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📄 Extracted Text (667 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
Tha undersigned hereby aulhorises end direcu Deutsche 8anh Ale*. Brovm I"
Deutsche Bank Alex. Brown" or "DBAB't lo lcoow it» betow asset movement
insirucitons
II you wish to request multiple wires, checks, journals or free deliveries,
please use the long lornt.
DBAB Account Name. Juffrey E.
Epateln
Arxoum * aSgfiSftTfi
Journal
o Journal Funds In the artiount of S
o Journal Holdings
Otv/SyrT*ol/Secijnty:
Oty/Symboi/Seciirity.
o Journal All Htpdings
To DBAB Account
Accour.: Nama:
Wire
Q Wire lederal funds in the amount ol $ 100.000.00
To Bank Name. JjBAB
Ctiyf State
ABA a.
021001033
Further credit to Intermediary Financiel Insiilution jOptianall
Account I.
Mare
I
! Ullantte Dai^rMY tnfamalion;
BanefioatyName jEQE. INC
42953459
Arxountf
Additotf Instrucum
Q Please deliver the sacunnes inrhcaied below to
DTCCd:
Name ol deceiving Firm-
Accouni Name
Check
Q Issue a check in the amoum ol S
Recgwi's Name.
Reopi^i's Waing Address:
paveUsUX
Account Number
at Receiving Firm
Qly/Symbol/Securily,
EFTA01476623
Oly/Symbol/Seturilyi
Sandng AuttniiatBit
Q Iha undersigned hereby requesis that this auihofiaaiion act as a standing
aulhorizeiion Tha undersigned understands snd agrees that this auihotiiaiion
win
remain in el<eci until Deutsche Bank Alex Brown requests a new auihonzai on
The undersigned euthoiues Deutsche Bank Alex Brown to issue the wire.
check O'journal on the
❑ The undersigned luiiher amhontes Deuische Bank Alex. Blown to accapi
verbal instructions from the undaisignod to wira lunds, issue checks or
journal
Funds lo/lrom the above listed accounts The undeisigned wni provide verbal
insuuctions as to lha data end the amount ol the Mie, check or joumai II the
undersigned decides lo vary eiiher lha dale or iha amount ol tha wire, check
or journal, the undetstgricd hereby author zes Deutsche Bank Aiax Brown to
accept the verbal mslruclions from the undersigned regarding the change or
changes The undersigned further understands and agrees to comply with the
procedures ol Deutsche Benk Alex. Brown lo verify the authwizaiion and
accuracy ol verbal instructions
for a term ol
day ol
The undersigned hereby acknowledges that Ii) the inlormaiion coniained n
this forni is complaia and accurate to lha best knowleilge of the
undersigned, end [ii) the
undersigned is responsible for the method ol transmission ol any insinicbons
issued pursuant to ilus aulhoraation. II the undersig-no elects to iransmii
sny such
insuuctions via fax Onciud.ng deskioo lax), via email or as an Image
aitachnteni to email {eg. as a PDF. TIF or other imaga ol suci-
insiruebons], the undersigned
understands and agrees ihel the undersigned bears the risk ol loss arising
from such method ol uansmission in lha event ol transmission errors,
misundersiendmgs.
impe'sonations. transmission by unauthorized persons, loigery of iniercepls.
For trusts or other eniiiies, lha undersigned further acknowledges Ihsi the
unde'signed is
auihorized to issue the above asset movemeni nsiruolions under the temns ol
the governing documents and any app-cabla laws. Tre undersigned hereby
relassea and
holds harmless Deutsche Sank Alex Brown from and against loss from any act
nn. dSim or demand ol any person ss a result ol Deuische Bank Alex Brown's
receipt of
or compkance with this authorization and/or any instructions that may be
given to Deulscnc Bank Alex. Brown pursuant lo this authoriuiion Including
any standing
auihorizalionl
The undersigned undarslands that Deuische Bank Alex. Brown may, bui is not
required lo, seek sntilicaiion ol lha unde'signed's insirucUons by call back
a-d that
Deuische Bank Alex. Brown may m ns sole discretion refuse lo execute such
EFTA01476624
inalruciions (including standing insliucnons] given pursuant to this
aulhoi'iza'on. without
incurring any liability, it Deuische Benk Alex. Brown has reason to believe
such inslniclions (or standing mstiucnons) have not been provided by Iho
undersigned. The
undersigned lurihe' undersiands ihai Deuische Bank Alex. Brown teiains lha
right to refuse lo execute any inslnxilions to uensfer funds or securities
to any accounl(s)
p^stiani to this aulhortzaiion ^houijwriiierr msijuc^ns bearing original
signaturelsl of the undersigned
L Darren K. Indyke
7
S-Cjridta'e
Prim rijdTio
Date
Signature
Print Name
Date
LOA
10-P*1'1177S (12/10)
EFTA01476625
ℹ️ Document Details
SHA-256
b162465739683fd1944324852d9460313cd8193d00819524e96f2bad460a9015
Bates Number
EFTA01476623
Dataset
DataSet-10
Type
document
Pages
3
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