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📄 Extracted Text (661 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
Ths undersigned hereby auihorizes and o'lrecls Deutsche Bank Alex. Brown
('Deutsche Bank Alex. Brown* or 'DBAB') to follow the below asset movement
instructions.
II you wish to request multiple wires, checks, journals or free deliveries,
please use the long lornt.
DBAB Account Name; JaffraV E EPSteln
Account #; 35266976
Journal
Q Journal Funds in the amount of $
Q Journal Holdings:
Oty/Symbol/Seourity:
Qty/Symbol/Securfty:
Q Journal All Holdings
To DBAB Account #;
Account Name:
(Mrs
Q Wire federal funds in lha amount of S 3,000
Tb Bank Name: Bsnk of AthOIICS
City/State:
ABA »:
026009S93
Further credit to Intermediary Rnancial InstHulion (Optianall
Account f:
htame:
UlliTtatB Benafitaat liifutnaliun:
BrxwtoarvNiime:
Account#;
Addtkxtal Instntclions;
FraeDelKiaies
Q Please deitver the securities indirtated below to:
DTCC#:
Name of Receiving Firm:
Account Name:
Oieck
Q Issue a chock in the amount of S
Reopieot's Name:
r.op>j --S Maiing Address:
payobtoic;
Account Number:
at Receiving Firm
oly/Symbolr'Security.
Oty/Symboi/SBCUitiy:
EFTA01405315
Stanrfing Authorizatluri
Q The undersigned hereby requests that this authorization act as a standing
authorization. The undersigned understands and agrees that this
authorization will
remain in erieci until Deuts^e Bank Alex. Brown requests e
newauthizrizmiun.'The undersigned authorizes Deutsche Bank Alex. Brown to
issue the wire,
check or Journal on the day of(or a term of.
Q 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 provide verbal
instructions as to the dale and the amount of the wire, check or Journal. If
the
undaisigned decides to vary either the date or the amount of the wire, check
or journal, the undaisigned 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 instnictions.
The undersigned hereby acknowledges that (il the information contained in
this form is complete and accurate to the best knowledge of the undersigned;
and (iij 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
instructions via fax (including desktop fax), via email eras an image
attachment to email (eg., as e PDF, TIF or other image of such
insiiuctionsj, 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, transmission by unauthorized persons, forgery or Intercepts.
For trusts or other entities, the undersigned further acknowledges that the
undersigned is
authoiized 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. Blown from end against loss from any
action, claim or demand of any person as a result of Deutsche Bank Alex.
Brown's receipt of
or compliance with this authorization and/or any instructions 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
Deutsche Benk Alex. Brown may in Ks sole discretion refuse to execute such
instructions (Including standing insiiuctionsj given pursuant to this
aulhonzalion, without
EFTA01405316
incurring any liability, if Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing instructions) have not bon provided by the
undersigned. The
undersigned further understands that Deutsche Bank retains the right to
refuse to execute any instructions to transfer funds or securities to eny
accounl(s)
pt^ani to this authorization without wril/eh Insimctt^-^ring onginal
signaturefs) of the undersigned.
PaiTon K Indyke
10-07-2014
Print Name
Sigribtgre
Date
Pnnt Name
Signature
Date
III mill 11 III III
LOA
10-PWM-01775 (12/10)
EFTA01405317
ℹ️ Document Details
SHA-256
e8183e6be35b5cf31bdc3bb9a80a87a5f08f2d9af6d634e6a58ae4da407e0e45
Bates Number
EFTA01405315
Dataset
DataSet-10
Type
document
Pages
3
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