📄 Extracted Text (662 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authorizes and directs Deutsche Bank Alex. Brown
("Deutsche Bank Alex. Brown' or "DBAB") to follow the below asset movement
instructions.
If you wish to request multiple vinres, checks, lournals or free deliveries,
please use the long form.
DBAB Account Name: Jeffrey E Epgtein
Account #; 35266976
Journal
Q Journal Funds in the amount Of $
Q Journal Holdings:
Qty/SymbolfSecuiity:
Qty/Symbol/Sacurity:
Q Journal All Holdings
To DBAB Account #:
Account Name:
Wire
Q Wire federal funds in the amount of $ 2.300
To Bank Name: JP Morgan ChasB
City/State:
ABA #:
Further credit to Intermediary Ritencial Inetitution (Optional)
Account #:
Name:
Benefider Name:
Account #:
Q Please deliver the securities indicated below to:
DTCC#:
Name of Receiving Firm:
Account Name:
Additional Instrucbcns:
Check
Q Issue a check in the arrxtunt of $
Reopwit's Name:
Radpient's MaTng Address:
payable to:
Account Number.
at Receiving Firm
Oty/Symbol/Sacurity:
EFTA01402396
Qty/Symbol/Security:
Snndaig Authoriaitian
0 The undersigned hereby requests that this authorizauon act as a standing
authorization. The undersigned understands and agrees that this
authorization will
remain in effect until Deuts^e Bank Alex Brown requests a new authorization.
The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire,
check or joumsi on
the
Q The undersigned further authorizes (Deutsche Bank Alex. Brown to accept
verbal instructions from the underaignad to wire funds, issue checks or
journsl
funds to/from the above listed accounts. The undeisigned will provide verbal
instructions as to the date and the amount of the wire, check or journal. If
lha
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 with 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 (i) the information containBd in
this form is complete end accurate to the best knowledge of the undersigned:
and (ii) the
undersigned is responsible for the method of transmission of sny
instructions issued pursuant to this aulhorizstion. If the undersigned
elects to tiansmK any such
instructions via fax (including desirtop (ax), via email or as an image
attachment to email (e.g., as a PDF, TIF or other image of such
inslructiona), the undersigned
understands and agrees that the undersigned bears the risk of loss arising
from aich method of transmission to the event of transmission errors,
misunderstandings,
impersonations, transmission by unauthorized persons, forgery or intercepts.
For trusts or other entities, the undersigned further acknowfedges that the
undersigned is
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 sny
action, claim or demand of any person as a result of (Deutsche Bsnk Alex.
Brawn's receipt of
or compliance with this authorization and/or any instructions that may be
given to Deutsche Bank Alex. Brown pursuant to this authorization (including
any standing
authorization).
The undersigned understands that Deutsche Bank Alex. Brown may, but is not
required to, seek verification of the undersigned's instructions by call
back and that
EFTA01402397
Deutsche Bank /klex. Brown may in its sole discretion refuse to execute such
instructions (including standing instructions) given pursuant to this
authonzation, without
incurring any liability, if [Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing instructions) have not been provided by the
undersigned. The
undersigned further understands that Deutsche Bank /Uex. Brown retains the
right to refuse to execute any instructions to transfer funds or securities
to any account(s)
pursuant to this authorizstion/iR^oui lyn^ten^structforve bearing original
signaturefs) of the undersigned.
Darren Indyke
^0-19-2015
0'- C i tyw^
Signaiurd
Print Name
Date
y
'nnt Name
Date
Signature
0
10-PWM-01775 (12/10)
EFTA01402398
ℹ️ Document Details
SHA-256
7873702ae620f571dc7061bfb3e71692e42212ed1e5f90f77aaf6fae285f7397
Bates Number
EFTA01402396
Dataset
DataSet-10
Document Type
document
Pages
3