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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 "DBAB") to follow the below asset movement
instructions.
If you wish to request multiple wires, checks, journals or free deliveries,
please use the long form.
DBAB Account Name: Jeffrey E
EpsteIn
Account #;
Journal
LI Journal Funds in the amount of $
D Journal Moldings
Qtv/Symbol/$ocurity:
Qtv/Svmbol/Security;
D Journal All Holdings
To DBAB Account #:
Account Name:
Wire
IZ) Vkire federal funds in the amount of $ 10.000.00
To Bank Name- Citibank
City! State
ABA#:
ur er credit to Intennediary Financial Institution (Optional]
Account #:
Name:
Ultimata Benefib
RenetiriafvNflma
Account#:
Free DelKmies
LI Please deliver the securities indicated below to:
Addmooal Insiiuctiors:
DTCC#:
Name of Receiving Firm:
Check
Q Issue a check in the amount of I
Reopienfs Name
Redpenrs Mailing Address:
Account Name:
payable to:
Account Number.
at Receiving Firm
Oty/Svmbol/Security:
EFTA01401733
Oty/Symbol/SecLirity:
Standing Authorization
Q The undersigned hereby requests that this authorization act as a stanomg
authorization. TTia undersigned understands and agrees that this
authorization will
remain in effect until Deutsche Benk Alex. Brown requests a new
authorization. The undersigned euihoiizes 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/(rom (he above listed accounts. The undersigned will provide verbal
instructions as to the dale and the amount of the wire, check or journal. If
the
undersigned decides Id 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 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 (i) the information contained in
this form is oompiaie and accurate to the best knowledge of the undersigned;
and Iii) the
undersigned is responsible for the method of transmission of any
instructions issued pursuant to this authorization. If the undersigned
elects to liansmit 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 beers the risk of loss arising
from such methcd of transmission in the event of transmission errors,
misunderstendlngs,
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
aclion, claim or demand of any person as a resutt of Deutsche Bank Alex.
Brown's receipt of
or compliance with this authonzation 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 verilicalion of the undersigned's instructions by call
EFTA01401734
back and that
Deutsche Bank Alex. Brown may in its sola discretion refuse to execute such
instructions (including standing instructions) given pursuant lo this
authorization, without
incurnng any liability, if Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing Instructions) have not been provided by the
undersigned The
undersigned further understands that "utsche BwkAex Brown retains the right
to refuse to execute any instructions to transfer Funds or securities lo any
account(s)
pursuaiu to this authorization withouuMtten ins/uix"rs beanng original
signature(s) of the undersigned.
Signature ' ^ ^ ^ (3
Darren Indyke
9-4-2014
Print Name
Date
Print Name
Signature
Date
LOA
10-PWM-01775 112/10)
EFTA01401735