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📄 Extracted Text (669 words)
Deutsche Bank
Private Wealth Managennent
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authorizes and directs Deutsche Bank Alex. Brown
rDeuische Bank Atex. Brown" or "DBAB'T to follow the below asset movement
instructions
If you wish to request multiple wires, checks, journals or free deliveries,
please use the long form.
DBAB Acxxtunt Name JEGEInC,
Account #:
Wire
121 Wire federal funds in the amount of S 40.726.00_
To Bank Name: SutlTfUSt Bank
City / State 510 Gloucester Street Brunswick. GA
ABA#
Journal
Q Journal Funds in the amount of I
❑ Journal Holdings
Qty/Svmbol.'Security
Qly/Symbol/Secuiitv
Q Journal All Holdings
To DBAB Account
Accouni Name:
Further credit to Intermadiary Financial Institution (Optional)
Accouni #:
Name.
Ultimate Beneficlatv Infumatkin;
BeneUdav Mama Stambaugh Avlatlon
Accounts.
FreeDeSveries
CJ Please deliver the securities indicated below to:
Inv # SA2363
Additional Instructions.
Tail #:
DTCC#:
Name of Receiving Firm:
Check
Q Issue a check in the amount of I
Recipienl's Name'
Raopieot's Maiing Address:
Account Name
pavQWeto:
Account Number:
EFTA01402853
at Receiving firm
Qtv/Svmbol'Secttriiy.
Qiv/Symbol/Secunty
Standing Authonzation
Q The undersigned hereby requests that this authorization act os a standing
authorization. The undersigned understands and agrees that this
authorization will
remain in effeci until Deutsche Bank Alex Brown requesis a new authonzetion
The undersigned authorizes Deutsche Bank Alex, Brown to issue the wire,
check or journal on the
Q The undersigned further authorizes Deutsche Bank Alex. Brown to accept
verbal instiuctions 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 data 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
proc^ures of Deutsche Bank Alex Brown to verify the authorization and
accuracy of verbal instructions.
day of
for a term of
The undersigned hereby acknowiedgas that (i) the information contained rn
this form is complete and accurate to the best knowledge of the undersignad;
and (ii) 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
insiructions via fax (indudtng desktop fax), via email or as an image
attachment to email le.g., as a PDF, TIF or other image of such
instructions), the undersigned
understands and agrees that the undersigned bears the risk of lossansrng
from such method of transmission in the event of transmission errors,
misunderstandings.
mpersonations, transmission by unauthorized persons, forgery or intercepts.
For trusts or other entitras, the undersigned further acknowledges that 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 from and against loss from any
action, claim or damand 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
EFTA01402854
required to, seek venficaiion of the undersigned's instructions by call back
and that
oautsche Bank Alax. Btown may in its sola discration refuse to execute such
instructions (including standing instructions) given pursuant to this
authorization, without
incurring any liability, if Deutsche Bank Alex. Brown has reason to believe
such instmctions (or stending instructions) fiave not been provided by the
undersigned. The
undersigned further understands ti/S^ Deutsojie Alex. Brown retains the
right to refuse to execute any rnstructions to transfer funds or securities
to any acoountlsl
ons bearing original signature(s) of the undersigned
pSteuam 1
is
to this authorization willpuf writ
Darren Indyke
12-29-2015
Prim Name
Signature
Date
Pnnt Name
Signature
Date
LOA
10-PWM-0177S 112/10)
EFTA01402855
ℹ️ Document Details
SHA-256
f673ed502e95121fb355f1996d86485e9e1a719d22ea6f475dffc04c66215ece
Bates Number
EFTA01402853
Dataset
DataSet-10
Type
document
Pages
3
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