to wire funds, issue checks or
journal
funds to/from the above listed accounts. The undersigned will provtdo verbal
instructions as lo the date and the amount of the wire, check or journal If
the
undeisigned decides to vary either the dale or the amount of the wire, check
or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown lo
accept the verbal instructions from the undersigned regarding the change or
changes, The undersigned further understands and agrees lo comply with the
procedures of Deutsche Bank Alex. Brown lo venfy the authorization and
accuracy of verbal instructions.
day of
for a term of
The undersigned hereby acknowledges that (i) the miormation contained in
this form is complete and accurate to the best knowledge of the undersigned;
and (It) the
undersigned is responsible for the method of transmission of any
instructions issued pursuant to this authorization. II 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 transmission in the event of transmission errors,
misunderstandings,
inipersonations. transmission by unauthorized persons, forgery or
intercepts. For trusts or other entities, the undersigned further
acknowledges that the undersigned is
authorized lo 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. Brown from and agamsi loss from any
action, claim or demand of any person as a result of Deutsche Bank Alex.
Brown's receipt of
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authorization)
The undersigned understands that Deutsche Bank Alex Brown may, but is not
EFTA01400236
required to, seek verificalion of the undersigned's instructions by call
back and that
Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such
instructions (including standing instructions) given pursuant to this
authorization, without
incumng any liability, if Deutsche Bank Alex. Biown has reason to believe
such instructions (or standing instructions) have not been provided by the
undersigned. The
undersigned further understands that Deujsche Bank Alex.
n inslrucli
retains the right to refuse to execute any instructions lo transfer funds or
securities to any accoum(s)
b»^g original signature(s) of the undersigned.
pursuant to this authorization wjlfjout wdfTki
V... Ji G .{I
/ Darren K Indyke
7-21-2014
'h -'f ^ f -
"'signature
•Print Name
u
Date
Print Name
Signature
Date
LOA
10-PWM-0177S (12/10)
EFTA01400237
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