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📄 Extracted Text (675 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undefSigned hereby authorizes and directs Deutsche Bank Alex. Brown
("Deutsche Bank AIbX: 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 form.
DBAS Account Namei Jeffrey E EpStgitl
Account #: 35266976
Journal
Q Journal Funds m the amount of $
LI Journal Holdings:
Qly/Symbol/Security
Qty/Symbol/Secoritv:
Q Journal All Holdings
To DBAB Account #:
Account Name
Wire
Q Wire federal funds in the amount of S 1391.59
To Bank Name: TD Bsnk
City / Stale:
ABA«.
031101266
Further credit to Intermediary Financial Institution (Optional)
Account #:
Name:
Ultimata BenaficistY Information;
Ben fi i r Name Rgnfltg SolOtOVfl
ue
Account#'
Free Dsihnries
Q Please deliver the securities indicated below to:
DTCC#
Name of Receiving Firm:
Account Name:
exD. reimbursement
Additional Instructions'
Check
❑ Issue a check in the amount of $
Reapienl's Name:
Recipient's Mailing Address;
peyableto:
Account Number;
at Receiving Firm
QtvfSvmboi/Secutity;
EFTA01405516
Oly/Symbol/Sacumy:
Starv(£ng Authofizaticin
Q The undersigned hereby requests that this authoiizalion act as a standing
authorization. The undersigned understands and agrees that this authonzalion
win
remain in effect until Deutsche Bank Alex. Brown requests a new
authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue
the wire.
check or journal on the
LI The undersigned further authorizes Deutsche Bank Alex. Brown to accept
verbal instructions from the undersigned to wire funds, issue checks or
journal
funds to/fiom the above listed accounts. The undersigned will provide verbal
instructions as 10 the date and tha 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 undersigned 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 wiih the
procedures Of Deutsche Bank Alex. Brown to verify the authorization and
accuracy of verbal instructions.
for a term of
day of
The undersigned hereby acknowledges that (ij 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 this Buthonzation. If the undersigned elects
to Itansmrt any such
instructions Via fax (including desktop fax), via email of 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 beo'S the risk of loss arising
from such method of transmission in the event of transmission errors,
misunderstandings,
impersonations, transmission by unauthorized persons, forgery or intercepts.
For trusts or other entities, tha undersigned further acknowledges that the
undersigned is
Butnorizeo 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 horn and against loss from any
action, claim or demand of any person as a result of Deutsche Bank Aiex.
Brown's receipt of
or compliance with this authorization and/or any msirucnons that may be
given to Deutsche Bank Aiex Brown pursuant to this authorization (Including
any standing
authorization).
The undersigned understands that Deutsche Bank Alex. Brown may, Out is not
required to, seek verification of the undersigned's instructions by call
EFTA01405517
back and that
Deutsche Bank Alex. Brown may in its sole discretion refuse to e.xecute such
instructions (including standing instructions) given pursuant to this
authorization, without
incurring any liability, if Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing instrucoons) have not been provided by the
undersigned. Tha
undersigned further understands that Deutsche Bank Alex. Brown retains the
right to refuse to execute any instructions to transfer funds or securities
to any account(s)
pursuant to finis authorization ructions bearing original siQnature(s) of the
undersigned.
Signature
Darren K Indyke
01-09-2015
Date
Print Name
Date
Print Name
Signature
II11 III III! mil III
LOA
10-PWM-0177SI12/10)
EFTA01405518
ℹ️ Document Details
SHA-256
7243dab1ef676ea43164e4bb00b96e3e71ca6747a0076a93a22c76e35b346ccd
Bates Number
EFTA01405516
Dataset
DataSet-10
Type
document
Pages
3
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