Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby aulhorizes and directs Deutsche Bank fiiex. Brown
('Deutsche Bank Alex. Brown' or 'DBAS') to follow 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; JeHrsy E Epstetn
Account#:
Journal
Q Jountel Funds in the amount of S
Q Journal Holdings;
Oty/Symbol/Securily:
Qty/Symbol/Seaurily;
❑ Journal All Holdings
To DBAB Account #:
Account Name;
Wire
[a Wire federal funds in the amount of $ 10,000
To Bank Name Bank of America
City / State:
ABA#:
021000322
Further credit to Intermediary Financial Inatrtution (Optional)
Account #:
Name:
Ultimata Baieficiary tnfonriation:
BeneibaiYName
toount#:
AddHimallnstnjcdons; 9XP reimb.
FreeDefivoies
U Please deliver the securities indicated below to:
DTCC#;
Name of Receiving Firm;
Account Name:
Chedt
Q Issue a check in the amount of $
Recipient's Name:
Recipient's Maiing Address:
payable to;
Account Number:
at Receiving Firm
t
Oty/Symbol/Security:
EFTA01410887
Qty/Symbol/Security:
Standing Authorization
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 lo issue
the wire,
check or journal on the
Q The undersigned further authorizes Deutsche Bank Alex, Brown to accept
verbal instructions from the undersigned lo wire funds, issue checks or
journal
funds lofftom the above listed accounts. The undersigned will piovide verbal
instructions as lo the dale and the amount of the wire, check or lournai. If
the
undersigned decides to vary either the dale or the amount of the wire, check
or journal, the undersigned hereby authorizes Deutsche Bank Alex Brown lo
accept the verbal instructions from the undersigned regarding the change or
changes. The undersigned further understands and agrees to comply with the
proc^ures of Deutsche Bank Alex. Bnzwn to verify the aulhotizalion 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 lo the best knowledge of the undersigned;
and (>il the
undersigned is responsible for the method of transmission of any
instructions issued pursuant to this authorization. II the undersigned
elects to transmit any such
instructions via fax (including desktop fax), via email or as an image
attachment to email le.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,
mpersonations. transmission by unauthorized persons, forgery or intercepts.
For trusts or other entities, the undersigned further acknowledges that the
undersigned is
auihonzed 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 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 aulhorizelion and/or any instructions that may be
given to Deutsche Bank Alex. Brown pursuant lo this authorization (including
any standing
authorization).
The undersigned understands that Deutsche Bank Alex. Brown may, but is not
required to. seek verirxralion of the undersigned's instructions by call
EFTA01410888
back and that
Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such
instructions (icciuding standing instroctions) given pursuant lo this
authorization, without
incurring any liability, if Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing instiuciionsi have not bon 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 account(s)
pumuani to this authorization wittout writterMnstruclionS b^mg original
signslurels) of the undersigned.
Darren K Indyke
01/19/16
Print Name
Signature
Date
Prim Name
Signature
Date
LOA
1()-PWlyl ,m77S (12/10)
EFTA01410889