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efta-efta01154687DOJ Data Set 9Other

Deutsche Bank

Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01154687
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1
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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 VA Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby authorizes and directs Deutsche Bank Alex. Brown ("Deutsche Bank Alex. Brawn 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. DBAB Account Name. Southern Financial LLC Account Wire CI Wire federal fund tt-t, .in-nur-t 0; s 109,995.00 To Bank Name: Deutsche Bank Trust Co. Americas City/ State: New York, NY ABA #: Further credit to Intermediary Financial Institution (Optional) Account Name: Ultimate Beneficiary Information: Benetcory Narre. Deut sche Bank AG, London (DEUTGB2L)_ Account Addniorel instrucbo-r. Check CI Issue a check in the amount of $ payable to: Recipient's Name: Recipient's Wising Addtess: Journal CI Journal Funds in the amount of $ CI Journal Holdings: Oty/SymboUSecurity: Oty/SymboUSecurity: CI Journal MI Holdings To DBAB Account Account Name: Rae Deliveries CI Please deliver the securities indicated below to: DICar: Name of Receiving Firm: Account Name: Account Number: Qty/SymboUSecurity: Oty/SymboUSecurity: at Receiving Firm Saucing Authirization CI 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 authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire, check or journal on the day of fora term of CI 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 date 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 procedures of Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal instructions. The undersigned hereby acknowledges that (i) the information contained in this form is complete and accurate to the best knowledge of the undersigned; and Ili) 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 instructions via fax (including desktop fax), via email or as an image attachment to emai le.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 of transmission in the event of transmission errors, misunderstandings. 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 goveming 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 demand 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 required to, seek verification of the undersigned's instructions by call 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, if 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 Bank Alex. Brown retains the right to refuse to execute any instructions to transfer funds or securities to any accounts) pursuant to this authorization without written instructions bearing original signature(s) of the undersigned. signature Print Name ignature Date Pnnt Name Date MI 11111OA 1111111H L 10-PWNI-0177S I12/10) EFTA01154687

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SWIFT/BICDEUTGB2L
Wire RefWire federal

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