📄 Extracted Text (675 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby eulhorizes and directs Deutsche Bank Alex, Brown
{'Deutsche Bank Alex. Brown' or "DBAB'I to follow the below asset movement
instructions.
If you wish to request multiple wires, checks, jourrtels or free deliveries,
please use the long form.
DBAS Account Name: Jaffray E Epstelfl
Account #:
Journal
Q Journal Funds in the amount of $
Q Journal Holdings:
Qty/Symtral/Seourily:
Qty/Symbol/Security:
G Journal All Holdings
To DBAB Account §:
Account Name:
Wire
Q Wire lederal funds in the amount of S 294.86
To Bank Name: JP Morgan
City y State:
aba#;
Further credit to Intermediary Rnancial Inatitution [Optional)
Account #:
Name:
UhinatB Benefiaary bntoTnatian;
BeneiiiaiY Name
Account#;
Adtfdanallnstnjcbnis: relmb. for JE DUrchaseS
Ree Deliveties
Q Please deliver the securities indicated below to;
DTCC#;
Name of Recaiving Fimn;
Account Name:
Check
Q Issue a check in the amount of S
Radpietk's Name:
Beciprenl's MaSng Address:
[Birahteto;
I
at Receiving Firm
Account Number:
EFTA01404855
oly/Symbol/SeCurity:
oty/Sym bol/Security:
StBndng AuHiorizatian
Q The undersigned hereby requests that this authorization act as a standing
authorization. The undersigned understands and agrees that this
authorizetion will
remain in effect until Deutsche Bank Alex. Blown requests a new
authorization The undersigned authorizes Deutsche Bank Alex. Brown to issue
the wire,
check or journal on theday offor a term of.
G The undersigned further authorizes Deutsche Bank /Mex. Brown la accept
verbal instructions from the undersigned to wire funds, issue checks or
journal
funds toyfiom the above fisted accounts. The undersigned will provide verbal
instructions as to the date end the amount of the wire, check or journal. If
the
undersigned decides to vary either the date or the emounl 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 end
accuracy of verbal instructions.
The undersigned hereby acknowledges that (ij the information contained in
this form is complele and accurate to the best knowledge of the undersigned;
and {lij the
undersigned is responsible for the method of transmission of any
instructions issued pursuant to this authorization. If the undersigned
elacts to transmit any such
instruclions via fax (including desktop lax), via email or as an image
attachment to email (e.g . as a PDF, TTF or other image of such
inslnictions). 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 unauthonzed persons, forgery or intercepts.
For trusts or other entities, the undersigned further ackrujwiedges that the
undersigned is
authorized to issue the above asset movement instructions under the terms of
the governing documents end any applicable laws The undersigned hereby
laleases 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 authonzalion and/or any instructions that may be
given to Deutsche Bank Alex. Brown pursuant to this euthorization (Including
any slanding
aulhorizalion),
The undersigned understands that Deutsche Bank Alex. Brown may, but is not
required to, seek verification of the undersigned's instructions by call
back and that
Deutsche Bank Alex. Brown may in Its sole discretion reluse to execute such
EFTA01404856
instructions (including standing instruclions] given pursuant to this
authorization, without
incurring any liability, if Deutsche Bank Alex, Brown has reason to believe
such instructions (or standing instruclions) 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 securities
to any account(s)
ng original signalure(s) of the undersigned,
instructions bea"n
- K Indyke
^ " f-iii-.i Wema
pursuant to this authonzation wit
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t wriite/Tinstmc
warn 10
V
07*23*14
Date
Signature
Prim Name
Date
Signature
111111111111111111
LOA
10-PWIVI-01775 (12/10)
EFTA01404857
ℹ️ Document Details
SHA-256
002781110b58282487f2dd9cde6e1ac2bd4e1d213a36d3461e10e61a60d87c9b
Bates Number
EFTA01404855
Dataset
DataSet-10
Document Type
document
Pages
3
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