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📄 Extracted Text (683 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authorizes end 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 delivenes,
please use the long (orm.
DBAB Acco • Southem Financial LLC
Account»:
Journal
Q Journal Funds m the amount of S
d Journal Holdings
Oty/Symboi/Security:
Oty/Symbol/Security
❑ Journal All Holdings
To DBAB Account #.
Account Name
Wire
Q Wire federal lunds in the emounl of $ 500,001.00
To Bank Name First Republic Bank
City! State-
ABA*:
San Francisco CA
321061669
Further credit to Inlannadiatv Financial Institution (Optional)
Account #•
Name
Ultimate Beiwlic^ Information:
me: Jolchl ItO
ocom
Additional insiiuctions: subcr to Kvara Investment III. LLC
to fund Blockstream Investment
FiBeOeEvettas
D Please deliver the secunties indicated below to:
DTCCF.
Name of Receiving Firm:
Chech
Q Issue a check m the anxiunl of $
Reopienl's Name.
Rerapiant's Maiing Adckess.
Account Name.
payable to:
Account Number;
at Receiving Firm
EFTA01401059
Qtv/Svmbo]/Secu;ily
Oty/Symbol/Security;
Standing Authorization
Q The undersigned hereby requests that this aulhoiizetion act as a standing
authonzation. The undersigned understands end agrees that this euthonzation
will
rernain in efiect until Deutsche Bank Alex. Brown requests a new
auihoilzstion. The undersigned authorizes Deutsche Bank Alex. Brown to issue
the wire,
check or journal on the
(_J 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
unders igned 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 me verbal instructions Ifom the undersigned regarding the change or
changes. The undersigned further understands and agrees to comply with the
procedures ol Deutsche Bank Alex. Brown to venfy the authorization and
accuracy ol verbal instructions.
day of
for a term ol
The undersigned hereby soknovviedges that (i) the inlormalion contained in
this form is compleie and accurate to the best knowledge ol the undersigned;
and (ii) the
undersigned is responsible for the method of transmission ol any
inslruciions issued pursuant to this authorization. If the undersigned
elects to transmit any such
instructions via fax (including desktop fax), via ameil or as an image
attachment to email le.g., as a PDF. TIF or other image ol such
instructions!, the undersigned
understands and agrees that the undersigned beers the nsk of loss arising
from such method of transmission m the event of transmission errors,
misunderstandings,
impersonations, transmission by unauthorized persons lorgery or intercepts.
For trusts or other entities, the undersigned further acknowledges that the
undersigned is
authonzed to issue the above asset movement instructions under the terms of
the governing documents and any applicable lews The undersigned hereby
releases and
holds harmless Deutsche Bank Alex. Brown from and against loss from any
action, claim or demand ol any person as a result ol Deutsche Bank Alex
Brown's receipt ol
or compliance with this authorization end/or any instructions that may be
given to Deutsche Bank Alex. Brown pursuant to this authorization (including
any standing
authorization).
EFTA01401060
The undersigned understands that Deutsche Bank Alex, Brown may, but is not
required to. seek verilication 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 liabllrly. it Deutsche Bank Alex Brown has reason to believe
such instructions [or standing inslnjclJons) have not been provided by the
undersigned. The
undersigned further understands that Deutsche Bank Alex. Brown retains the
right to refuse to execute any insiruclions to transfer funds or secumies to
any accoum(s)
pursuant to this authoriiation without wntten instructions bearing original
signature(s) of the undersigned
Darren Indyke
ib
9-9-2014
V
A JL 0
Print Name
Signal uro
Date
Signature
Print Name
Date
111111111111111111
LOA
10-PWM-0177S 112/10)
EFTA01401061
ℹ️ Document Details
SHA-256
47d20b9a4cab0bf171793bfd4364d651b489f564a139c13c94c5826eb81f4f0d
Bates Number
EFTA01401059
Dataset
DataSet-10
Type
document
Pages
3
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