EFTA01400439.pdf

DataSet-10 2 pages 690 words document
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Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby authorizes and directs Deutsche Bank Aiex. Brown ("Deutsche Bank Aiex. Brown" or "DBAB") to foliow the beiow asset movement instructions. if you wish to request muitipie wires, checks, journals or free deliveries, please use the long form DBAB Accou m • RK Associates Inc. Account f: Journal Q Journal Funds in the amount of $ Q Journal Holdings: Qty/Symbol/Security: Qty/Symbol/Security: Q Journal All Holdings To DBAB Account I: Account Name: Wire Q Wire federal funds in the amount of $ 10,225.04 To Bank Name: Bank of America City / State: Further credit to Intermediary Financial Institution (Optional) Account 4: Name: Ultimate Beneficiary Information: Benefidar Name: Mark E TolNson ccoun : Additional Instructions: InVOiCS datad 11/14/2013 Free Dellveiies Q Please deliver the securities indicated below to: For the period 10/16/2013 -11/15/2013 DTCCI: Name of Receiving Firm: Check Q Issue a check in the amount of $ Recipient's Name: Recipient's Mailing Address: Account Name: payable to: at Receiving Firm Account Number: Qty/Symbol/Security: Qty/Symbol/Security: 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 either 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 instructi ons. day of for a term 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 (ii) 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, TIF or other image of such instructions), the undersigned understands and agrees that the undersigned bears the risk of loss arising from such method of trans mission in the event of transmission errors, misunderstandings, impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other ent ities, the undersigned further acknowledges that the undersigned is EFTA01400439 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 and/or 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 ifenk Alex. Brown has reason to believe such instructions (or s tanding instructions) have not been provided by the undersigned. The undersigned furtheij understands tnat Deutsche Bank Alex. Brown retains the right to refuse to execu to any instructions to transfer funds or securities to any account(s) pursuant to thisAuttiorization fl at written instructions bearing original signature(s) of the under signed. !7 Harry Beller 11-19-2013 Date Print Name 7 Signature Print Name Date Signature LOA 10-PWM-01772 (12/10) EFTA01400440
ℹ️ Document Details
SHA-256
4fdba1cb0907132e99d061c37ac40da0ec649cce20628f942b4392ccef0f57d4
Bates Number
EFTA01400439
Dataset
DataSet-10
Type
document
Pages
2

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