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📄 Extracted Text (659 words)
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
ℹ️ Document Details
SHA-256
b60aff0f1333248823ca1bc26412d1c64429543789a674fe5f1357c67886d39e
Bates Number
EFTA01403159
Dataset
DataSet-10
Type
document
Pages
3
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