EFTA01401071.pdf

DataSet-10 3 pages 639 words document
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Deuteche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts 1^6 undsretgnatf tweby auttioriMs and dir«c« Oaiitscfia Bank Atax. Bronm {'OButscha Bank Aieic Browi' or "D to folkwr toe betow asset movemem tnstwcttons. If you wish 10 lequest multiple wtas, ehedts, journals or Ires deliyariw, pteasa use the long foroi. OBABAoeeuntName: Jaffroy E Epatflln Account #: Journal Q Journal Funds in the arnountolS Q Journal Holdings: Oly/SymboVSecunty: Oly/SymtotSecurity. ❑ Journal All Holdings To DBAS Account«: Account Name: Wire Q Wire fadaral funds IruhasmouM of S 720 To Bank Nania; JP Monaan OtyF Slate: ABAS: Furthar ciwSt to intermediary Financial Institution lOptiunel) Account #: Fbma Ikfrn^BaMBlliiMyliitbmBifkin: BansfaevNaniru Svotfana Pozhtdaevft Actwffitft Arkjtional kiEtrucdane FreeDeSvetiaa ❑ Fteasa deliver the sitcuriHes indicated below to: OTCC#: Nemo of Receiving Firm; Account Name: Chadc 0 Issue a check In tha amount of $ SacipPil'sNiinw HacipBift Mabs< payebiota: Account Number: et RaoeMng Hnn EFTA01401071 OtyfSyntpol/Securlty: Oiy/Symtjol/Secunty: Stenting Audiutialluii Q The unclarsignnd hoieby requests that thlSButhoriiallon act aea aiariding aulhonietlon.lha undrsHiginct understands end remain in ellec; until Deutsche Bank Alex. Brown requests a new authoiitslion. Tha undersigned nuihorireu Oaulsdte Dank Alex. Qicwn to issue (ho wire, ch^ or journal on thedoyol.lore term o(. Q Tha unduiaignad lunher euthorijos Deutsche Bonk Alex. Brown to socefX verbal htstiuctions from the undersigned to wire funds, issue checks or journal funds tt^lrom thu above tislod accounts. The undersigned will provide verbal inalruclhms as to tha date and the amount of the wire, check or journal. II tha uncitn&gited decidos to vary either tha data or the amount of tha wire, check or journal, the undeuignad heiehy autooriies Dsulscha Bank Alex. Brown to accept tho vtubsl instructions from the undersigned regarding the change or changes. The underaigned further undarotends end egreius to comply with tha procedures of Osutsche Bonk Alto. Brown to verify iha euthor'uatlon end accuracy ol verbal instructions._ tWs uuthortaillonwlll The undoisigruid hotuby ecknowlodgos that (r) tho infomvilion conuiinad in this form Is crxnjaptn and accurate to the bast knowtedga of the undat^nod, and fii] tha undanngpBd is rosFions>b:o for tha method of transmission of any tnstructions issuad puisuani to Ihis authorialiun. If the undcisigncd ulucts to ironsmil any such iftstnictions \ia Isx (including aesktop lax), vis email or es an imago etlachmsni to email (e.g., as a PDF, T1F or other image of such instructions), the undorsigned understands and agrees that the unde'signod boare the risk of toss arising from such maitiorf of transmission In the evanl of transmission otroni, misunderstandings. impH'uormt'Onr., insnsmission by uiMulhofirod parsons, forgery or intorcepis. For trusts or uthar enlitlBS, tho undorsignod further acknowtodgus Uiat the undursigned is euiriorited to Itoue toe above asset movement mstruciions under the terms of toe governing docuinanis and any eppdcoblB laws. Die undersigned haratay telaasas end hotds harmless Deutsche Bark Alex Brown from snd agaitut toss (rotfi any nmlort, deim or demand of eny person as a tesuh ol Oeulscho Bank Alex. Biovm's receipt of PI rximplianco with this sulhoruatkin end/ot eny inslnxniuiis that may be given to Deutsclio Bank Atex. Brown pursuant to this aulhofiret'iun jincluding any standing Buthorizalion). The undorsigncid undonnenda that Deutsche Book Alex. Brown may. but b not required to, seek varifloation ol toa undorsignad's insouclions by call back and that EFTA01401072 Deutsche Bank Alex Brrwn may In its solo discielion refuse to ewecute such instructions finr,:udmg etanding losuucUons) given pursusni to Ihis sulhoiiislion, without incurriitg any liSbinty, if Oeulscho Bank Alex. Brown has lasson to believe such tnsliuctlonB {or stondlng inslruc-.iona) h»VB not boon pruvidad by the undersigned. The tsche BanX Alck Brown retains lha right to refuse to Hseculu any Insliucu'ons to transler lunds or sacurilias to any acoounlls) ns/oaring oiiglnal signaturo(s) of the undentlgned. /Uj^^Darren K Indyke undsrsigned hirther understands that pursuant to ttua authoriaitnn ijrlthouj Si^natuffi itiM 06^0-14 AAjL^a. Prmiffaow Date &a16 Print Name Signature liitiiiiiiimiiiit LOA IO-PWM-DI77.S EFTA01401073
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9fc5c40d697b193b096fa2b949613eccb4ec4cd8e17f03426603d573765db553
Bates Number
EFTA01401071
Dataset
DataSet-10
Type
document
Pages
3

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