EFTA01403159.pdf

DataSet-10 3 pages 659 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: Jflffray E Epatflin Account#; Journal Q Journal Funds in the amount of $ ❑ Journal HoMings; Qty^ymbol/Secunly; Oty/Symbol/Security: ❑ Journal All Holdings To DBAB Account #: Account Name: Wire Q Wire federal funds h the amount of $ 5.000 To Bank Name: TD Bank City / State: ABA #: Furtlier credit to Intermediary Hnanclal Institution (Optional) Account #: Name- UMmela Banaficjariiiiiiannalian: nonriirh,Y Mflmw Account#: Additional lnstnxnion&' Free Q Please deirver the securities indicated below to; DTCC#- Name of Receiving Firm: Account Name: Chedc ❑ Issue a check In the amount of $ Redpients Name; RedpienTsMaing Address: pavebleto: Account Number: at Receiving Firm Qty/Symboi/Security; EFTA01403159 Oty/Symbol/Sacurity: SAK&ig Authoitaaiion Q The undersigned hereby requests that this authorization act as a standing authorization. The undersigned understands and agrees that this authorization wiil remain in effect until Oeuts^e Bank Alex. Brown requests a new authorization. The urtdersigned authorizes Deutsche Bank Alex. Brown to issue the wire, check orjournal 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 toffrom the above listed accounts. The undersigned will provide verbal Instructiona as to the date end the emount of the wire, check or journal. If the undersigned decides to vary either the date or tha amount of the wire, check or journal, the undersigned hereby euthorizes 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 urtdersigned hereby acknowledges that (I) the informatkxt 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 Insfiuctions via fax [including desktop lex), via emei! or as an Image attachment to small (e.g., as a PDF, TIP or other image of such instrucliotts), the urtdet^ned understands end agrees that the undersigned bears the risk of loss erising from such rneihod of tranamlsskm In the event of trerrsmisslon errors, misunderstendings. Imparsonslions, trensmtssron by unauthorized persons, forgery or intercepts. For trusts or other entities, tha undersigned further acknowledges that tha un^signed is authorized to issue the above essai movement insttuaions under tfie terms of the governing documents and any appircebta Jews. The unde'signed hereby releases end holds hsrmtass Deutsche Bank Alex. Brown from end agetnsi loss from any nclion, claim or demand of any person as a result of Deutsche Bank Alex. Brown's receipt of orcompliBnce with this authoruetion and/or any instruct ions that may be given to Deutsche Bank Alex. Brown pursuant to this authorization (including any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may, but is not required to, seek verification of the undersigned's instructions by call back and that EFTA01403160 Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such instructions (including standing instructions) given pursuant to this authorization, without incurring any liability, if Deutsche Bank Alex. Brown has reason to beheve such instructions (or standing instructjonsl have not been provided by the undersigned. The undersigned further understands that Deutsche BenbAlex. Brown retains the right to refuse to nrecute any instructions to transfer funds or securities to any accoum(s) pursuant to this authorizabonjivl^ut yrijten msp^^icrrs bearing original signature(s) of the undersigned. Darren K Indyke 09-29-2015 SignStute Print Name Date Print Name Signature 10-PWM-0177S (12/10) EFTA01403161
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b60aff0f1333248823ca1bc26412d1c64429543789a674fe5f1357c67886d39e
Bates Number
EFTA01403159
Dataset
DataSet-10
Type
document
Pages
3

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