EFTA01404714.pdf

Deutsche Bank Private Wealth Management iZ1 Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby authorizes and directs Deutsche Bank Aiex, Brown ("Deutsche Bank Aiex. Brown" or "DBAB") to foliow 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 ff: Journal Q Journal Funds in the amount of $ Q Journal Holdings; Otv/Symbol/Sacurity: Oty/Symbol/Security; Q Journal All Holdings To DBAB Account #; Account Namo: Wire Q Wire federal funds in the amount of $ 4,902.11 To Bank Name; JPMorgan Chase City / State; ABA#: Further credit to Intermediary Financial Institution (Optional) Account #: Name; Ultimate Beneficiary Infbimation: Benefidary Name: 100 Nlcola Account#: Fiao Delivaties Q Please deliver the securities Indicated below to: Additional InstrucHons: DTCC#: Name of Receiving Firm: Check Q Issue a check in the amount of $ Recipient's Name: Recipient's Maiing Address; Account Name: payable to; Account Number: EFTA01404714 at Receiving Firm Qty/Symbol/Sacurity; Qty/Symbol/Security; Standing Authorfzatjon Q 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 instructions from the undersigned to wire funds, issue checks or journal funds to/from the above listed accounts. 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 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 complete and aoeuteie to the best knowledge of the undersigned: and (ilj the undersigned Is responsible for the method of transmission of any instructions issued pursuant to this authorization, If the undersigned elects to transmit any such Instructions via fax (including desktop fax), via email or as an imago attochmont lo email (o.g., as a PDF, TIF or other image of such instructions), the undersigned understands and agrees that the undersigned boars 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 ocknowledges that the undersigned is authorized to issue tha above asset movement instructions under the terms of tha governing documents and any applicable Jews. The undersigned hereby releases and holds hormlass 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 Alox. Brown pursuant to this authorization (including any standing Dulhorizatlon). EFTA01404715 Tha undersigned understands that Deutsche Bank Alex. Brown may, but is not required to, soak verification of the undersigned's instrucilons by call back and that Deutsche Bank Alex. Brown may in its sole discretion refuse to execute sucli instructions (including standing instructions) given pursuant to this euthorization, without incurring any liabilily,/f C"utscha Bank Alex. Brown has reason to believe such instructions (or standing instructions) have not been provided by tha undersigned. The undersigned further ' pursuant to this au^ tsclie Bank Aiex, Brown retains the right to refuse to execute any Instrucilons lo transler funds or securities to any accoum(s) l8ninstruclioys.beoring original slgnature(s) of the undersigned. porstands that zatlon without Harry Seller 2-27-2014 f'rint NamT Signature T Date Print Name Date Slgnaiure 7" LOA 6/f .OeZi' I 10-PWM-0177S (12/10) EFTA01404716