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efta-efta01401248DOJ Data Set 10CorrespondenceEFTA Document EFTA01401248
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EFTA DisclosureText 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 undersigned hereby auihorizes and oirecls Deutsche Bank Alex. Brown
('Deutsche Bank Alex. Brown" or "DBAB") to follow the beitjw asset movement
instrurdions.
If you wish to request multiple wrires, checks, journals or free deliveries,
please use the long form.
DBAB Account Name: Jeffrey E EPSteln
Account #:
Journal
Q Journal Funds in the amount of $
Q Journal Holdings:
Qty/Symbol/Security:
Oty/Symbol/Sacurity:
Q Journal All Holdings
To DBAB Account #:
Account Name:
Wire
Q Wire federal funds in the amount of t 3i000
To Bank Name: Bank of America
City/Slate:
026009593
ABA#:
Further credK to Intermediary Hnancial Institution [Optional)
Account #:
Name:
UltimBte
' •
me:
y
on:
Account#:
Free Defiverias
Q Please deinrer the securities indicated beiow to:
Additional Instructions:
DTCC#:
Name of Receiving Finn;
Account Name:
Oieck
Q Issue a check in the amount of S
patabteto:
Recipient's Name:
Ftopient's Mating Arfdiess:
Account Number:
at Receiving Firm
EFTA01401248
orty/Symboi/Seourity:
Oty/Symbol/Security;
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
authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue
the wire,
check or journal on the
Q The undersigned further auihorizes 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 journal. If
the
undeisigned decides to vary either the date or the arrxjunt 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.
day of
for a term of
The undersigned hereby acknowledges that (i) the information contained in
this form is compleie 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
instructions via fax (including desktop fax], via email or as an image
attachment to email <e.g.. as a PDF, TTF 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 enlilies, 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 demand of any person as a result of Deutsche Bank Alex.
Brown's receipt of
or compliance with this authorization anti/or any instructions that may be
given to Deutsche Bank Alex. Brown pursuant to this authorization (including
any standing
authorization).
EFTA01401249
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 Ks sole discretion refuse to execute such
instructions (including standing instructions) given pursuant to this
aulhoiization, 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"Bjbwn retains the
right to refuse to execute any mst rue lions to transfer funds or securities
to any acoounl(s)
Ptj"ani to this authorization with^ wriweh instmraieprtparing onginal
signature(s) of the undersigned.
Ja'Ten K Indyke
10-07-2014
print Name
Signature
Date
Print Name
Signature
Dale
LOA
10-PWM-0177S (12/10)
EFTA01401250
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