Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
TTib undersignetl hereby auihotiies and directs Deutsche Bank Alex. Brown
("Deutsche Bank Alex, Brown" or "DBAB") to follow the below asset movement
instructions.
If you wish to request mulliple wires, checks, journals or free delivenes,
please use the long Form.
DBAB Account Name- Jeffrey E
Epsteln
Account #:
Journal
Journal Funds In the amount of I
❑ Journal Moldings:
Oty/Svmboi/Securitv:
Oty/Syrnbol/Security:
❑ Journal All Holdings
To DBAB Account #:
Account Name -
Wire
(Z1 Wire Federal Funds m the amount of S 31,097.00
To Bank Name: JPMorgan Chase
City / State:
ABA #-
Further credit to Intermadiary Rnancial Institution (Optional)
Account #:
Name:
Ultimate Beneftaary InkHmatnn:
RenelirxaivNamn HoneVWell
Account#
Flee Deliveties
LJ P r the securities Indicated below to:
Inv
Additional Instructions:
JEGELLC SN:
DTCC#:
Name of Receiving Firm.
Account Name:
Chock
Q Issue a check in the amount of S
Reojuent's Name;
Recipient's Maiing Address:
EFTA01401142
pavabteto:
Account Number:
at Receiving Firm
Oiv/Symboi/Security:
Oty/Symbol/Security.
Standing AuthotiZBiion
Q The undersigned hereby requests that this aulhorkation act as a standing
aulhoriiation The undarsigned understands and agrees that this authorization
will
remain in effect until Deutsche Bank Alex. Brown requests a new euthonzaiion
The undersigned auihouzes Deutsche Bank Alex, Brown to issue the wire,
check or journal on the
Q The undersigned further aulhonzes 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 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 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.
for a term o(
day of
The undersigned hereby acknowledges that Ii) the information contained in
this fonti is complete and accurate to the best knowledge of the
undersigned; and fiil 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 image
attaohment to email (e g . as a PDF, TIF or other image of such
instructions), the undersigned
understends and agrees that the undersigned bears the risk of loss arising
from such meihod of transmission in the event of transmission errors,
misunderstandings,
impersonations, transmission by unauthonzed persons, forgery or intercepts.
For trusts or other entities, the undersigned further acknowfedges 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
holds harmless Deutsche Bank Alex. Brown from and agamsi 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 andfor any mstiuciions that may be
given to Deutsche Bank Alex. Brown pursuant to this authorization (including
any standing
EFTA01401143
authorization).
The undersigned understands that Deutsche Bank Alex. Brown may, but is not
required to, seek verification of the undersigned's insiructions by call
back and that
Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such
instructions (including standing instruclions) 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 bean 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 securities
to any accountfsl
pursuant to this aulhonzation without wtten instructions bearing original
signaturefs) of the undersigned.
Darren Indyke
5-20-2014
Print Name
Date
Signature
Print Name
Dale
Signature
III I III nil 11 III III
LOA
10-PWM-0177Sfl2V10)
EFTA01401144