EFTA01403608.pdf

DataSet-10 3 pages 684 words document
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Deutsche Bank Private Wealth Management m Authorization for Asset Movement For Non-Retirement Accounts TTie undersigned hereby authorizes and directs Deutsche Bank Alex. Brown ("Deutsche Bank Alex, Brown" or "DBAB") to follow the below asset movement instructions. If you wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name; HBRK Associates Inc. Account#; 42953715 Journal Q Journal Funds In the amount of $ Q Journal Holdings: Oty/Symbol/Securlty; Oty/Symbol/Seeurity: ❑ Journal All Holdings To DBAB Account #: Account Name: Wire Q Wire federal funds in the amount of $ 10.225.04 To Bank Name: Bank of America city / State; ABA#: 026009593 Further credit to Intermodiary Financial Institution (Optional) Account #: Name: UttimatB Beneficiary Information: BenefioiajyName: Mark E TolllSOn Account#; Additional InsSucdons: InVOlCG dated 11/14^2013 For the oerlod 10/16/2013 -11/15/2013 4110047289 Free Deliveries Q Please deliver the securities indicated below to: DTCC#: Name of Receiving Firm: Account Name; Check Q Issue a check in the amount of $ Recipient's Name: Redpienfs Mailing Address; payable to: EFTA01403608 Accoum Number; at Receiving Firm Qty/Symbol/Security: Qty/Symbol/Security: Standing Authorization ❑ The undersigned hereby requests that this authorization act as a standing authorization. The undersigned understands and agrees that this authorization will remain in effect until Deutsche Bank Alex. Brown requests a new authorization. Ilia undersigned authorizes 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 the 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 either the date or the amount of the wire, check or journal, the undersigned 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 instructions, for a term of day of The undersigned hereby acknowledges that (i) the information contained in this form is complete and accurate to the best knowledge of the undersigned; and (ill the undersigned is responsible for the method of transmission of any instructions issued pursuant to this 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, TIF or other image of such Instructlonsl, the undersigned understands and agrees that the undersigned bears the risk of loss arising from such method of transmission In the event of transmission errors, misunderstendlngs, impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other entities, 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, TTie undersigned hereby releases and holds harmless Deutsche Bank Alex. Brown from and against loss from any action, claim or demand of any parson as a result of Deutsche Bank Alex. Brown's receipt of 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 EFTA01403609 authorization). ' The undersigned understands that Deutsche Bank Alex. Brown may, but is not required to, seek verification 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 ^nk Alex. Brown has reason to believe such instnjctions (or standing instructions) have not (seen provided by the undersigned. The undersigned fu it her) understands wat Deutsche Bank Alex. Brown retains the right to refuse to execute any Instructions to transfer funds or securities to any aocount(s) pursuant to this ^umorization wj)fIOUI ■.ytittcn instructions bearing original signature(s) of the undersigned. in Harry Beller 11-19-2013 Print Name Date SiQnditjre Print Name Date Signature SIGNATURE VERIFIED LOA 10-PWM-01775 (12/10) BY. DATI EFTA01403610
ℹ️ Document Details
SHA-256
3875fbf59dc536e0df21757fb057c21f274361d46237dcd73e6e0a1dd53527de
Bates Number
EFTA01403608
Dataset
DataSet-10
Type
document
Pages
3

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