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efta-efta01402722DOJ Data Set 10Correspondence

EFTA Document EFTA01402722

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DOJ Data Set 10
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efta-efta01402722
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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 undeisgned hereby authorizes and directs Deutsche Bank Alex, Brown ("Deutscha Bank Atex- Brown' or "DBAB") to lollow the below asset movemenl msiructions II you wish to request multiple wires, checks, journals or Iree delweries. please use the long lorm. DBAB Account Name; Jaffroy E gpstftln Account Journal Q Journel Funds in the amount of $ K Journal Holdings: Qty/Symbol/Secunty Oty/Symbol/Securily: Q Journal All Holdings To DBAB Account #: Wire [Z1 Wire federal lunds in the amount of S 210 To Bank Name: JP Morgan City / State: ABA« Further ciedh to Inteimadlary Hnancial Inelllution (Optional) Account #: Name. 2 UHknatB Benefciaiv Infamation: Beneiiciaiv Name: Account Name: Account#: Q Please deliver the secunties indicated below to: Adckonal InstnCDOns: DTCC#: Name of Receivino Finn: OiaJc Q Issue a check m the amount of Reapient's Name: Radfient's Mailng Addrats: Account Name; payable to: Account Number: at Receiving Firm EFTA01402722 Oty/SymboiySecunly; Qty/Symboi/Sacurily: Startling Authorizalia) 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 the . ^ 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 ol the wire, check or lournal. If the undersigned decides to vary either the dale or the amount ol the wire, check or (ournal, the undersigned hereby authonzes 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 ol verbal instnjctions. day of for a term of The undersigned hereby acknowledges that (i) the infomiation contained in this form is complete end accurate to the best knowledge of the undersigned; and fii) the undersigned is responsible for the method of transmission ol any instructions issued pursuant to this authorization. If the undersigned elects to transmit any such insiiuctions via fax (including desktop fax), via email or as an image attachment to email (e.g. as a PDF, TIF or other image o( such inslroclions), the undersigned understands and agrees that the undersigned bears the risk of loss arising Irom such method of transmisson in the event ol transmission errors, misunderstandings. impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other emilies, the undersigned further acknowfedges that the undersigned is authorized to issue the above asset movement instructions under the terms of the governing documents and any applicable lows. 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 authonzalion and/or any msiructions that may be given to Deutsche Bank Alex Brown pursuant to this authonzalion (including any standing authonzation). The undersigned understands that Deutsche Bank Alex, Brown may, but is not required to, seek venficaiion of the undersigned's instructions by call back EFTA01402723 and that Deutsche Bank Alex Brown may in its sole discretion refuse to execute such instructions (including standing instructions) given pursuant to this authonzalion, without incurring any liability, if Deutsche Bank Alex. Brown has reason to believe such instructions for standing instrucUons) have not been provided by the undersigned. The undersigned further understands that Deutsche Bank Alex. Brown retains the nghl to refuse to execute any instructions to transfer funds or secunUes to any accounifs) pursuant to this authorization without wntten instructions bearing original signalure(s) of the undersigned. Darren K Indyke 11-03-15 A V e £lp<*i.>i» Print Name Date 50iiMin Print Name Date III I III mil I III III LOA tO-PWM-0177S 112/10) EFTA01402724

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