📄 Extracted Text (664 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
Tbs 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 mulliple wires, checks, journals or free deliveries,
please use the long form.
DBAB Account Name: HBRK Associates Inc.
Account #: 4295371S
Journal
Q Journal Funds in the amount of $
Q Journal Holdings:
Oty/Symbol/Security:
Oiv/Symbo I/Security:
Q Journal All Holdings
To DBAB Account #:
Acocunl Name:
Wire
[2 Wire federal funds in the amount of $ 12,152.15
To Bank Naitve: Ulster Saving Bank
City / State:
ABA#:
221971264
Further credit to InterTnediary Financiel Institution (Optional)
Account #m
Name.
Ultimate Benafnai Infbmiation:
HatfiiicavNamfi:
Account#-.
Additionat Instructions:
FteeDoltverim
❑ Please deliver the securities indicated below to:
OTCC#:
Name of Beceiving Firm:
Check
Q Issue a check in the amount of $
Recipient's Name:
flecipieni's Ma*ng Address.
Account Name:
payable to-
Account Number:
at Receiving Firm
Qty/Symbol/Security:
EFTA01405585
QiyrSymbol/SeGuniy,
Standing Authorization
Q The undersigned hereby requests that this authorization act as a standing
authorization. The undersigned understands and agrees that this
authorization will
remain in effect until Dautscha Bank Alex. Brown requests a new
authorization. The undersigned aulhoiizes 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 instnjctions from the undersigned to wire funds, issue checks or
journal
funds to/from the above llsled accounts. The undersigned will provide verbal
Instructions as to the dale ar>d the amount of the wire, check or journaf.
If the
undersigned decides to vary aither the data or the amount of the wire, check
or journal, tha undersigned hereby authorizes Daulsohe Bank Alax. 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 authorizabon and
accuracy of verbal instructions.
day of
for a term of
The undersigned hereby acknowledges that (i) the informatron oontainad in
this form is complete and accurata 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 urrdersigned
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 othar image of such
instructions), the undersigned
understands and agrees that the undersigned bears the risk of loss arising
from such method of transmission in the event of transmission errors,
misunderstandings,
impersonations, transmission by unaulhonzed persons, forgery or Intercepts.
For trusts or othar antitias, the undersigned further acknowledges that the
undersigned is
authorized to issue the abova 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 end against loss from any
action, claim or demand of any person as a result of Deutsche Bank Atex.
Brown's receipt of
or compliance with this authorization and/or any insiiuctions that may be
given to Deutsche Bank Alex. Brown pursuant to this authorization (including
any standing
authorization).
The undzrifigned understands thatni^isohB Bank Alex. Brown may, but is not
required to, seek verification of the undersigned's instructions by call
EFTA01405586
back and that
Deuts"e/Bank Alex.,Brown may ^ j/s sole discretion refuse to execute such
instructions (including standing instructions) given pursuant to this
authorization, without
inciisfing/anv liability, if Dputscha jS/nk Alax. Brown has reason to
believe such instruclions (or standing instrocUons) have not been provided
by the undersigned. The
undbrs;
pu/sua
ed (lither unc(f)rstands iWat D"tsche Bank Atex, Brown retains the right to
refuse to execute any insituciions to transfer funds or securities to any
accounl(s)
tion wiWou! w'/nton instructions boanng onginal signaturats) of the
undersigned.
m
to tl
Richard Kahn
8-6-2015
1*
Pfinl Name
Date
Signature
Prim Name
Date
Sigrtature
LOA
10-PWM-0177S (12/10)
EFTA01405587
ℹ️ Document Details
SHA-256
88568b51ebc62749f15013aeb8f9fb3474aa380febc87b8401967260fdef9a98
Bates Number
EFTA01405585
Dataset
DataSet-10
Document Type
document
Pages
3
Comments 0