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efta-efta01402190DOJ Data Set 10CorrespondenceEFTA Document EFTA01402190
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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
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Authorization for Asset Movement
For Non-Retirement Accounts
the undaraigned harabv authomu and direcis Oautsche Bank Alax. Brown
CDeulsohe Bank Alex. Brown' or 'DBAS') lo fotov iha below asset movemeni
instruonons.
it you wish to request multipls wires, eheidrs. journals or free deliveriss,
pteasa use the long form.
DBAB Account Name:
Trust
Account I:
Journal
U Journal Funds in the amount ol $
U Journal Holdings;
Otv/Symbol/Seouritv;
Oty/Symbol/Secuiily.
K Journal All Holdings
To DBAS Account S:
Accouni Name:
Wire
Q Wire federal funds in the amount of S 23.625.44
To Bank Name: JP Morgan Chase
City/State:
ABAN;
Further credit to Intarmadtary Hnanelel Institution (Optional)
Accounts.
Name:
BeneMavNana:
A000isUf:
Addilionalbvtniciions:
FmeDsCyeriaa
Q Please deliver the secunues indicated below to:
DTCCS:
Name ol Receiving Firm:
EFTA01402190
Account Name
Check
Q Issue a check in the amount ol S
ReopienTs Name:
ReopianTs Maiiig Arkkess:
payable to:
Accouni Number:
at Receiving Firm
Olv/Symbol/Security:
Oty/Symboi/Secunly:
Standing/tulliuifaBtion
K The undeisigned hereby requests that this aulhoriiation act as a standing
auihorlzalian. The undersigned understands and agrees that this aulhur
itatlon wil
remain in ailed until Deutsche Bank Alex Brown requests a new
authorization. The undersigned euihonzes Deutsche Bank Alex. Brown to issue
the wire,
check or journal on theday oflor a term of
K The underslgnsd further authorizes Deulscha Bank /tlex. Brown to accept
verbal inslmctions from the undersigned lo wire funds, issue checks or
journal
funds to/from the above listed e000unis. The undersigned will provide verbal
Insuuciions as to the dale and the amount ol iha wue, check or loumai. If the
undersigned decides to vary either the date or the amount of the wire, check
or journal, the undersignad hereby authorizes Deutsche Bank Alex Brown to
accept the verbal inabudions from the undersigned regarding the change or
changes. The undersigned further understands and agrees lo comply with the
procedures of Deutsche Bank Alex. Brown to venly the authorizauon and
accuracy of verbal instruedens.
The undeisigned hereby acknowledgas that (I) the Inforntaiion contained in
this form is complete and accurate to the best knowledge of the undersigned:
and lnl the
undersigned is responsible for the method of transmission of any
Instructions issued pursuant to thia aulhoiizatxin. If the undeisigned
elects to transmit any such
instructions via fax (including desktop (ex), via email or as an image
attachment to email (e.g , as a PDF, TTF or other image ol such
instnictionsl, ihe undersigned
understands and agrees that the undersigned bears the nsk ol loss ansing
from such method of uansmission in the event of transmission errors,
misunderstandings.
impeisonaiions, transmission by uneulhortzad persons, forgaty or Inlarcepls.
For irusu or other enliiias, the undersignad further acknowledges that the
undersigned is
euthpuzed 10 issue ihe above essai mavement instructions under the lerms ol
the governing documents endany applioabta taws. The undersigned hereby
releases end
holds hamiless Deutsche Bank Alex. Brown licm and against loss from any
action, claim or demand ol any person as e result of Deutsche Bank Alex,
down's receipt ol
or oompliance with this eulhonzeuiin and/cr any insliucliDns that may be
EFTA01402191
given to Deutsche Bank Alex. Brown pursuant lo this aulhorizetion (including
any standing
authorization).
The undersigned understands that Deutscha Bank Alex. Brown may, but is not
required to, seek verilicaiicn of (he undarstgned's mstruotians by cab back
and that
Daulsche Bsnk Alax. Brown may in its sole discretion refuse to execute such
instructions (intruding standuig instructions) given pursuant to this
authorization, without
incurring any liability, II ITeulsche Bank Alex. Brown has reason to believe
such InsinicDons (or standing insinicUons) have not bean provided by the
undersigned. The
undersigned further understands that Deutscha Bank Alex. Brown retains the
right lo refuse to execute any instructions to uensfer Funds or securities
to any accounils)
pursuant to this aui^^ization wiih^ written Instructions besnng originel
signeiure(s) of the undersignsd.
Harry Beller
PriruNaini
9-24-2015
Signatuie
IStB
Pont Name
Signaiura
Date
LOA
10*PWM-0177S (12/10)
EFTA01402192
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