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📄 Extracted Text (658 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
7110 undersigned hereby authorizes and ditecLs Deutsche Bank Alex. Brown
('Deutsche Bank Alex. Brown' or 'DBAS') 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 Account Name: JaffTBy E Epstsln
Account #:
Journal
ID Journal Funds in the amount of S
D Journal Holdings:
Qly/Symbol/Security:
Qty/Symbo I/Security:
D Journal All Holdings
To DBAS Account #:
Account Name:
Wire
Q Wire federal funds in the amount of S 3196.03
To Bank Name: TD Batik
City I State:
ABA#:
Further credit to Intermediary Financial Institution (Optional)
Account #:
Name:
mtknate Benefidiry Informatian:
Benefbaiy Name:
FreeDdfiiniea
D please deliver the securities indicated below to:
AddWonallnsUuciions:
DTCC#
Name of Receiving Firm:
Account Name:
Check
D Issue a check in the amount of S
Reopient's Name:
Recipient's Maiing Address:
payable to:
Account Number:
at Receiving Finn
QtV/Sym bol/Security:
EFTA01401655
Oty/Symbol/Socurity:
Standing Authorization
Q The undersigned hereby requests that this authorization act as a standing
authorization. The undersigned understands and agrees that this
authorization will
remain in effect until Deutsche Bank Alex. Brown requests a new
authonzalion. The undersigned authorizes Deutsche Bank Alex. Brown to issue
the wire,
check or joumai on the
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 joumai. If
the
undersigned decides to vary either the date or the amount of the wire, check
Of 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 eulhorizalion and
accuracy of verbat instructions.
day of
for a term of
The undersigned hereby acknowledges that (tl the information contained in
this form Is complete and accurate to the best knowledge of the undersigned:
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 (including desktop fax), via email or as an image
attachment to email (e.g., as a PDF, TTF or plher image of such
instructions), the undersigned
understands and agrees lhat the undersigned bears the risk of loss arising
from such method of transmission in the event of transmission errors,
misundersiandings,
impersonations, transmission by unauthorized persons, forgery or intercepts.
For trusts or other entities, 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, daim or demand of any person as a result of Deutsche Bank Alex.
Brawn's receipt of
or compliance with this authorization and/or any instructions ttiat may be
given to Deutsche Bank Alex, Brown pursuant to this authorization (including
any standing
authonzalion).
The undersigned understands that Deutsche Bank Alex. Brown may. but is not
required to, seek verilicaiion of the undersigned's instructions by call
EFTA01401656
back and that
Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such
instructions (including standing instructions) given pursuant to this
authorization, without
incurring any liability, it Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing insiructions) have not been provided by the
undersigned. The
undersigned further understands thaADeuRcfiet^rt^lex. Brown retains the
right to refuse to execute any instructions to transfer funds or securities
to any aocount(s)
p^uani to this authorization witl^ut ^Iten in^lru^ba^earing original
signalure(s) of the undersigned.
Darren K Indyke
6-26-2014
Print Name
Date
Signature
Print Name
Date
Signature
LOA
1()-PWMT)1775 (12/10)
EFTA01401657
ℹ️ Document Details
SHA-256
f8c91e1a6b8d990b799354037630c4456d7e09b70a4862e6fdd57b82aed95330
Bates Number
EFTA01401655
Dataset
DataSet-10
Type
document
Pages
3
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