📄 Extracted Text (652 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authorires and direcls Deutsche Bank Alex Brown
('Deutsche Bank Alex Brown" or "DBAB'T to follow the below asset movement
instructions
If you wish to request multiple wires, checks, journals or free delivenes,
please use the long form
DEAD Account Name!
Account n
Journal
Q Journal Funds in the amnuni of $
0 Journal Holdings.
Qiy/Symbal/SecorUY'
Qiy/SymboifSecurity.
Q Journal All Holomgs
To DBAB Accouni
Account hJamn:
Wire
[Z1 Wire federal funds in the amount of
To Bank Name
City/State-
Further credit to Intermediary Hnanclel Institution (Optional)
Account *,
Aoaxrnitl
Addsiorwiinsttuctrons BXD Feimband services 5/04-5/15'1.5
Free Detveties
U Please deliver the secuitues indicated below 10'
DTCC0t
Nonv! of Heceiving Firm
Account Name'
Q Issue a check in the amount of $
RcOiJairsNane.
Rimpicnt's Mailing Addres.s-
pd/able to
1
at Ret^iving Firm
Account Number.
Qiy/Symboi/Sccu>ilv
Oly/Symboi/Sccuiilv
EFTA01401436
Standing Authoritation
❑ The undersigned hereby requests that this authonkalion act as a standing
aulhoiikalion. The undersigned understands and agrees that this authonration
wfii
remain in elleci until Deutsche Bank Alex Brcwn requests a new authorization
The undersigned authorizes Deutsche Bank Alee. Brown to issue the vinrc.
check or journal on the
❑ The undersigned further authonzcs Deutsche Bank Alex. Brown lo accept
verbal insiruciions from ihc undersigned to wire funds, issue checks or
journal
funds to/from the above listed accounts. The undersigned will provide verbal
insltuctions as lo the date and the amount of the wire, check or journal If
the
undersig-ied decides 10 vary either the date or the amount of the wire,
check or journal, the undersigned hereby authonzes Deutsche Bank Alex Brown
lo
accept the verbal insiruciions from the undersigned regarding the change Or
changes. The undersigned further understands and agrees to comply wtth the
procedures of Deutsche Bank Alex Brown to verify the authorization and
accuracy of verbal insiruciions
for a term of
day of
The undersigned hciebv acknowledges that (0 the information contained in
Ihis form is complete and accurate lo the best knowledge of the undersigned,
and (ill the
undersigned is responsible for the method of transmission of any
instructions issued pursuant to this authonzalion If the undersigned elects
lo transmit any such
instruction.s via fax (including desktop fax), via email or as an image
atlachment to email (eg„ as a PDF. TIF or other image of such
insiruclionsj, the undersigned
understands and agrees that the undersigned bears the risk ❑( loss arising
(rom such method of liansmission in the event of transmission errors,
misunderstandings,
impersonations, transmis.sion by unauihonzed per.sons, forgery or intercepts
for trust.s or other enuiies, the undersigned further acknowledges that the
understgned is
authorized to issue the above asset movement insiruciions under the terms of
the governing documents and any applicable laws The undersigned hereby
releases and
holds harmless Deutsche Bank Alex. Brown from and againsi loss from any
aclion, claim or demand of any person as a result of Deutsche Bank Alex.
Brown's receipt of
or compliance with this authorization and/or any msliuciions that may be
given lo Deutsche Bank Alex. Brown pursuant to this authorization (Including
any standing
aulho'izationj
The undersigned understands that Deutsche Bank Alex Blown may. but is not
required lo. Seek vculicaliOn of trur undersigned's instructions by call
back end that
Deutsche Bank Alex Brown may in its sole discretion refuse SO execute Such
EFTA01401437
msiruclions (including standing insirucuorus) given pursuant to this
aultiorizaiion, without
incuifing any liability, if Deutsche Bank Alex. Brown has reason to believe
such insiruciions for standing instructions) have not boerr prowdnd by the
undersigned. The
undersigned further understands that Deutsche Bank Atex Blown reieins the
right lo refuse to execute any instructions lo transfer funds or securities
to any account(s)
s bearing ongmai signalurefs) of the undoisigned
isuant to this authonz
wilhom-wiilien
En
Darren K Indyke
05-15-2015
1
Prinr Name
Dale
Si
iro
Sjgnaluto
Print Name
Date
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LOA
to PWM.0177SU 2/101
EFTA01401438
ℹ️ Document Details
SHA-256
119f63e9766a6d3c8bbaf5acf281f85e9653bdb4f4c4d11a0e1d5f0f57308ab1
Bates Number
EFTA01401436
Dataset
DataSet-10
Document Type
document
Pages
3
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