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efta-efta01403601DOJ Data Set 10CorrespondenceEFTA Document EFTA01403601
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DOJ Data Set 10
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EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
m
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
I
The undersigned hereby authorizes and directs Deutsche Bank Alex. Brown
("Deutsche Bank Alex. Brown" or "DBAB") to follow the below asset movement
Instructions.
If you wish to request multiple wirea, checks, Joumsis or free deliveries,
please use the long form.
DBAB Account Nome; Jeffrey E Epsteitl
Account #: •jUggftQTB
Journal
0 Journal Funds In the amount of S
Q Journal Holdings:
Qty/Symbol/Security:
Qty/Symbol/Security:
Q Journal All Holdings
To DBAB Account #:
Account Name;
Wire
Q Wire federal funds in the amount of $ 1.200
To Bank Name; TD Bank
City/State:
ABA#;
031101266
ry Flnenciel Institution (Optional)
Further credit to ii
Account #:
Nems:
UUmola Beneficsiy Infetmalicn:
Beneficiaty Name;
Account#:
Addlianai Instmclions:
4277375866
RoaDdveiiae
K Piaasedeilver the securities indicated below to;
DTCC#:
Nome of Receiving Firm;
Account Nome;
Ctwck
K Issue a check In the amount of $
Recipient's Name;
Redpient'e Maiing Addkess;
payebleto;
Account Number:
EFTA01403601
at Receiving Rrm
Qty/Symbol/Security;
Qty/Symbol/Seourity:
SbtKfng AulharizBiicn
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
euthorizotion. The undersigned authorizes Deutsche Bonk 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 underaigned will provide verbal
instructions as to the data and the amount of the wire, oheck or journal. If
the
undersigned decides to vary either the date or the amount of the wire, check
or journal, the undersigned 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 instmotions.
day of
for a term of
The undersigned hereby acknowledges that (i) the information conteined in
this form Is oomplets and accurate to the best knowledge of the undersigned;
and (II) the
undersigned is responsible forthe method of transmission of any instmctions
issued pursuant to this authorization, if the undersigned etoets to iranamh
any such
Instnrctions vie fax (including desktop fax), vis email or as an image
attachment to email (a.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 eucli melhr^ of transmission In the event of trartsmieslon errors,
misunderstandings,
impersonations, transmission by unauthorized persons, forgery or intercepts.
For trusts or other entities, the undersigned further acknowledges that the
undersigned is
authorized to issue the above asset movement Instructions under the tenns 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 instructions that may be
given to Deuteeha Bank Alex. Brown pursuant to this authorization (including
any atanding
authorization).
EFTA01403602
The undersigned understands that Deutsche Bank Alex. Brown may. but is not
required to, seek verification of the undersigned's instructions by
Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such
instructions (including standing instructions) given pursuant to this
Incum'ng any liabilily./f
undersigned further Xiry
pursuant to this aut/w
call back and that
authorization, without
eutsche Bank Alex. Brown has reason to believe such Instructions (or
standing instmctions) have not been provided by the undersigned. The
rstands that Deu^che Bank /klex. Brown retains the right to refuse to
execute any instructions to transfer funds or securities to any account(s)
tion without WB
^en^ptr^ons^bearing original eigneture(s) of the undersigned
10-23,2013 r
•V -
Blgnelure
Signature
Print Name
Sl^n^WEV^RI^D
BY,
10-PWM4)1775 (12/10)
DATE
EFTA01403603
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