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efta-efta01403151DOJ Data Set 10Correspondence

EFTA Document EFTA01403151

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DOJ Data Set 10
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efta-efta01403151
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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 auihorizes and directs Deutsche Bank Alex. Brown ("Deutsche Bank Alex. Brown* or "DBAB") to toltow the bekjw asset movement instructions. 11 you wish to requesi multiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name: Jeffrey E EPSteill Account #: Journal Q Journal Funds in the amount of £ Q Journal Holdings: Qty/Symbol/Security: Qty/Symbol/Secunty: K Journal All Holdings To DBAB Account: Account Name; Wire Q Wire laderal lunds m the amount cl £ 483.89 To Bank Name: Bank of America City / State. ABA #: Further credit to Intermediary Financiel Institution (Optional^ Account #: Name: mtrnata Beneficiary Intomation: BeneUdaiy Name Yulla StBPanova Cuomo Account#; FieeD^iveriea Q Please deliver the securities indicated below to; Additional Instructions: Dice#, Name of Hecehring Firm: ❑tack Q Issue a check in the amount of £ Reapient'sName: Recipient's Maihig AiHiess: Account Name: payable to at Receiving Firm Account Number: EFTA01403151 Qty/Symbol/Secunty. Qty/Sym bol/Security: Slandaig Aulhotfzatkin Q The undersigned hereby requests that this aulhorization act as a standing authorization. The undersigned understands and agrees that this authorization will remain in effect unlit 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 of the wire, check or journal, if the undersigned decides to vary either the date or the armunl of the wire, check or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to accept the verbal instructions from the undeisigned regarding the change or changes. The undersigned further understands and agrees to comply with the proc^ures of Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal instructions. day of for a term ol The undersigned hereby acknowledges ihal (i) the information contained in this form is complete and accurate to the best knowledge of the undersigned; and (il) the undersigned is responsible for the method of transmission ol any instructions issued pursuant to this authonzation. If 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. impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other entities, the undersigned lurther acknowledges that the undersigned is authorized 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. 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 mslructions 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 EFTA01403152 required to, seek verificailon 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 incuning any liability, if Deutsche Bank Afex. Brown has reason to believe such instructions (or standing insifuctionsi have not been provided by the undersigned. The undersigned lurther understands that Deut^h^ank Alex. Brown retains the nghl to refuse to execute any instructions to transfer funds or secunties to any account(s) pursuant to this authorizalion/Withput wfttt^pdiiritructions bearing original signature(s) of the undersigned. A. Darren K Indyke 11-16-15 JA k Print Name Dale Signature Pnnt Name Date Signature 111111111111111111 LOA 10-PWM-0177S (12/10) EFTA01403153

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