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efta-efta01404625DOJ Data Set 10Correspondence

EFTA Document EFTA01404625

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DOJ Data Set 10
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efta-efta01404625
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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 authorizes and directs Deutsche Bank Alex. Brown ('Deutsche Bank Alex. Brown" or "DBAB") to follow the below asset movemant instructions. If you wish to request multiple wires, cheeks, journals or free deliveries, please use the long form. DBAB Account Name- Account #; Journal l_I Journal Funds in the amount of $ Q Journal Holdings: Qty/Symbol/Security: Oty/Symboi/Securlty: Q Journal All Holdings To DBAB Account #: Account Name: Wire Q Wire federal funds in the amount of $ 10,000 To Bank Name: Bank of America Ci te: ABA #: Further credit to Intermediary Financial Institution (Optional) Account #: Name: UhsnatB Beneficiary Mcmialion; Beneficiary Narre Account#: Free Deirvarias LI Please deliver the securities Indicated below to: Additional Instructions: DTCC# Name of Receiving Firm: Check 0 Issue a check in the amount of $ Recipient's Name; Reapient's Mailing /Aress: Account Name: pavQbtelo: Account Number: at Receiving Firm Oty/Symboi/Security: Qty/Symbol/Secufity: EFTA01404625 Standfaig Auttioriialion Q The undersigned hereby requests that this authorization act as a standing eulhorization. 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 /\iex. 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 date and the amount of the wire, check 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 o( Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal instructions day of for a term of The unCersigned heieby acknowledges that (i) the information contained in this form Is complete and accurate to the best knowledge of the undersigned; and (li) 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 or as an image attachment to email le.g„ as a PDF, TIF or other image of such instructions), the undersigned understands and agrees that the undersigned beers the risk of loss arising from such method of transmission in the event of transmission errors, misunderstandings. impersonations, transmission by unauthorized j3ersons, 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 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 instructions that may be given to Deutsche Bank Alex. Brown pursuant to this authorization (including any standing authorization). The undersigned undeistands that Oeutschs Bank Alex. Biown may, but is not required to, eeek venTiatiDn of ttw undersigned's inslniciianE by call back and that Deutsche Bank Alex. Bniwn mayin Its sole discreikm refuse to execute sich EFTA01404626 instructions (including slending ktsUuaionBl given punuam to Ih'n aulhoiization, without incuirtng any tebililY, if Deutsche Benk Alex, Brown has reason to believe such insiruclions (or standing msirucuons) have not b<<n piovided by the undersigned. The undersigned further understands that Deutsche Benk nuns the tight to refuse to execute any insinictions to transfer funds or securities to any e000unKs] otj"uam to this authoriiation with^ wri^ hstnrcliepS^nng anginal signature(s) of the undersigned. K Indykd 12-17-14 Print Name SiO Date Print Name Signature Date III I III III I nil III LOA 10-PWM-0177S (12/10) EFTA01404627

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