EFTA01400790.pdf

DataSet-10 3 pages 671 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 Mex. Brown* or *DBAB*} to follow the below asset rriovement instructions. If you wish to request multiple wires, checks, lournals or free deliveries, t^ease use the long form. DBA8 Account Name; NES. LLC Account #: Journal Q Journal Funds in the amount of $ Q Journal Holdings; Qty/Symbol/Security: Qt^Symbol/Secuiitv; Q Journal All Holdings To DBAS Account #: Wire Q Wire federal funds in the amount of $ 3109.58 To Bank Name: Flrst Conini3nd Bflnic City / State: ABAt: Further credit to Intermediery Hnencial Institution (Optional) Account # Name: Account Name; UWrrete BerteAeiar tnformabon: Beneficary Name; Account#: Addiwnai instnjcaons: Bxp roimb and services 11/14 - 12/0S/I I Ree0eiverieB 0 Please deliver the securities indiceted below to: DTCC0- Name of Receiving Firm: Check G Issue a check in the anxiunt of $ Reopotfs Name: RBCaxam'sMaiinaAddtaes: Account Name: payable to: Account Number: at ReceMng Firm Ory/Symbo I/Security: EFTA01400790 Qiy/Symbol/Security: tentfing Authcrizetian G The undersigned hereby requests that this authontaiion act as a standing authorization. The urtdersigned understarxfs and agrees that this authorization will remain in effect until Deutsche Bank Aiex. Brown requests a new authofiza:ior.. The undersigned authorizes Deutsche Bank Aiex. ^own to issue the wire. check or journal or the G The undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds to/from the above listed accounts. The undersigned will prA'ide verbal instructions as to the date 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 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 undersigned hereby acknowledges that (ij the information 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 the authorization. If the uricersigned elects to transmit any such instructions via fax (including oesirtop ^x), via email or as an image attachment to email fe.g., as a PDF. TIF or other image of such Instructions), the undersigned understands and agrees that the undersigned bears the risk of loss arising from such method of transmissior in the event of transmission errors, misunderstandings, impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other ertities, the undersigned funher acknowledges that the undersigned is authorized to issue the above aaset movement it-sir jctiors 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. Brown's recaipt of or compliance with this authorization and/or any ins:ruct;cns that may be given to Deutsche Bank Alex. BroAm pursuant to this aulhonzauon (including any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may. but is rot required to, seek verification of the undersigned's instructions by call EFTA01400791 back and that Deutsche Bank Aiex. 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 reajon to believe such instructions (or standing instructicxis) have not been provided by the undersigned. The unders gneo further understands that Deutsche Bank Al pur.^nt to this authorization without wnttefi\[istructi((r Signature iwr retains the right to refuse to execute any instructions to transfer funds or securities to any account(s) mg original signature(s) of the undersigned. Aw^^arren K indyke 12-09-2014 Print Name Date Signature Print Name Date IIIIIIIIIIIIIUIII LOA 10-PWM-0177S (12/10) EFTA01400792
ℹ️ Document Details
SHA-256
e00800b6605b9aa78d5cc5635ec1930431159c6a9f47e9c7e3dcbd966d572fa6
Bates Number
EFTA01400790
Dataset
DataSet-10
Type
document
Pages
3

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