📄 Extracted Text (685 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The underaignod hereby authorizes and directs Deutsche Bank Aiex. Brown ("Deutsche Bank Aiex. Brown"
or "DBAB") to foiiow the below asset movement instructions.
If you wish to request multiple wires, checks, journals or free deliveries, please use the long form
DBAB Acco • Jeffrey E EPSteifl
Accountf•
Journal
Q Journal Funds in the amount of $
Q Journal Holdings;
Qty/Symbol/Security:
Qty/Symbol/Security•
Q Journal All Holdings
To DBAB Account 8:
Account Name:
Wire
IZI Wire federal funds in the amount of $ 19i839.47
To Bank Name: Alostar Barfk of Commerce
city / State:
ABA8:
062006330
Further credit to Intermediary Financial Institution (Optional)
2000001806
Account 8.7
Name;
Ultimate Beneficiary Infonnation;
ty Name: Kellerhals Ferguson Kroblln PLLC
erchants Commercial Bank
Account8;
Free Delivetias
Q Please deliver the securities Indicated below to:
Additional Instructions;
DTCCI:
Name of Receiving Firm:
Account Name:
Check
Q Issue a check In the amount of $
Redpienfs Name:
Redpienfs Mailing Address:
payable to;
Account Number:
at Receiving Firm
0ty/Symbol/Seourlty:
0ty/Symbol/SocuiitY;
Standing Authorization
Q The undersigned hereby requests that this authorization act as a standing authorization. The under
signed understands and agrees that this authorization will
remain in effect until Deutsche Bank Alex. Brown requests a new authorization. The undersigned autho
rizes Deutsche Bank Alex, Brown to issue the wire,
check or journal on the
Q The undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal instructions from th
e undersigned to wire funds, issue checks or journal
funds to/from the above listed accounts. The undersigned will provide verbal instructions as to the
date and the amount of the wire, check or journal, if the
undersigned decides to vary oithar the date or the amount of the wire, check or journal, the undersi
gned 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 and accuracy of verbal instrueti
ons.
day of
for 3 term of
The undersigned hereby acknowledges that (id the information contained in this form is complete and
accurate to the best knowledge of the undersigned; and (11j the
undersigned is responsible for the method of transmission of any instructions issued pursuant to thi
s authorization. If the undersigned elects to transmit any such
instructions via fax (Including desktop fax), via email or as an image attachment to email (e.g.. as
a PDF, TTF or other image of Such instructions), the undersigned
understands and agrees that the undersigned bears the risk of loss arising from such method of uansm
isslon In the event of transmission arrors, misunderstandings,
impersonations, transmission by unauthorized persons, forgery or intercepts. For trust* Or other ent
EFTA01401355
ities, the undersigned further acknowledges that the undersigned is
authorized to issue the above asset movement instructions under the terms of the governing documents
and any applicable laws. The undersigned hereby releases and
holds harmless Deutsche Bank Alex. Brown from and against loss from any action. Claim or demand of a
ny person as a result of Deutsche Bank Alex. Brown's receipt of
or compliance with this authorization andtor any instructions that may be given to Deutsche Bank Ale
x. Brown pursuant to this authorization (including any standing
authorization).
The undersigned understands that Deutsche Bank Alex. Brown may, but is not required to, seek verific
ation of the undersigned's instructions by call back and that
Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such instructions (including
standing instructions) given pursuant to this authorization, without
incurring any liability, if Deutsche Bank Alex. Brown has reason to believe such instructions for st
anding instructions) have not bean provided by the undersigned. Tlte
undersigned further understands that Deutsche Bank Alex. Brown retains the right to refuse to execut
e any instructions to transfer funds or securities to any account(s'
'rsuanl to this authorization witfjfJjt writtoiAnstryetions bearing original signature(s) of the and
ersigned.
Darren Indyke
Print Wame
4-10-2014
Date
fo
lArint Name
Date
Signature
T
WA
10-PWM-01772 112/10)
EFTA01401356
ℹ️ Document Details
SHA-256
24ecc9be5837e6937b2abac1eda47f9e05b7bf002c0137bd2662d78b0eab8888
Bates Number
EFTA01401355
Dataset
DataSet-10
Document Type
document
Pages
2
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