EFTA01403709.pdf

DataSet-10 3 pages 657 words document
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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
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ee4c4bee7a1a8520537f577f61fa5e6af688b7ed0d73230a251a6575c5ae8fa9
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EFTA01403709
Dataset
DataSet-10
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document
Pages
3

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