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sd-10-EFTA01355800Dept. of JusticeOtherEFTA Document EFTA01355800
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Dept. of Justice
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sd-10-EFTA01355800
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Summary
The Undersigned understands and agrees that DBSI has the right to require additional verification and . documentation from the Undersigned or the Undersigned's Agent(s) in certain transactions that DBSI, in its sole discretion, deems necessary. In addition, DBSI has the right to request that either a new Authorization/ Power of Attorney be executed or that the Agent(s) verify in writing the validity of the current Authorization/ Power of Attorney. Agent Name: --t t A-re/V(4 h Address:
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Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
The Undersigned understands and agrees that DBSI has the right to require additional verification and
. documentation from the Undersigned or the Undersigned's Agent(s) in certain transactions that DBSI, in its
sole discretion, deems necessary. In addition, DBSI has the right to request that either a new Authorization/
Power of Attorney be executed or that the Agent(s) verify in writing the validity of the current Authorization/
Power of Attorney.
Agent Name:
--t t
A-re/V(4 h
Address: 4teo Pal Neck 01/4-ev40
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TIN of Agent:
Relationship
to Principal:
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Agent Name:
Address.
TIN of Agent:
Relationship
to Principal:
THIS DOCUMENT DOES NOT REVOKE ANY OTHER POWERS OF ATTORNEY THAT THE UNDERSIGNED
HAS PREVIOUSLY EXECUTED, UNLESS THE UNDERSIGNED HAS SPECIFIED OTHERWISE ON THE
LINES BELOW.
INDEMNIFICATION
The Undersigned acknowledges and agrees that the Undersigned is responsible for all acts of the Agent(s). The
Undersigned hereby agrees, individually and on behalf of his/her heirs, executors, legal representatives, and
assigns to indemnify and hold harmless DBSI and its parents, affiliates, subsidiaries, officers, employees, and
agents (collectively, "DB") from all claims that may arise in connection herewith, and to pay DB promptly, on
demand, any and all losses and liabilities arising therefrom or from any action taken or not taken by DB in reliance
hereon, including without limitaticin, any debit balance due with respect to the Account(s). The Undersigned
further hereby ratifies and confirms any and all transactions (including any payments or transfers) made by the
Undersigned's Agent(s) in connection with the Account(s) prior or subsequent to the execution of this document
and holds harmless DB regarding same.
This AuthorizationlPower of Attorney shall inure to the benefit of DB and its successors and assigns irrespective
of any change or changes at any time in the personnel thereof for any cause whatsoever.
The Undersigned understands and agrees that the DBSI may require joint account holder(s) to sign all requests
for withdrawals from an account jointly with the Agent(s).
3
11•PW1.4-0985101/121
CO9611.010512
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SONY-0041078
CONFIDENTIAL
SDNY_GM_00187262
EFTA01355800
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