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📄 Extracted Text (655 words)
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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