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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 "OBAB") to follow the below asset movement
instructions.
If you wish to request multiple wires, checks, journals or free deliveries,
please use the long farm.
DBAS Account Name: Jflffray E Epstalll
Account #: 35266978
Journal
Q Journal Funds in the amount of S
Q Journal Holdings:
Qty/Symbol/Secunty:
Qtv/Symbol/Securiiy:
Q Journal All Holdings
To DBAB Account
Wire
Q wire federal funds in the amount of I 10i000
To Bank Name: TD Bank
City! State:
ABA«'
031101266
Further credit to Intermediary Hnenclel Institution (Optional]
Account #:
Name:
UltknatB BeneliciBr hfomalnn•
Benefioary Name:
4277375866
Account Name:
Account#.
FreeDeBverias
Q Please deitver the secunlies indicoled below to;
AdcMional Instmctons:
DTCC#:
Name of Hocehring Firm:
Oiecic
Q Issue a check in the amount of S
Radpem's Name:
Bedfienl's Maiing Adcfiess:
Account Name:
peyablelo:
at Receiving Firm
Account Number.
Qty/Symbol/Security.
Oty/Symbol/Secunty:
EFTA01402587
Standing Authorizstxin
Q The undersigned hereby requests that this euthorizalicn act as a standing
authorization. The undeisigneC understands and agrees that this authouzation
will
remain in effect until Deutsche Bank Alex. Brown requests a new
euihorization. The undersigned authonzes 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 lo/from the above listed accounts The undersigned will provide verbal
instmctions as to the dele and the amount of the wire, check or lournal. If
the
undersigned decides to vary either the dale or the amount ol the wire, check
or journal, the undersigned hereby authonzes Deutsche Bank Alex. Brown to
accept the verbal instructions from the undersigned regarding the change or
changes. The undersigned further understands end agrees to comply with the
procedures of Deutsche Bank Alex- Brown to verify the authorization and
accuracy of verbal instructions.
for a term of
day of
The undersigned hereby acknowledges that (i) the information tmitained in
this form is complele and accurate to the best knowledge ol the undersigned;
and (li) the
undersigned is responsibie 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 (e g , as a PDF, TTF or other image ol such
insiruclionsl, the undersigned
understands and agrees that the undersigned bears the nsfc of loss ansing
from such method of transmission in the event of transmission errors,
misunderstandings,
impersonations, transmission by unauthonied persons, forgery or intarcepls.
For trusts or other entities, the undersigned lunher 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 againsi loss from any
action, claim or demand of any person as a result ol Deutsche Bank Alex.
Brown's receipt ol
or compliance with this authonzalion and/or any instructions that may be
given to Deutsche Bank Alex. Blown pursuant to this authorization [including
any standing
authorization).
The undersigned understands that Deutsche Bank Alex Brown may, but is not
required to, seek verjxation of the undersigned's instructions by call back
and that
EFTA01402588
Deutsche Bank Alex. Brown may in its sole discrelkm refuse to
instructions (including standing instructions) given pursuant
authorization, without
incurring any liability, it Deutsche Bank Alex. Brown
such instructions (or standing instructions) have not
undersigned. The
undersigned further underslands that Deutsche
right to refuse to execute any insirucHons to
to any aceoumjs)
pursuant to this auLhonzation without written
signaluie(s) of the undersigned.
114)3-2015
fnntwwnt
Dale
flgivtwa
Pnnl Name
Date
LOA
10-PWM-01 775 (13/10)
execute such
to this
has reason to believe
been provxled by the
Bank Alex, Brown retains the
iransler lunds or securities
insLiuclions bearing original
EFTA01402589