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📄 Extracted Text (657 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
Tha undersigned hereby amhorizes and directs Deutsche Bank Alex Brown
("Deutsche Bank Alex. Brown" or "DBAB") to iollow the below assat movement
instructions
If you wish 10 request multiple wires, checks, journals or free deliveries,
please use the long form.
DBAB Account Name: HBRK Associates
Inc.
Account #:
Wire
[Z] Wire federal lunds in the amount of S 12,152.15
To Bank Name: Ulster Saving Bank
City / Stale:
ABA#;
Journal
Q Journal Funds in the amount of i
IU Journaf Holdings:
Qtv/Symbol/Security:
Oiv/Symboi/Security;
❑ Journal All Holdings
To DBAB Account #:
Account Name:
Further credit to Intermadiery Financial Institution (Optional)
Account #m
Name:
Ultimate Benefkiary Informaticn:
RoTHiicavNaine: Lelghtop Allenby
Account#-.
Free D^iveHs
❑ Please deliver the securities indicated below to;
Additional Instructions:
DTCC#;
Name of Rerteiving Firm;
Account Name:
Check
C] Issue a check in the amount of $
ReapteoTs Name:
RBCipieni's Ma*ng Address:
payebieiD'
Accouni Number;
at Receiving Firm
Oly/Symbol/Secunty:
EFTA01403709
Qly/Svmbol/Securily;
Standing Authoriiation
Q The undersigned hereby requests that this authorization act es a standing
authorization. The undersigned understands and agrees that this
authorization will
remain in eiiect until Deutsche Bank Alex. Brown requasis a new
euthorization. Tha undersigned auihoiizos Deutsche Bank Alex. Brown to issue
the wire,
check or journal on tha
Q Tha undersigned further authorizes Deutsche Bank Alex. Brown to accept
verbal insmjctipns irom tha undersigned to wire lunds. issue checks or loumsl
funds toJfrom the above listed accounts. The undersigned will provide
vertiel instructions es to the dale and the amount of the wire, check or
journal. If tha
undersigned decides to very either tha 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 aulhorizaUon and
accuracy of verbal instructions.
day of
for a term of
The undersigned heieby acknowledges that (I) the information contained in
this form is complete end accurate to the best knowledge of the undeisigned;
and (ii) the
undeisigned is responsible for the method of transmission of any
instrucllons issued pursuant to this authorization, If the undersigned
elects to trensmit any such
instructions via fax lincluding desktop tax), via email or as an image
attachment to email (a g., as a PDF, TlF or other image of such
instructions), the undeisigned
understands and agrees that the undersigned bears the risk of toss arising
(rom such method of transmission in the event of transmission errors,
misunderstandings,
impersonations, transmission by unauthonzed persons, forgery or Intercepts.
For trusts or other entities, the undersigned (urlher acknowledges lhal 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 irom and against loss from any
action, claim or demand of any parson as a result of Deutsche Bank Alax,
Brown's receipt of
or compliance with this authorization and/or any insiructions that may be
given to Deutsche Bank Alex. Brown pursuant to this authorization (Including
any standing
authorizaiionj.
The unridf^igncd undatsionds Ihot/Dstiischa Bank Alex. Brown may, but is not
required to, seek verification of the undersigned's instructions by call
back and that
EFTA01403710
Dutiiwe/Bank Afox.^Stown may in its sole disaelion refuse to execute such
insiructions (including standing instructions) given pursuant to this
auihorizalion, without
inciiifing/anv fiatulity, if DaulscheB/nk Alex, Brown has reason to believe
such instructions (or standing Instructions) have not been provided by the
undersigned. The
un^bi^^hed frher untWrsiands^l Dwisdio Bank Alex. Brown retains the right
to refuse to execute any instructions to transfer funds or securities to any
aocounl(s)
wi;f!oui \y/titen instructions bearing original signaturafs) of the
undersigned.
to I
pirisi
Richard Kahn
8-6-2015
Print Name
Date
Print Name
Signature
Ddte
v7
LOA
10-PWM-01775 112/10)
EFTA01403711
ℹ️ Document Details
SHA-256
ee4c4bee7a1a8520537f577f61fa5e6af688b7ed0d73230a251a6575c5ae8fa9
Bates Number
EFTA01403709
Dataset
DataSet-10
Type
document
Pages
3
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