EFTA01401733.pdf

DataSet-10 3 pages 663 words document
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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
ℹ️ Document Details
SHA-256
0502de5304b4456f6dcb826cb6739b26fb82ba8d66e52b3f4a1ab07ae2e13a00
Bates Number
EFTA01401733
Dataset
DataSet-10
Type
document
Pages
3

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