📄 Extracted Text (667 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
the undBrsigned horeby authorizes and directs Doutscha Bank Ale*. Brown
("Deulsohe Bank Ala* Brown" or "DBAB") to follow the below asset movement
Instructions.
II you wish lo request multiple wires, checks, journals or free deliveries,
please use the long form.
DBAB Account Name;
Account #; 35266976
Jountsl '
Q Journal Funds in the amount of $
Q Journal Holdings:
Oty/Syrnhol/Securlty:
Oly/Synibol/Socurity:
Q Journal All Holdings
To DBAB Account #:
Account Name:
Wire
Q Wire federal funds in the amount of S 6.350,00
To Bank Name. Bank of America
City/State;
ABA e:
026009593
Further credit to Intermediary Finsnclel Institution [Optional)
Account *.
Name.
Ultimate Benelnaiy Infocmatian;
HaneiinnivNemn Cambridge Mercantile Coro
Account (r
AtMtoiSlnalniaioo!; Inv # 07-020-2014
Free DeCverias
Q Please deliver the securities indicated below to:
DTCCit;
Name of Heceiving Firm:
Account Name;
Check
Cl Issue a check in the amount of £
Recipient's Name:
Recipient's Maiing AMress-
ptnrableta:
Account Number:
at Receiving Firm
Oty/SvmbodSecurity:
OiyrSymbdUSeLutiiy,
EFTA01405211
Standing Authorization
Q The undeisigned hereby requests that this authortzalion act as a standing
authorization The undersigned understands and agrees that this euthoriralion
will
remain in effect until Deutsche Bank Ale*. Brown requests a new
authonzation. The undersigned euihoilres Deutsche Bertk Alex. Brown lo issue
the wire,
check or journal on the
Q The undersigned further authorizes Deutsche Bank Alex. Brown lo accept
verbal insirucllcns from the undersigned lo wire funds, issue checks or
journal
funds to/lrom the above listed accounts. The undersigned will provide verbal
instrucsons as to tha dale and the amount of the wire, check or journal. II
the
undersigned decides to vary either the date or the amount of the wire, check
or journal, the undersigned hereby authorizes Daulsche Bank Alex. Brown to
accept the verbal mslruolions Irom 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 end
accuracy of verbal instructions.
day of
for a term ol
The undersigned hereby acknowledges that (i) the information contained in
this fomi 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 this authorization. If the undeisigned
elecis lo transmit any such
insiiiictions via fax (including desktop fax), via email or as an image
attachment to email le.g . as a PDF, TiF or other image of such
mslruolions), the undersigned
understands and agrees thet tha undersigned bears the risk ol loss ensmg
from such method ol transmission In the event ol uensmissfon aiiois,
misunderstandings,
impersonations, transmission by unauihonzed persons, forgery or intercepts.
For trusts or other entities, the undersigned further acknowledges that the
undersigned is
auihpiized to issue the above asset movement insiiuciions under the terms ol
tho governing documents and eny applicable laws. The undersigned hereby
releases and
holds harmless Deutsche Bank Alex. Brown from and against loss from any
action, claim or demand of any person as e result ol Deutsche Bank /dex,
Brown's receipt ol
or compliance with this authonzation and/or any instiuotions that may be
given to Deutsche Bank Alex, Brown pursuant lo this authorization (including
eny standing
aulhcrization).
The undersigned understands that Deutsche Bank Alex. Brown may. but is not
required to, seek verification ol the undersigned's instructions by call
back and that
EFTA01405212
Deutsche Bank Alex. Brown may m its sole discretion refuse to execute such
instructions (including standing instructions) given pursuant to this
auihorizaiion, without
incuriing any llsbilitv, it Deutsche Bank Alax. Brown has reason to believe
such instructions (or standing inslruclions) have not been provided by the
undersigned. The
undersigned (uither understands thet Deutsche Bank Alex. Brown retains tha
right to refuse to execute eny instructions to transfer funds or securities
to any sccounl(s)
pursuant lo this authorization without written instiuctions baanitg onginal
signaiurels) of the undersigned.
Darren Indyke
7-15-2014
Print Name
Date
Stgnaturfl
Print Name
Signature
Date
LOA
10-PWM-01775 lli/101
EFTA01405213
ℹ️ Document Details
SHA-256
6feb0ef510291beb5e8bba79708041326d2bf48e5564111d6f013baf48d59e61
Bates Number
EFTA01405211
Dataset
DataSet-10
Document Type
document
Pages
3