EFTA01465937.pdf

DataSet-10 2 pages 682 words document
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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 wires, checks, journals or free deliveries, please use the long form DBAB Account Name: in Account 8: Journal Q Journal Funds in the amount of $ Q Journal Holdings: Qty/Symbol/Seourity: Qty/Symbol/Security: 1" Journal All Holdings To DBAB Account I: Account Name: Wire Q Wire federal funds in the amount of $ 8,220.35 To Bank Name: JPMorcian Chase City / State: ABA$: 021000021 Further credit to Intermediary Financial Institution (Optional) Account $: Name: Ultimate Beneficiary Information: Beneficiary Name: 1Of1 NiCOla AccountI: Additional Instructions: LSJ - Nov 26 - Dec 22 d Expenses Free Deliveries Q Please deliver the securities indicated below to: Name of Receiving Firm: Account Name: Check Q Issue a check in the amount of $ Recipient's Name: Recipient's Mailing Address: payable to: at Receiving Firm Account Number: Qty/Symbol/Security: Qty/Symbol/Seourity: Standing /Authorization Q The undersigned hereby requests that this authorization act as a standing authorization. The under signed understands and agrees that this authorization will remain in effect until Deutsche Bank Alex. Brown requests a new authorization. The undersigned autho rizes 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 th e undersigned to wire funds, issue checks or journal funds to/from the above listed accounts. The undersigned will provide verbal instructions as to the date 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 undersi gned 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 instructi ons. day of for a term of The undersigned hereby acknowledges that (i) the information contained in this form is oompiete 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 thi s authorization. If the undersigned 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 other image of such instructions), the undersigned understands and agrees that the undersigned bears the risk of loss arising from such method of trans mission in the event of transmission errors, misunderstandings, impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other ent ities, the undersigned further acknowledges that the undersigned is EFTA01465937 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 any action, claim or demand of a ny person as a result of Deutsche Bank Alex, Brown's receipt of or compliance with this authorization and/or any instructions that may be given to Deutsche Bank Ale x. Brown pursuant to this authorization (including any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may, but is not required to, seek verific ation of the undersigned's instructions by call back and that Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such instructions (including standing instructions) given pursuant to this authorization, without incurring Ay liability, if Deutsche Bank Alex. Brown has reason to believe such instructions (or sta nding instructions) have not been provided by the undersigned. The undersigt/ed/further understands that Deutsche Bank Alex. Brown retains the right to refuse to execu to any instructions to transfer funds or securities to any aociount(s) pursuant/to/his authorizAon without written instructions bearing original signature(s) of the unders igned. 12-20-2013 Harry Seller Date Print Name SignatiteC, Print Name Date Signature 111111111111111111 LOA 10-PWM-01772 (12/10) EFTA01465938
ℹ️ Document Details
SHA-256
a067652812ae83e62ff572f642ebcbadc83b8745a8757a6cc840a52844ec97af
Bates Number
EFTA01465937
Dataset
DataSet-10
Type
document
Pages
2

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