EFTA01401151.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigred hereby authorjzes 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 iong form. DBAB Account Name. Jeffrey E Epstein Account # Journal Q Journal Funds in the amount of $ 1" Journal Holdings: Qty/Symbol/Security; Qty/Symbol/Security; [J Journal All Holdings To DBAB Account #; Wire Wire federal funds in the amount of $ 1,799.33 To Bank Name: JPMorCISn Ch3S6 City / State' ABA #. 021000021 Further credit to Intermediary Financial Institution (Optional) Account #: Name: Account Name: Ultimats Ben Benelicia ation; Name, Account#: Additional instuctions: Mav 19 2014 jnv & expcnses Free Deliveries 1" Please deliver the securities indicated below to: DTCC#: Name of Receiving Firm: Check Q issue a check in the amount of $ Recipient's Name: Reopient's Mailing Address. Account Name: payable to: EFTA01401151 Account Number; at Receiving Firm Qty/Symbol/Seourity: Oty/Symbol/Seourity: Standing Authorizstion Q The undersigned hereby requests that this authorization act as a standing authorization. The undersigned understands and agrees that this authorization will remain rn 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 CJ The undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds to/irom 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 venfy 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 accurate to the best knowledge of the undersigned; and (ii) 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 imege attachment to email (e.g., as a PDF, TIF or other image of such instructions), the undersigned understands and agrees that the undersigned bears 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 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 hnlds harmless 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 Alex. Brown pursuant to this authorization (including any standing EFTA01401152 authorization). The undersigned understands that Deutsche Bank Alex, Brown may, but is not required to, seek venlicalion of the undersigned's instructions by call back and that Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such instructions (including standing instructions) given pursuant to 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 Deutsche Bank Alex. Brown retains the right to refuse to execute any instructions to transfer funds or secunties to any account(sl rrsuant to this authonzation wit"ut written"instructions bearing original signature(s) of the undersigned. Signature ^ ^ ^ P 5-19-2014 Print Name Date Print Name Date Signature LOA 10-PWM-01775 (12/10) EFTA01401153