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efta-efta01410876DOJ Data Set 10Correspondence

EFTA Document EFTA01410876

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DOJ Data Set 10
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efta-efta01410876
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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 authoriies and directs Deutsche Bank Alex. Brown ('Deutsche Bank Alex. Brown' or 'DBAB') to folkjw the bdow asset movement instructions. it you wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name: Jeffrey E EPSteln Acooum#: Journal CJ Journal Funds in the amount of S Q Journal Holdings: Qty/Symbol/Security: (Tty/Symbol/Security; K Journal All Holdings To DBAB Account #: Wire IZi VWre federal funds in the amount of $ 757.47 To Bank Name: Bank of America City / State: ABA#. 026009593 Further credit to Intermediary Hnanciel Institution (Optional) Account #: Name: Uhsnate Beneficiary bifoniialHsi: Beneiidaiy NamB: Account Name: Account#; FreeDefimiea Q Please deliver the securities Kidicaied below to: Addannal Instmaions: DTCC#; IVame of Receiving Finn: Account Name: Check (_1 Issue a check in the amount of S Redpiant's Name: Hodpient's Mailng Address: payable to; T Account Number at Receiving Rmn EFTA01410876 Oty/Symbol/Securily: Qty/Symbol/Securily: Stantino Authornetkin 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 [Jeulsche Bank Alex. Brown requests a new authorizaiion. The undersigned aulhonzos Deutsche Bank Alex. Btown to issue the wire, check or ioumal on the . _ Q The undersigned further authorizes Deutsche Bank Alex. Btown to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds to/from the above listed ecoounts. 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, cheek 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 instructions. day of for a term of The undersigned hereby acknowledges that Ii) the information contained in this form is complete and accurate to the best knowledge ol the undersigned; and lit) the undersigned Is responsible for the method of transmission of 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, misundersiandings, 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 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 ol any person as a result of Deutsche Bank Alex. Brown's receipt of or compliance with this authorization andtor any instructions that may be given to Deutsche Bank Aiex. Btown pursuant to this authorization (including any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may, but is not required to. seek verincalion of the undersigned's instructions by call back EFTA01410877 and that Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such insbuotions (including standing instructions) given pursuant to this authorization, without incumng any liability, if Deutsche Bank Alex. Brown has reason to believe such inslructions (or standing irstructionsl have not been provided by the undersigned. The ' . Brown retains the tight to refuse to execute any instructions to transfer funds or securities to any account(s) bearing original signalure(s) of the undersigned. V Darren K Indyke undersigned further understarrds 1 It wrJllen ;iyctior purs is- Signature Print Name Date Pnnt Name Signature Dale LOA 10-PWM-01775 (12/10) EFTA01410878

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