EFTA01410425.pdf

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 muhiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name: Jeffrey E Epstein Account #: Journal Q Journal Funds in the amount of $ Q Journal Holdings: Qty/Symbol/Saourity: Qty/Symbol/Security: Q Journal All Holdings To DBAB Account #: Account Name: Wire Q Wire federal funds in the amount of $ 4000 To Bank Name; Bank Of AlTieiica City / State: ABA#: 021000322 Further credit to IntermadiarY Financial Institution (Optional) Account #: Name: Ukanate Benriiciary Infoimalicn: • • Alina PoFOnina Aocourtt# FieeDelMties ❑ Please deliver the securities indicated below to: Additional Instnxriions: DTCC#: Name of Receiving Firm: Check Q Issue a check in the amount of $ Redpienfs Name: Redpierfs Mating Mdresa: Account Name: payable to: Account Number: at Receiving Rrm Qty/Symbol/Seourity: EFTA01410425 Qty/Symbol/Seourity: StatKling Authorization ❑ The undersigned hereby requests that this authorization act as a standing authorization. The undersigned understands and agrees that this authorization will remain in effect until Deutsche Bank Alex. Brown requests a new authorization. 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 instmctions from the undersigned to wire funds, issue checks or journal funds to/from the above listed accounts. The undersigned will provide verbal instmctions 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 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 instmctions. day of for a term of The undersigned hereby acknowledges that (i) the information contained in this form is complete and accurate to the best knowledge of the undersigned; and (ii) the undersigned is responsible for the method of transmission of any instmctions issued pursuant to this authorization. If the undersigned elects to transmit any such instmctions 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 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 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 end 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 instmctions 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 of the undersigned's instmctions by call back and that EFTA01410426 Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such instmctions (including standing instmctions) given pursuant to this authorization, without incurring any liability, if Ertsche Bank Alex. Br^n has reason to believe such instmctions (or standing instmctions) have not been provided by the undersigned. The undersigned further understands that Deutsc^Bank Alex. Brown retains Jiie.right to refuse to execute any instructions to transfer funds or securities to any account(s) pursuant to this authori^dn without writtenstnjclisnSbeariog-original signature(s) of the undersigned. , Harry Seller 2<28-^14 Print Nathe Date Signature I Print Name Signature 10-PWM-0177S (12/10) EFTA01410427