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Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
Tha undarsignad haraby auLhorizes and direcis Doulsohq Bank Alex. Brown
("Deuische Bank Alax, Brown" or "DBAB"1 to follow the below asset movement
instructions.
If you wish to request multiple wues. checks, journals or free deliveries,
please use the long form,
DBAS Account Name Jeffrey E EpsteIn
Account #:
35266976
Journal
Q Journal Funds m the amount of $
Q Journal Holdings:
Oty/Symbol/Securhy:
01V/Symbol/Securily:
[_) Journal All Moldings
To D6AB Account #• .
Account Name:
Wire
Q Wrte federal funds in iho amount of $ 4,190.92
To Bank Name. JPMoraan Chase
Cily/ Slate:
ABA 0:
021000021
Further credit to Intermediary Financlel Institution (Optional}
Account #:
Name
Uhlmala Beneficiary Information:
Name 10f1 NICOla
A000uni#:
Additional Inslructions. July 11 2014 iflV & expenses
Free DelK/enes
Q Please deliver the seounlies intfioated below to:
DTCCif;
Name of Receiving Firm:
Account Name
Clieck
Q Issue a check in the amount of J
Reapient's Name;
Reopient's Maiing Address;
payable to:
at Receiving Firm
Accouni Number:
EFTA01405214
OtY/SymbOlfSocurity:
Oty/SymboIfSecurity:
Standing Authorization
l—] Tha undersigned hereby requests that Ihrs authorization act as a
standing authorization. The undersigned understands and agrees that this
authorization will
remain m dfecl until Deuische Bank Alex. Brown requests a new authorization.
The undersigned euthoiizes Deutsche Bank Alex. Brown to issue the wire,
check or journal on the
o fVie undersigned further authorizes Deutsche Bank Alex. Brown to accept
verbal instructions from the undersigned to wire funds, issue checks or
journal
funds loffrom the above listed accxtunts. The undersigned will provide
verbal instructions as to tha dale 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 aulhorizss Deutsche Bank Alex. Brown to
accept the verbal instruclions from the undersigned regarding the change or
changes. The undersigned further understands end agrees to comply with the
procedures of Deuische Bank Alex. Brown to verify the authorization and
accuracy of verbal instructions.
day of
for a term of
The undersigned heteby acknowledges that (i) the infotmalion contained in
this form is complete and accurate to tha bast knowledge of the undersigned;
and (iil the
undersigned is responsible for the method of transmission of any
instruclions issued pursuant to this authonration. If tha undersigned elects
to transmit any such
lostiuctions via fax (including daskiop fax), via email ores an image
attachment to email (e.g., as a PDF, TIF or othar image of such
instrutttions), the undersigned
understands and agrees that the undersigned bears the nsk of loss arising
from such method of transmission in lha event of transmission errors,
misunderstandings,
imparsonalions. transmission by unauthorized persons, forgery or intercepts.
For trusts or othar entities, tha undersigned further ecknowledges that the
undersigned is
authorized lo issue the above asset movement insiiucuons under the terms of
the governing documents and any applicable laws. Tha undersigned hereby
releases and
holds harmless Deutsche Bank Alex. Brown from and against loss from any
action, claim or demand of any person as a result of Deuische Bank Alax.
Brown's receipt of
or compliance with litis auihorization and/or any insiiuciions that may be
given to Deutsche Bank Alex. Brown pursuant to this authorization (including
any standing
aulhorizaltonj.
The undersigned understands that Deutsche Bank Alex. Brown may. bul is not
required lo, seek veiilication of the undersigned's instructions by cell
EFTA01405215
back and that
Deuische Bank Alex. Brown may in Its sole discretion refuse to exocula such
Instructions (including standing instructions) given pursuant to this
authorization, without
incurring any fiabilily, i( Deutscha Bank Alex. Brown has reason to believe
such instructions (or standing instruclions) have not been provided by the
undersigned. The
undeisigned (uriher understands that Deutsche Bank Alex. Brown retains lha
right to refuse to execute any instructions to transfer funds or securities
to any accounKs)
pursuant to this auihorization without wrillen^strufliions bearing original
signalurals) of the undersigned.
Darren Indyke
7-15-2014
SignaWB
Print Name
Dale
Punt Name
Data
Signature
LOA
I
lO-PWM-01773(12/10)
EFTA01405216