📄 Extracted Text (659 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undBrSigned hereby aulhotiies and directs Deutsche Bank Alex. Brown
('Deutsche Bank Ale* Brown' or "DBAS") to lollow the below asset movement
fnsituctions.
II you wish to request multiple wires, checks, journals or Irea deliveries,
please use the long lorm.
OBAB Account Name JeffrgV E Eostein
Account»:
Journal
❑ Journal Funds in the amount of $
Wire
Q Wire federal funds in the amount of I 3i100,00
To Bank Name; Citibank
Q Journal Holdings
City I Stale:
ABAd.
Oly/SymbcirSecuritv: _
Otv/Symtioi/Seourity' _
G Journal All Holdings
To DBAS Account I'
Further credit to Intenmediary Financial Institution (Optional)
Account ft:
Name.
Accouiii Name:
Ultimate BaiielicisrY InfnmBtion;
Baiefida
Aocountd:
Adttconal litseucoons:
G Please deliver the securities indicated below to:
DTCCd:
Name of Receiving Firm:
Account Name;
Check
G Issue a check in the amount of S
Racif^nfs Name:
Reapieiu's Mailing Addiass.
payable to:
at Receiving Firm
Account Number;
Qty/SytnboirSocutity:
Olv/SymboFSacunty:
EFTA01404086
Standing Authocmtion
❑ The undersigned hereby requests that this authoriation act as e standing
authorization fha undersigned understands and agrees that this auihoiizatian
will
remain in elfecl until Deutsche Bank Alax Brown requests a new
aulhorizalion. The undersigned eulhonres Deutsche Bank Alex, Brown to issue
the wire,
cheek or journal on theday ol
G fha undersigned further authorizes Deulsche Banx Alex. Brown to socopt
verbal instiuciians from the undsisigned to wire funds. Issue ctieCks or
Journal
funds lo/lrom the above listed a000unts. The undersigned will provide verbal
instroclions es to the date end the emounl ol the wire, check or journal. If
the
unaersignea decides to vary either the date or the amount ol tha wire, check
ot lournol, the undaisignod hereby auiliorizes Deuisclie Bank Alex Blown to
Bccepl liie veiba! Instructions from the undersigned logaiding the change or
elvmges. Tha ondoisigriad [urlher undeisiands and agrees to comply with itie
procedures of Oeutscha Bank Alex. Brown lo verily the authorisation end
accuracy ol verbal insirucuons-
Ici a term cl
The undersigned hereby acknowiedgas that (i) the information contained In
tins farni is oomploia and accurate la the belt knowledge of the
undersigned; and [«1 the
unde'slgned is responsible for tha method ol transmission ol any
Insttuclions issued puisuam lo this aulhorizalion. II the undersigned elacts
to transmit anv such
msiruciicns via lax (including desklop (ax), via email or as an tmago
attachment to email to g . as a PDF. TiF or other imago o( such
instructions), the undersigned
underslonds end agrees that the undersigned bears the nsk of loss arising
(rom such method o( transmission In Iho event ol transmission eriors,
rr.isjnuersiandings.
impersonabons, transmission by uneuthonzod persons, loigety or intercepts.
For trusts or other enlitios, the undersigned lurtbor acknowiedgas that the
unoefsigncd iS
authorized lo issue lha ebova asset movement insiiuctions under the lemnsol
tha governing documents and any appiicablo laws. TTya undoisigned iieraby
leloases and
holds harmless Deutsche Bank Alex. Brown horn and against loss from any
aclion, claim ot demand ol any parson as a result 01 Deutsche Bank Alax.
Brown'a receipt ol
or complianoa with this auihonzaticn and/or any instiuciions that may be
given to Deutsche Bank Aiex. Brown pursuant to this euthofizetion finduding
any standing
BUlhorizationl.
Tha undarsignad understands that Deutsche Benk Alex. Brown mey, but is not
required to, seek verification ol the undersigned's instructions by call
back end Ihal
Dauisdia Bank Alex, Brown may in its sole discrollort refuse to axocuta such
EFTA01404087
instniotions (including standing instiuctions) given pursuant to this
outhoiization, without
meurring any liebility, if Deutsche Benk Alsx. Brown has reason to believe
sudi insliucitons for standing tnslruciionsj have not boon provided by the
undarsignod. The
undersigned (urlher understends that Deutsche Bank Men. Brown retains the
right to reluse to execute any instructions to uanstar funds or secoriiias
to any accoum(s)
jyireuam to this authorltaiion vriuiOyi wiiiieiyasteuct^ns beating anginal
signeiurets) of ilia undersigned.
D^en Indyke
SigribturtT "
11-12-2014
iJatB
IntNamo
Date
Vim Name
Signature
LOA
fL
10*PWM»01775 <12/10)
EFTA01404088
ℹ️ Document Details
SHA-256
01e82a116a4fe09fe12a748ecee519e755a7cb6bde0cc886153af850cb8fb8dc
Bates Number
EFTA01404086
Dataset
DataSet-10
Document Type
document
Pages
3
Comments 0