EFTA01404190.pdf

DataSet-10 3 pages 658 words document
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Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts TVie undeisignod hereby aulhoriies and directs Dautsche Bank Alex. Brown I"DenschB Bank Alex. Brown" or "DBAB") lo follow the below asset movomeni instructions. If YOU wish lo request multiple wires, checks, fournals or free deliveries, please use the long form. DBAB Account Name; Jeffrey E EPStflln Account#; doumel ill Journal Funds in the amount of ❑ Journal Holdings Otv/Symbol/SecuntY; Otv/Svmbol/Securitv; 0 Journal All Holdings Xo DBAB rikccount #; Accouni Name; Wire Q Wire federal funds in the amount of S 10,000.00 To Bank Name.' Citibank City I State' ABA (f; 021000089 Further credit to IntermedinrY Financiel Institution (Optional) Account #: Naim Ultimate BeneBctaiy informationt Benafiriflry Nama- Acoouni#: FtseDelfyefte Q Please deliver the securities Indicated below to; Adiitioriailnsiructicns; DTCCF: Name of R000iving Firm: Account Name; Check Q Issue a check in the amount of S Recipisnls Name Rec^iient's MaSing Address; payable to; at Receiving Firm Account Number. EFTA01404190 Otv/SvtnboVSacutlty: Oiy/SvmboirSecurity: Standing Amhorizalion Q The undersigned hereby requests that this authoriaation act as a standing authorization. The undersigned understands and agrees that this authorization will remain in effect until Deutsche Bank Alax. Brown requests a new authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire. check or journal on Iheday of Q The undersigned further authorizes Deutsche Bank Alex. Drown to accept verbel instmciions from the undersigned to wire funds, issue checks or journal funds lo/lrom the above listed accoums. The undersigned will provado verbal instructions as to the data 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 undersigned hereby authorizes Deutsche Bank Alex. Brown to accept II le verbal instructions from the undersigned regarding the change or changes The undersigned further understands and agrees to comply with the procedures of Deutsche Benk Alex, Brown to verify the authorization and accuracy of verbal instructions. fora lerm of The undersigned hereby acknowledges that (I) the information contained in this form is complete and accurate to the best knowledge of the undersigned; and (it) the undersigned Is responsible for the method of transmission of any insliuclions issued fiursuant to this authorization. If the undersigned eleois to transmit ary such instructions via fax (including desktop fax), via email or as an image attachment to email (e.g., as a PDF, TIF or other imega of such instructions), the undersigned understands and agrees that the undersigned bears the risk of loss arising from such method of transmission in the event of transmission errors, misunderstandings. impersonations, iransmission by unauthorized persons, forgery or intercepts. For trusts or other entities, the undersigned further acknowledges that the undersigned is 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 any person as a result of Deutsche Bank Alex. Brawn's receipt of or complience with this eulhorization and/or any instructions that may be given to Deutsche Bank Alex. Brown pursuant lo this authorization (including any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may, but is not required to, seek verilioalion of the undersigned's instructions by call EFTA01404191 back and that Deutsche Bank Alex. Brown may in ns sola discretion refuse lo execute such instructions (including standing instoictions) given puisuant to this auihoiization, without incuinng ary liability, if Deutsche Bank Alex. Brown has reason to believe such instructions tor standing instructions] have not been provided by the undersigned The undersigned further understands that Dauisc^a B^k/)liex, Brown retains the right lo refuse to execute any instructions to transfer funds of secuiities (o any eccount(s) putsuBiri to this authorization wlthcuP^tien Ins ns boanng original slgnature(s) of the undersigned. Darren Indyke 9-4-2014 Print Name Signature Data f'rini Name Date Signature LOA L ia-PWM-01775112/10) / EFTA01404192
ℹ️ Document Details
SHA-256
bb4c00f9118e8fb3758a2e653b1a72757dfdc06fe2c4a7247981bada788320a3
Bates Number
EFTA01404190
Dataset
DataSet-10
Type
document
Pages
3

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