EFTA01402563.pdf

DataSet-10 2 pages 679 words document
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Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undereigned hereby aulhotizes and directs Deutsche Bank Alex, Bnwn CDauische 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 lotm DBAB Account Name; Jeffrey E EpStailT Account 35266976 Jaurnal C J Journal Funds in the amount of S Journal Holdings; Clv/SYmbol/Secuiity: Ciy/Symbol/Seciitily- Li Journal All Holdings Tj DBAB Account A Account Name: Wire Q Wire lederal funds in ihe amount of S 683 To Bank Name: Bank of America Ci(y/Stale: 02Ci009593 ABAI: Further credit to IntE rmedlary Financial liiathudon (Optional) Account Name LSliniitB Benafidaiyinl annatian: Rnru-friaryNiimH Ytilla StBPanova Oiiomo 89E039270903 AomuntI FeetWiveoee Li Please deliver the securities indicated below to: Adifiional Insuudions: CTCC/i- Name of Receiving Fimi: Account Name: Check Q Issue 0 check in the amount of $ Raapwi I's Name: FteapienTs Mating Address: payabfoto: Accouni Number; at Receiving Firm Gty/Symbol/Secuniy; Clv/SymbolfSecuiily; StaniSig Authorizstian Q The undersigned hereby requests that this euihoritalion act as a standing authortiai'ion. The unde isigned understands and agrees that this authorization will remain in eileci until Deutsche Bank Alex. Brown requests a new authorization The undersigned author izes Deutsche Bank Alex Brown to issue the wire. check or journal on theday of Q The undersigned further authonzes Deutsche Bank Alex. Brown to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds to/from the above listed atxroums. The undeisigned will provide verbal insiruclkuis as to the dele and the amount of the wire, check or journal. If the undorsigned decides to vary either the date or the amount ol the wire, check or journal, the undersi gned hereby authonzes Deutsche Bank Alex, Brown to accept line verbal insiruclions from ihe undersigned regarding Iho change or changes. The undersigne d further underslands end agrees lo comply with the procedures of Deutsche Bank Alex. Brown lo verify the auihonzation and accuracy of verbal inslfuctio ns for a term of The undersigred heiebv acknowledges that (i) the information contained in this form is complete and accurate lo the best knowledge of the undersigned; and (ill the undersigned is responsdie for the method of transmission of any insiructions issued pursuant to this authorization. If the undersigned elects lo transmit any such instructions via lax (including desktop lax), via email or as an image aliachment lo email (e.g , as e PDF, TIF or other image of such instructions), the undersigned understands and agrees that the under signed bears the nsk ol loss arising from such r'leihod of tra nsmission in the event of transmission errors, misunderslandings, impersonaiiors. transmission by unaulhorized persons, forgery or rnteroepts. For trusts or olher ent ities, ihe undesigned fudhei acknowlodges that the undersigned is authorized to issue the above asset movement insiruciions under the terms of the governing documenis and any appicable laws The undersigned hereby releases and EFTA01402563 holds harmless Deutsche Bank Aiex. Brown from and agamsi loss from any aclion, claim or demand ol an y person as a result of Deutsche Bank Alex. Brown's receipl ol or complienoe with this authorization and/or any inst'uctions that may be given to Deutsche Bank Ale x. Brown pursuant lo this authorization (including any standing aulhorization). The undersigned understands that Deutsche Bank Alex Brown may. bul is not required to, seek veuficat ion of the undersigned's instruclions by cell back and that Deutsche Bank Alex Brown may in its sole discretion refuse to execute such instructions (including s tanding instructions) given pursuant to this authorization, without incurring aiy liability, if Deutsche Bank Alex. Brown has reason to believe such insiructions (or st anding i.csiruciions) have not been provided by the undersigned. The undersigned further understands that Deutsche Bank Alex. Brown retains the right to reluse to execut e any nsiiuciions lo transfer Funds or secunties lo any accouni(s) niirsuar,! to this authorization without wTicn i's'.rucricns bearing original signaiure(s) of the un dersigned. Darren K Indyke 12-18-15 P;ini Nane Dale SSnSn Print Nome Dax& LOA 0 10-PWMT)1772 (12/101 EFTA01402564
ℹ️ Document Details
SHA-256
6370e37f0362496de2511c3d35d1eb464c4debada2d1bd1c6dc1506232700db0
Bates Number
EFTA01402563
Dataset
DataSet-10
Type
document
Pages
2

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