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📄 Extracted Text (676 words)
I
Deutsche Bank
Private Wealth Management
I
Authorization for Asset Movement
For Non-Retirement Accounts
Tha undersigned hereby auihorizes and directs Deutsche Bank Alex Brown
("Deutsche Bank Aiex. 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
DBAB Account Name Jeffrey E Epsteln
iiiiiiilif:
Journal
Q Journal Funds cn the amount of $
LI Journal Moldings;
Oly/Synibol/Security
Oiy/Symbol/Securily:
L] Journal All Holdings
To DBAB Account *
Account Name.
Wire
[Zl Wire lederal lunds in ihe amount of S 3.936.33
To Bank Name: JPMorgan ChasB
City / State-
ABA#
ur edit
i to Intermediary Financial Institution {Optional)
Account #
Name
Ultimate BaneficiatY Infotmation;
BenefioarvName lon NiCOla
Account#:
Free Delivorws
LI Please deitver ihe securities indicated below to
June 17 2014 inv & expenses
Addiiional InsmcaonS'
DTCCK:
Name of Receiving Firm:
Account Name:
Check
Q Issue a check in the amcunt of $
Recipient'a Name-
Recipient's hMing A
EFTA01400310
payable to
Account Number:
at Receiving Firm
Qlv/SymboirSecuiiiy
Qty/Symbof/Secunty,
Standing AuthorizaiicHi
Q The undersigned hereby requests that ihrs authonialron act as a standing
authorieation. The undersigned understands and agrees that this aulhcnzation
will
remain in effeci unlit Deutsche Bank Alex. Brown requests a new
authorization. The undersigned authorizes 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 instructions from the undersigned to wire funds, issue checks or
journal
funds Ic/from the above listed accounts. The undersigned will provide verbal
instructions as to the dale and the 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 aulhorizes 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.
day of
for a term of
The undersigned hereby acknowledges that (i) the information contained in
this form is complete and accurate to the best knowledge of the undersigned:
and (li) the
undetsigried is responsible for the method of transmission of any mstrucuons
issued pursuant to this authorization If the undersigned elects to transmit
any such
rnstiuciions via fax (including desktop fax), via email or 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 undoisigned bears the risk of loss ansmg
from such msthod of transmission in the event of transmission errors,
misunderstandings,
impersonations, transmission by unauthonzed persons, forgery or intercepts.
For trusts or other entities, the undersigned further acknowledges that the
undersigned is
authon/oa 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 any
acbon, claim or demand of any person as a result of Deutsche Bank Alex.
Brawn's receipl of
or compliance with this authorization and/or any instructions that may be
given to Deutsche Bank Alex Brown pursuant to this authorization (including
EFTA01400311
any standing
authonzahon).
The undersigned understands that Deutsche Bank Alex Brown may, but is not
required to. seek venficalion of the undersigned's insiruclions by call back
and that
Deutsche Bank Alex. Blown may in its sole discretion refuse to execute such
instructions (including standing inslruciicnsj given pursuant to this
aulhorization, 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 Alex. Brown retains the
right to refuse to execute any instructions to transfer funds or securities
to any accountls)
pursuant to this authorization wnhout '
anng original signature(s) of the undersigned.
instmolf
Darren Indyke
6-17-2014
Print Name
Signalu
Date
Print Name
Signature
Date
LOA
10-PWM-0177S (12/10)
EFTA01400312
ℹ️ Document Details
SHA-256
890f07a8892c3d6cee1de9dea52576f525efc6ab0eeaa53b9ba185e39872b18e
Bates Number
EFTA01400310
Dataset
DataSet-10
Type
document
Pages
3
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