EFTA01401148.pdf

DataSet-10 3 pages 671 words document
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Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby aulhoriies and direcls Deutsche Bank Aiex, Brown ("Deutsche Bank Alex. Brown" or to follow the below asset movement instructions. If you wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAS Account Name- Jeffrey E Epstein Account tf 976 Journal LI Journal Funds in the amount of I Q Journal Holdings: QtyfSymboi/Securlty: Oty/Symbol/Secunty: Q Journal All Holdings To DBAB Account #: Account Name: Wire LI Wire federal funds in the amount of $ 4,101.25 To Bank Name. Sabadefl United Bank City/State: ABAd. 067009646 Further credit to Intermediary Rnancial Institution (Optional) Account #m Name Ultimate Beneficiary Inbrniation: RavtfirMfvNamfl Tonia Haddad PA Trust Account Aoroumf Addibonal Instructions: IflVOice # 667 0165004987 FreeOefiveiiss Q Please deliver the secumies indiiuled below to- DTCCd. Name of Receiving Firm: Check Q Issue a check m the amount of S Reapienl's Name: Recipient's Maiing Address: Account Name: payable to: Account Number: at Receiving Firm EFTA01401148 Qty/Svmbol/SecurUy: Oty/Symbol/Secutity: Standing Authorriation Cl The undersigned hereby requests that this authoritaiion act as a standing authciifaiion. The undersigned understands and agrees that this authontation will remain In effeci until Deutsche Bank Alex Brown requests a new authoruation. The undersigned authorues Deutsche Bank Alex. Brown to issue the wire. check or journal on the . Q The undersigned further authonzes Deutsche Bank Alex. Brown to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds to/from the above listed accounts. Tha undersigned will piovide verbal instructions as to the date and the amount of tha 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 inslruclions from the undersigned regarding the change or changes. The undersigned further understands and agrees to oompfy with the procedures of Deutsche Bank Alex. Brown to verify the authonzation and accuracy of verbal instructions. for a term of day 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 (or the method of transmission of any insiructions issued pursuant to this authorization If the undersigned elects to transmit any such insiiuciions via lax (including cleskiop faxl, via email or as an image altachment to email (e.g. as a PDF, TIF or other image of such instructions), ihe undersigned understands and agrees that the undersigned bears the risk of loss arising from such method of transmission in the event of transmission errors, misunderstandmgs. impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other entities, the undersigned further acknowledges that the undersigned is authorized to issue ihe above asset movement instructions under the terms of the governing documents and any applicabla laws The undersigned hereby releases and holds harmless Deutsche Bank Alex Brown from and against loss from any action, claim or demand of any jterson as a result of Deutsche Bank Alex Brown's receipt of or compDanoe with this authorization and/or any instiuctioiis 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 venlicalion of the undersigned's instruclions by call back EFTA01401149 and that Deutsche Bank Alex. Brown may In its sole discrenon refuse to execute such instructions [including standing instructions) given pursuant to this authorization, without incurrng any liability, if Deutsche Bank Alex. Brown has reason to believa such instructions (or standing instructions) have not tieen provided by the undersigned. The undersigned further understands that Deulsche Bank Aiex. Brown retains the right to refuse to execute any instructions to transfer funds or securities to any acoount(s) Ifuisuant 10 this aulhonzalion wrthoutwyntten insl"tionybearing original signature(s) of the undersigned. ^ Darren Indyke 5-20-2014 0 Print Name Si"nati Date Print Name Dale Signature lllllillllllllllll LOA 10-PWN4-01775 (12/10) EFTA01401150
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b6caf8a8699a7d385a53f528942423313786c6dd3afa0e29a0b732037211f4ba
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EFTA01401148
Dataset
DataSet-10
Type
document
Pages
3

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