EFTA01401059.pdf

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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
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47d20b9a4cab0bf171793bfd4364d651b489f564a139c13c94c5826eb81f4f0d
Bates Number
EFTA01401059
Dataset
DataSet-10
Type
document
Pages
3

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