EFTA01435224.pdf

Deutsche Asset • Wealth Management Written Statement of Unauthorized Debit (ACH) Account/Transaction Information Jeffrey Epstein Account Number Amount of Debit 2/1/2016 Date of Debit WELLS FARGO Party Debiting the Account Statement I (the undersigned) hereby attest that (a) I have reviewed the circumstances of the above electronic (ACH) debit to my account, (b) the debit was not authorized, and (c) the following, to the best of my ability to ident if y, is the reason for that conclusion: !VI I did not authorize the party listed above to debit my account. I i I revoked the authorization I had given to the party to debit my account before the debit was in itiated. I My account was debited before the date I authorized. I I My account was debited for an amount different than I authorized. I I My check was improperly processed electronically. f--1 Other (must specify) -Signature I am an authorized signer, or otherwise have authority to act, on the account identified in this sta tement. I attest that the debit above was not originated with fraudulent intent by me or any person acting in concert with me. I have read this statement in its entirety and attest that the information provided on this statemen t is true and correct J<XAaJ2 Signature Darren Indyke Print Name 3/8/2016 Date WM145184 017244.012414 EFTA01435224