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Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby aulhofizes and direcls Deutsche Bank AJex. Brown
("Deutsche Bank Alen. Brown" or "DBAB") to follow the below asset movement
instructions.
II you wish to request multiple wires, checks, journals or free deliveries,
please use the long form.
DBAB Account Name Jeffrey E EpsteIn
Account §.
Journal
1_3 Journal Funtfs in the amount of S
LI Journal Holdings^
Qtv/Syinbol/Secutity;
❑tv/Symbol/Security;
Q Journal All Holdings
To DBAB Account #:
Account Name:
lAAra
Q Wire federal funds m the amoum of $ 7,000.00
To Bank Name: Wells Fargo Bank
City! State:
ABA#'
121042882
Further credit to Inlermediary Financisl InetKution (Optionel)
Account #:
Name:
Ultimate Beneficiary InformatiDn:
BmefiriavNamfl Bridge Unlon Inc.
xoun .
Additional Insiiucliqns:
Flue DeUveries
Q Please deliver the secunlies indicated below to.
DTCC#;
Name of Receiving Firm:
Check
K Issue a check in the amount of S
Recapienfs Name:
Reapienfs Uaing Address:
Account Name:
payaUetO:
Account Number'
at Receiving Firm
Qty/Svmbol/Security:
Qty/Svm bollSocur ity:
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Standing AuthotizBtk>n
Q The undetsigrred hereby requests that this authorization act as a standing
aulhorizalion. The undersigrted understands and agrees that this
authorization will
remain in eKeci until Deutsche Bank Alex. Brown requests a new authonzalion.
The undersigned authorizes 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 die undersigned to wire funds, issue checks or
journal
funds to/from the above listed aecounis. 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 emount of the wire, check
or journal, the undersigned hereby authorizes Deutsche Bank Atex. Brown to
accept the verbal instructions from the undersigned regarding the change or
changes. The undersigned further understands and agrees to oomply with tha
procBduras 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 (ij tha information contained in
this form is complete and accurala to the best knowledge of the undersigned;
and (ii) lha
undeisigned is responsible for the method of transmission of any
instructions issued pursuant to this authorization If the undersigned alects
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 of such
instructions), the undersigned
understands and agrees that the undersigned bears the risk of loss ansing
from such method of transmission in the event of transmission errors,
misunderstandings,
impersonations, transmission by unauthorized persons, forgery or intercepts,
Fqr trusts or other entities, the undersigned further ecknowledges that the
undersigned is
authorized to issue the above esset movement instructions 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 Deutsche Bank 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 venfication of the undersigned's instructions by call back
and that
Deutsche Bank Alex Brown may in its sole discretion refuse to execute such
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instructions (including standing instructions) given pursuant to this
authorization, without
incurring any liability, if Deutsche Bank /Max. Brown has reason to believe
such instructions (or standing insliuctions) have not been provided by the
undersigned. The
undersigned further understands that Deutsche Bank Alex. Brown retains the
right to refuse to execute any instructions to transfer funds or securities
to any aocountfsl
parsyant to this authorization without wntlen inermcTioi^^Eeiffft^original
signalurels) of the undersigned.
Darren K Indyke
10-9-2014
Punt Name
Signmuie
Dale
Signature
Print Name
Data
III I III II11 Mil III
LOA
10-PWM-01775 (12/10)
EFTA01405271