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efta-01405516DOJ Data Set 10Other

EFTA01405516

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01405516
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3
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undefSigned hereby authorizes and directs Deutsche Bank Alex. Brown ("Deutsche Bank AIbX: Brown" or "DBAB") to follow the below asset movement instructions. If you wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAS Account Namei Jeffrey E EpStgitl Account #: 35266976 Journal Q Journal Funds m the amount of $ LI Journal Holdings: Qly/Symbol/Security Qty/Symbol/Secoritv: Q Journal All Holdings To DBAB Account #: Account Name Wire Q Wire federal funds in the amount of S 1391.59 To Bank Name: TD Bsnk City / Stale: ABA«. 031101266 Further credit to Intermediary Financial Institution (Optional) Account #: Name: Ultimata BenaficistY Information; Ben ue fi i r Name Rgnfltg SolOtOVfl Account#' Free Dsihnries Q Please deliver the securities indicated below to: DTCC# Name of Receiving Firm: Account Name: exD. reimbursement Additional Instructions' Check K Issue a check in the amount of $ Reapienl's Name: Recipient's Mailing Address; peyableto: Account Number; at Receiving Firm QtvfSvmboi/Secutity; EFTA01405516 Oly/Symbol/Sacumy: Starv(£ng Authofizaticin Q The undersigned hereby requests that this authoiizalion act as a standing authorization. The undersigned understands and agrees that this authonzalion win remain in effect until Deutsche Bank Alex. Brown requests a new authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire. check or journal on the LI The undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds to/fiom the above listed accounts. The undersigned will provide verbal instructions as 10 the date and tha 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 wiih the procedures Of Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal instructions. for a term of day of The undersigned hereby acknowledges that (ij 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 Buthonzation. If the undersigned elects to Itansmrt any such instructions Via fax (including desktop fax), via email of as an image attachment to email (e g., as a PDF. TIF or other image of such instructions), the undersigned understands and agrees that the undersigned beo'S 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, tha undersigned further acknowledges that the undersigned is Butnorizeo 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 horn and against loss from any action, claim or demand of any person as a result of Deutsche Bank Aiex. Brown's receipt of or compliance with this authorization and/or any msirucnons that may be given to Deutsche Bank Aiex Brown pursuant to this authorization (Including any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may, Out is not required to, seek verification of the undersigned's instructions by call EFTA01405517 back and that Deutsche Bank Alex. Brown may in its sole discretion refuse to e.xecute such instructions (including standing instructions) given pursuant to this authorization, without incurring any liability, if Deutsche Bank Alex. Brown has reason to believe such instructions (or standing instrucoons) have not been provided by the undersigned. Tha undersigned further understands that Deutsche Bank Alex. Brown retains the right to refuse to execute any instructions to transfer funds or securities to any account(s) pursuant to finis authorization ructions bearing original siQnature(s) of the undersigned. Signature Darren K Indyke 01-09-2015 Date Print Name Date Print Name Signature II11 III III! mil III LOA 10-PWM-0177SI12/10) EFTA01405518

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