EFTA01405214.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts Tha undarsignad haraby auLhorizes and direcis Doulsohq Bank Alex. Brown ("Deuische Bank Alax, Brown" or "DBAB"1 to follow the below asset movement instructions. If you wish to request multiple wues. checks, journals or free deliveries, please use the long form, DBAS Account Name Jeffrey E EpsteIn Account #: 35266976 Journal Q Journal Funds m the amount of $ Q Journal Holdings: Oty/Symbol/Securhy: 01V/Symbol/Securily: [_) Journal All Moldings To D6AB Account #• . Account Name: Wire Q Wrte federal funds in iho amount of $ 4,190.92 To Bank Name. JPMoraan Chase Cily/ Slate: ABA 0: 021000021 Further credit to Intermediary Financlel Institution (Optional} Account #: Name Uhlmala Beneficiary Information: Name 10f1 NICOla A000uni#: Additional Inslructions. July 11 2014 iflV & expenses Free DelK/enes Q Please deliver the seounlies intfioated below to: DTCCif; Name of Receiving Firm: Account Name Clieck Q Issue a check in the amount of J Reapient's Name; Reopient's Maiing Address; payable to: at Receiving Firm Accouni Number: EFTA01405214 OtY/SymbOlfSocurity: Oty/SymboIfSecurity: Standing Authorization l—] Tha undersigned hereby requests that Ihrs authorization act as a standing authorization. The undersigned understands and agrees that this authorization will remain m dfecl until Deuische Bank Alex. Brown requests a new authorization. The undersigned euthoiizes Deutsche Bank Alex. Brown to issue the wire, check or journal on the o fVie undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds loffrom the above listed accxtunts. The undersigned will provide verbal instructions as to tha dale 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 aulhorizss Deutsche Bank Alex. Brown to accept the verbal instruclions from the undersigned regarding the change or changes. The undersigned further understands end agrees to comply with the procedures of Deuische Bank Alex. Brown to verify the authorization and accuracy of verbal instructions. day of for a term of The undersigned heteby acknowledges that (i) the infotmalion contained in this form is complete and accurate to tha bast knowledge of the undersigned; and (iil the undersigned is responsible for the method of transmission of any instruclions issued pursuant to this authonration. If tha undersigned elects to transmit any such lostiuctions via fax (including daskiop fax), via email ores an image attachment to email (e.g., as a PDF, TIF or othar image of such instrutttions), the undersigned understands and agrees that the undersigned bears the nsk of loss arising from such method of transmission in lha event of transmission errors, misunderstandings, imparsonalions. transmission by unauthorized persons, forgery or intercepts. For trusts or othar entities, tha undersigned further ecknowledges that the undersigned is authorized lo issue the above asset movement insiiucuons under the terms of the governing documents and any applicable laws. Tha undersigned hereby releases and holds harmless Deutsche Bank Alex. Brown from and against loss from any action, claim or demand of any person as a result of Deuische Bank Alax. Brown's receipt of or compliance with litis auihorization and/or any insiiuciions that may be given to Deutsche Bank Alex. Brown pursuant to this authorization (including any standing aulhorizaltonj. The undersigned understands that Deutsche Bank Alex. Brown may. bul is not required lo, seek veiilication of the undersigned's instructions by cell EFTA01405215 back and that Deuische Bank Alex. Brown may in Its sole discretion refuse to exocula such Instructions (including standing instructions) given pursuant to this authorization, without incurring any fiabilily, i( Deutscha Bank Alex. Brown has reason to believe such instructions (or standing instruclions) have not been provided by the undersigned. The undeisigned (uriher understands that Deutsche Bank Alex. Brown retains lha right to refuse to execute any instructions to transfer funds or securities to any accounKs) pursuant to this auihorization without wrillen^strufliions bearing original signalurals) of the undersigned. Darren Indyke 7-15-2014 SignaWB Print Name Dale Punt Name Data Signature LOA I lO-PWM-01773(12/10) EFTA01405216