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efta-01403174DOJ Data Set 10Other

EFTA01403174

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DOJ Data Set 10
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efta-01403174
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3
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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 aulhorues and directs Deutsche Bank Alex, Brown ("Deutsche Bank Alex. Brown" or "DBAB'T to follow the below asset movernent instructions. If you wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAS Account Name: A000um # wire Journal Q Journal Funds in the amount of S G Journal Holdings: Qly/Symbol/Secunty Qly/SymCiol/Securitv Q Journal All Holdings To DBAB Account # Account Name: [Z1 Wire federal funds in the amount of $ 41.617.00 To Bank Name: Sovereign Bank City/State- ABAS. Further credit to Intermediary Financial Institution (Optional) Account #: Name Ultimate BonoficiatY Informatkio: RmefjrwName Martin G. Weinberg. PC Acoounl#: AdditionallnsliuctionE Scp 2015 61604935890 Free DeEveins Q Please deliver the securities indicated below to, DTCC#- Name of Becerving Firm: Account Name; Check G Issue a check m the amount of $ Recipient's Name. Recipient's Maing fiMsss: parydUeto: Account Number, at Receiving Firm Oly/Symbol/Secunty- Qty/Symbol/Secunty- EFTA01403174 Standing Authorization G The undersigned hereby requests that this authorization act as a standing authorization. The understgned understands and agrees that this authorization will remarn in ellecl until Deutsche Bank Alex. Brown requests a new suthouzation. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire, check or journal on the day of . for a term of. G The undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal instructions from the undersigned to wire lunds, issue checks or journal funds to/fiom the above listed accounts. The undersigned will provide verbal instructions as to the date and the amount of the wire, check or journel. 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 iha procedures of Deutsche Bank Alex. Brown to venfy the authorization and accuracy of verbal instructions. The undersigned hereby acknowledges that 10 the information contained in this form is complete and accurate to the best knowledge of the undersigned; and (it) the undersigned is responsible for the method ol transmission of any instructions issued pursuant to this authorization. If the undersigned elects to transmit any such instruciions via fax (includirig desktop (ax), via email or as an image attachment to emarl (e.g., as a PDF, TIF or other image of such instructions), the undersigned understands and agrees that the undersigned bears the nsk of loss arising from such method of transmission m the event of transmission errors, misunderstandings, impersonations, transmission by unauthonzed 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 anv action, claim or demand of any person as a result of Deutsche Sank 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 understands that Deutsche Bank Alex Brown may, but is not required to. seek verification ol the undersigned's instructions by call back and that Deutsche Bank Alex. Brown may In its sole discretion refuse to execute such insinrciions (including standing mstruciionsl given pursuant to this authorization, without EFTA01403175 incurring any liability, it Deutsche Bank"ex. Brown has reason to believe such inslructions (or standing instructions) have not been provided by the undersigned The undersigned further understands - poxeuani to this authonzalion wit 1" Brown retains the right to refuse to execute any instructions to transfer funds or securities to any accountls) written iBgfruciii/y bearing original signaiure(s1 of the undersigned. utsche Darren Indyke 11-9-2015 Signature Print Name Date Signature Print Name Date LOA 10-PWM-01775 (12/10) EFTA01403176

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Wire Refwire Journal

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