EFTA01401162.pdf

DataSet-10 3 pages 655 words document
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Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undorsigned hereby authorizes and diracis Deuiseha Bank Alex, Brown CDeutsche Bank Alax. Brown' or "DBAS") to follow (he below aeset movameni instructions. If you wish to request multiple wires, checks, journals or Iree deliveries, please use the long form. DBAB Account Name; Jaffroy E Epstain Account #imi Journal Q Journal Funds in the emount of $ Q Journal Holdings: Oty/Symbol/Sacurily; orty/Symbot/Sacurity: Q Journal All Holdings To DBAS Account #: _ . Account Name: Win Q Wire federal funds In the amount of TDBank To Bank Name: City / Stale: ABAfl: Further credit to Intarmadlary Hnancial Inatitution (Optional) Account #: Nwib: Benadc" • .n/Khme Account #; Free Dsliwries 0 Please deliver the securities indicated below to: Addlkxial Instmctions: DTCCfr; Name of Becerving Finn: Account Name: Chedc Q Issue a check in the amount of $ Rodpten's Name; Hedpienfs Maing Addiaas: payable to; Account Number, at Receiving Firm Qty/SymboifSecutilv: EFTA01401162 Oty/Symboi/Secutily; Stancfng AuthorizBtion Q The undersigned hereby requests that this authorization act as a standing authorization. The undersigned undeislands 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 to issue the wire, check or journal on the Q The undersigned further authorizes Deuischo Bank Alex. Brown to accept verbal inslruclions from the undersigned to wire funds. Issue checks or journel funds to/from the above listed acoounis. Tha undersigned will piovide verbal Instructions as to the dale and the amount ol the wire, check or journal. II the undersigned decidos to vary either the date or the amount of the wire, check or journal, the underaigned hereby aulhorizes Deutsche Bank Alex. Brown to accept the verbal insiructions from the undeisignod regarding the change or changes. The undersigned lurther understands and agrees to comply with iha procedures of Deutsche Bank AJex. Brown lo venfy the aulhorizauon and accuracy of varbal insmjclions. foralarmof dev of The undersigned hereby ecknowlodgos that (i) the informaiion contained in this form is complete and accurate to the best knowledge ol the undorsigned; and (ii) the undeisigned is responsible for the rnaihod of Irensmisskin of any jnslmciions issued puqivanl lo this authorization. If Iha undersigned elects lo transmit any such inslruclions via fax (including doSKiop fax), via email ores on Insege attachment to email (eg., ase PDF, TTF or other Image ol SuCh instructions), the undersigned understands and agrees Ihat the urrdersfgned bears tha risk of loss arising from such method of transmission In Iha evanl ol transmission eitois, misundcrslandings. impersonations, iiansmission by uneotbortzod persons, lotgory orinlerrepls. For trusts or other nnitiles, the undersigned further aoknowfodges Hint the under^gned Is authorized lo issue the above asset movemant instructions under the terms ol the governing documents and any applicable faws. The undorsigned heraby releases and holds harmless Deutsche Bank Alex. Brown from and agsinsi loss from any action, claim or damsnd of any person es a resufi ol Deutsche Bank Alex. Brown's leceipi ol 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 authorization). The undersigned understands that Deutsche Bank Alex. Brown may. but is not required to, seek verification ol the undersigned's Inslruclions by call back and that EFTA01401163 Deutsche Bank Alex. Brown may In its sole discretion refuse to axocula such Instructions Imctuding standing instructions) given pursuant lo this euthoruallon. without incurring any liability, if Daulsche Bank Atex. Brown has reason to believe such Instructions (or standing instructions) have not boon provided by the undersigred. The undersigned turther understands that Deutsche Bonk Alex. Brown ratalns the right to roluso to execute any insUuelions lo transfer funds or securities to any aocountfs) pursuant to Ihia aulhorlzalton without written instructiwc-bwiiM original Signaturets) of the undersigned. Vv . e ■ () ,< K Indyke ^PnmTjami 7--17-2014 urn Print Name Date Signatiifo LOA EFTA01401164
ℹ️ Document Details
SHA-256
102de61c8871efceb5aff688d635343f7462cb55ef9c9d2cde1372daa0f26385
Bates Number
EFTA01401162
Dataset
DataSet-10
Type
document
Pages
3

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