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📄 Extracted Text (658 words)
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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