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Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby aulhonjes and dicecis Deutsche Bank Alex. Brown
('Deutsche Bank Alex. Brown' or 'DBAB'I to follow the below asset ntovement
mstructians.
If you wish to request multiple wires, checks, journals or free delivenes.
please use the long form.
DBAB Account Nama. Jeffrey E
Epstein
Account#
Journal
Journal Funds in the amount of £
Q Journal Holdings:
Qty/Symbol/Secunly:
QtyfSymboi/Secuniy.
Q Journal All Holdings
To DBAB Account #:
Account Maine:
Wire
Q Wire federal funds in the amount of I 10,000
To Bank Name Bank of America
City / State
ABA#.
Further credit to Intermediary Hnancial InatKullon (Optional)
Account #1
Name
Uhhtata Benelldar Inlumtaliun:
Benefoaiv Name:
Account#:
FteeDefveries
G Please deliver the secunties indicated below to:
Addkonal Instiucnons
DTCC#:
Name of Receiving Firm:
Account Name:
Checir
G Issue a check m the amount of $
Rer^nent's Name:
Reopienfs Mating Address
EFTA01403967
payable to;
Account Number:
at HecaivinQ Rrm
Oty/Symboi/Secuniy:
Qty/Symbol/Security:
Standing Aurtioizatian
G the undersigned hereby requests that this aulhoniation act as a standing
authoritation. The undersigned understands and agrees that this authonsatiqn
will
remain in effect until Deutsche Bank Alex. Brown requests e new
authorization The undersigned authorizes Deutsche Bank Alex. Biown to issue
the wire.
check or journal on the
G 'Bib undersigned further authorizes Deutsche Benk Alex. Brown to atxopt
verbal instructions from the undersigned to wire funds, issue checks or
journal
funds lolffom the above listed accounts 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, check
or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to
accept the verbal inslmctions from the undersigned regarding the change or
changes. The undersigned further understands and agrees lo comply with the
procedures of Deutsche Bank Alex Brawn to venfy the authorization and
accuracy of verbal instructions
day of
for a term of
The undetsigned hereby acknowledges that ft) the information contained in
this form Is complete and accurate lo the best knowledge of the undersigned;
and (li) the
undersigned is responsible for the method of transmission of any insuuclions
issued pursuant to this authonzetion. If the undersigned elects to transmit
any Such
instructions via fax (including desktop fax), via email or as an image
allachmeni to email (e g . as a PDF. TIP 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,
misunderstandings,
impersonations, transmission by unauthorized persons, forgery or intercepts.
For trusts or other Entities, the undersigned further acknowledges that the
undersigned is
authonzed lo 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 of any person as s result of Deutsche Bank Alex
Brown's receipt of
or compliance with this authofrzBiion and/or any instructions that may be
given lo Deutsche Bank Alex Brown pursuant to this authorization (including
EFTA01403968
any standing
aulhorrZBlion)
The undersigned understands that (Teulsche Bank Alex. Brown may, but is not
required to. seek vetilicaiion of the undersigned's instructions by call
back and that
Deutsche Bank Alex Brown may in its sole discretun refuse lo execute such
instructions (including standing instructions) given pursuant to this
aulhonzation, without
incurring any liability, if Deutsche Bank Alex Brown has reason to behave
such instructions (or standing instructions) have not been provided by the
undersigned. The
undersigned lunher untfersiagijs ihai 0#utsche,>Bank Afax, Biowvn retains
the nghi to refuse to execute any instructions lo transfer funds or
securities to any account(s)
i tfvinrucilons beanngg original signaiaiels) of the undersigned
Darren K Indyke
pursuant to Ibis auihonzaii
lUt
A A S.
05/11/2015
LA
S^gnatafe
Pont Name
Dale
Pnai Name
Dale
LOA
10-PWM-0177S 112/10)
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