📄 Extracted Text (672 words)
Authorization for Asset Movement For Non-Retirement Accounts
The undersigned hereby authorizes and directs Deutsche Bank Securities Inc.
(DBSI) to follow the below asset movement instructions.
Account Number
DBSI Account Name
Wire
Wire federal funds in the amount of $
To Bank Name:
City/State:
ABA #:
Further credit to Intermediary Financial Institution (Optional)
Account #:
Name:
Ultimate Beneficiary Information:
Beneficiary Name:
Account #:
Additional Instructions:
Check
Issue a check in the amount of $
Recipient's Name:
Recipient's Mailing Address:
payable to:
Account Number:
Qty/Symbol/Security:
Qty/Symbol/Security:
Qty/Symbol/Security:
Standing Authorization: Checking both boxes allows you to verbally vary
instructions set forth in box A.
A 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 DBSI requests a new
authorization or DBSI receives notice of the revocation of these
instructions. The undersigned authorizes DBSI to issue the wire, check or
journal on the
day of
until otherwise instructed. This authorization will expire after 15 months
of non-use.
B The undersigned further authorizes DBSI to accept verbal or electronic
instructions from the undersigned to wire funds, issue checks
or journal funds to/from the above listed account(s). The undersigned will
provide verbal or electronic instructions as to the date and
the amount of the wire, check or journal. PLEASE NOTE: The undersigned
understands and agrees to comply with the procedures of
DBSI to verify the authorization and accuracy of verbal or electronic
instructions.
The undersigned hereby acknowledges that (i) 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 authorization If
the
undersigned elects to transmit any such instructions via fax (including
EFTA01430995
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 undersigned bears 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.
The undersigned hereby releases and holds harmless DBSI from and against
loss from any action, claim or demand of any person as a result of DBSI's
receipt of or compliance with this authorization and/or any instructions
that may be given to DBSI pursuant to this authorization (including any
standing
authorization). For trusts or other entities or agents acting on behalf of
Client, the undersigned acknowledges that the undersigned is authorized on
behalf of Client to enter into this authorization and issue the instructions
under the terms of the governing documents and any applicable laws.
The undersigned understands that DBSI may, but is not required to, seek
verification of the undersigned's instructions by call back and that
DBSI may in its sole discretion refuse to execute such instructions
(including standing instructions) given pursuant to this authorization,
without incurring any liability, if DBSI has reason to believe such
instructions (or standing instructions) have not been provided by the
undersigned. The undersigned understands that DBSI retains the right to
refuse to execute any instructions to transfer funds or securities
to any account(s) pursuant to this authorization without written
instructions bearing original signature(s) of the undersigned. Further, the
undersigned acknowledges that DBSI shall be entitled to rely on the
authorization until actual receipt by DBSI of notice of: (i) Client's or the
undersigned's revocation of the instructions or (ii) the death or legal
incapacity of Client (if Client is a natural person) or the undersigned.
Signature
Signature
Print Name
Print Name
0 2018 Deutsche Bank AG. All rights reserved. WM1810148 019594.100818
Date
Date
at Receiving Firm
Journal
Journal Funds in the amount of $
Journal Holdings:
Qty/Symbol/Security:
Qty/Symbol/Security:
Journal All Holdings
To DBSI Account #:
Account Name:
Free Deliveries
Please deliver the securities indicated below to:
DTCC #:
Name of Receiving Firm:
Account Name:
DBLOATRF
EFTA01430996
On
On
224,000 / AAPL / Apple Inc Com
On
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N4Gxxx804
SOUTHERN FINANCIAL LLC
EFTA01430997
ℹ️ Document Details
SHA-256
94120a9a0c876f4d569de48a4703dec99a5cd07e3685a8afb69d53be76825d59
Bates Number
EFTA01430995
Dataset
DataSet-10
Document Type
document
Pages
3