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📄 Extracted Text (668 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
Tlib undersigned hereby euthorizee and deecit Deutsche Bank Alex. Brown
(''Deulsche Bank Alex. Brown" or "OBAB"I to follow the below asset ntovemem
instrueilons
If you wish to request multiple wires, checks, journals or free deliveries,
please use the long form.
DBAS Account Name: Jeffrey E EpsteIn
Account»:
Journal
Q Journal Funds in the amount of S
Q Journal Holdings:
OtylSymbol/Secunty;
Oiy/Symbol/SeGuritv:
Q Journal All Holdings
To OBAB Account If:
Account Name;
Wire
Q Wiro federal funds in the amount of $ 5,100.00
To Bank Name. Citibank, NA
City / State'
ABA #:
Further credit to Intermediary Rnanelel Institution (Optional)
Account #;
Name.
Uldmata BenofeiatY Infoimatian;
BeneikMivNamB:
Acoounl#:
Addilional Instnxtfens: Paintlno - 17 daVS
Free DeCveriee
Q Please deliver the securiiies indicated below to:
DTCCd:
Name of Receiving Firm.
Account Name:
Check
Q Issue a check in the amount of $
RaopiemsName;
Reopiont's Maiing Addess:
payabbto:
Account Number:
at Receiving Firm
0 tv/SynibolrSecurily;
Oly/SymlMi'Secunty.
EFTA01404095
Standing AuthcrizBtion
Q The undersigned hereby requests that this authorization act as a standing
authbrizatlon. The undersigned understands and egraes that this
authorization will
rsmain in efieci untii Deulsche Bank Alex. Brown requests a new
aulhonzelion. The undersigned euthoiizas Deutsche Bank Alex. Brown to issue
the wire,
check or journal on the
❑ The undersigned further authorizes Deulsche Bank Alex. Brown to accept
verbal instructions from the undersigned to wire funds, issue checks or
journal
funds to/lrom the above listed a000unls, The undersigned will provide verbal
instructions as to the dale and the amount of the vvire, check or journal.
If the
undersigned decides to vary ailhsr the dale or the amount of the wire, check
or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to
accept the verbal Instructions Irom the undersigned regarding the change or
changes. The undersigned lurthar understands and agraes to comply with the
procedurss of Deutsche Bank Alex, Brown to venfy the authorization and
accuracy of verbal instructions.
day of
for a term of
The undersigned hereby acknowledges that G) the information contained in
this form Is complete and accurate to the best knowledge of the undersigned;
and (h) the
undersigned is responsible for the metltod of lisnsmission of any
instructions issued pursuant to this aulhoilzation. If the undersigried
elects to transmit any such
insliuclions vta fax Gnduding daskiop fax), via email or as an image
etiachmem to email (e.g., as a PDF. TlF or other image of such inslrucGons).
ihe undersigned
understands and agrees that the undersigned bears the risk of loss orising
from such method of iransmlsslon in ihe event of transmission errors,
mtsunderslandings,
impelsoneilons, transmission by unauthorized parsons, forgery or interrupts.
For trusts or other entllias, the undsisignsd further acknowledges that the
undersigned is
euihorized to Issue the above asset movemoni instrvciions undoi ihe temns of
the governing documonts and eny appllceblo (aws. The undersigried hereby
releases and
holds harmless Deutsche Bank Alex. Brown from and sgairist loss from any
aciton. claim or demand of any person as a result of Deulsche Bank Atex.
Brown's receipt of
or compliance with this authorization and/or any insiruciions that may be
given to Deutsche Bank Alex. Brown pursuant to this eulhorizalion (including
any sanding
authorization).
The undersigned understands that Deulsche Bank Alex. Brown may, but is not
required to, seek verirication of the undersigned's instructions by call
back and that
Deulsche Bank Alex. Brown may in ns sole discretion refuse to execute such
EFTA01404096
instructions (including standing Instruclionsl given pursuant to this
authorization, without
incurring any liabllily, if Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing instructions) have not been provided by the
undersigned. The
undersigned (unhar undei^nds that Oeu
^gumanl to this aulhoruot o^ without writ
Bank Alex. Brown retains the right to refuse to execute any instructions to
transfer funds or securities to any accoumfsl
slruCDons bearing original signature(s) of the underaignad.
/A
Darren Indyke
1-13-2015
Signature
Date
Print Name
Dale
Prim Name
Signature
LOA
10-PWM-01775 (17/10)
I-
•/
EFTA01404097
ℹ️ Document Details
SHA-256
e5f54953183545e828cfc98ea9486727b95ba7d3b857e5947b728cf6483143e7
Bates Number
EFTA01404095
Dataset
DataSet-10
Type
document
Pages
3
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