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efta-01410794DOJ Data Set 10Other

EFTA01410794

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Unknown
Source
DOJ Data Set 10
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efta-01410794
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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 Hie undersigned hereby authomas and directs Deutsche Bank Alex. Brown ("Deutsche Bank Alex. Brown" or "OBAB") to lollow the betow asset movement instrurhions. II you wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name: Account»: Journal Q Journal Funds in the amount of $ Q Journal Holdings; Oty/Symboi/Security; Qty/Symbol/SBCutity: K Journal All Holdings To DBAB Account #: Wire Q Wire federal funds in the amount of $ 400,000.00 To Bank Name: First Bank Puerto Rico City/State: 1519 Ponce De Leon Ave Santurce PR 0(M 221571473 ABA#; Further credit to Intermediary Financial Institution (Optional) Account #: Name Account Name: Ultimate Bensficary In(bnnal»n; BeneSciarvName: FT Real Estate Account#; Adduonal Inseuceonf' 717-1-030966 Free DeBvetiss Q Please deliver the securities inoicaled below to: Dice# Name of fleceiving Firm: Account Name; Check Q Issue a check in the amount of $ Recipient's Name: Recflient's MaSng Adcfrass: payable to: Account Number: at Receiving Firm Qtv/Symboi/Securlty; Qty/Symbol/Security: EFTA01410794 Standing Authorization Q The undersigned hereby requests that this authorization act as a standing authorlzairon. the underelgned understands and agrees that this authorization vvill remain in elfeci until Deutsche Bank Alex. Brown requests a new authotiraiion. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire, check orjournal on the Q The undersigned further authorizes Deutsche Bank Alex. B'own to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds to/from the above listed accounts. The undersigned will orovide verbal instructions as to the date and the amount of the wire, check or journal. II the undersigned decides to vary either the dale or the amount of ihe wire, check or journal, the undersigned hereby authorizes Deutsche Bank Aiex 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 authorization and accuracy of verbal instructions. for a term of day of The undersigned hereby acknowledges Thal (ii the information contained in this form is compiele end 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 iha undersigned elects to transmit any such instructions Via fax (including desktop fax), via email or as an image attechmenl to email (e g., as a PDF, TIF or other image of such Instructions), the undersigned understands and agrees that the undersigned bears the risk of loss arising from such method ol transmission in the event of transmission errors, misunderstandings, impersonations, iransmission by unauthorized persons, forgery or rntercepls. For busts or other entities, the undersigned further acknowledges that ihe undersigned is authorized to Issue the above asset movement instructions under the terms of the governing documents and any applicable laws. The undeisigned hereby releases and holds harmless Deutsche Bank Alex. Brown from and against loss from any action, claim or demand ol any parson as a result of Deutsche Bank Alex. Brown's receipt of or compliance with this euihorizalion and/or any instruct ons 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 required to, seek verification ol the undersigned's instructions by call back and that EFTA01410795 Deutsche Bank Alex. Brown may in Its sole discretion refuse to execute such instructions (including standing instructions! given pursuant to this authorization, without incumng any tebility, it Deutsche Bank Alex. Brown has reason to believe such instructions (or standing instructions) have not been provided by the undersigned. The undersigned further understands that Deutsche pank /dex. Brown retains the right to refuse to execute any instructions to transfer lunds or securities to any account(sl iruolions bearing original signaturB(s) of the undersigned. i/\ Darren Indyke po( Iuant to this authonzation 8-14-2015 Signature Print Name Date Pfinl Name Signature llllllllilllllllll LOA tO-PWMJ)1775 (12/10) EFTA01410796

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