Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Bank
Private Wealth Management
m
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authorizes and directs Deutsche Bank Alex. Brown
("Deutsche Bank Alex Brown' or "DSAB") 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: Jeffrey E EPSteffl
Account #
Journal
Journal Funds in the amount of S
Q Journal Holdings:
OtV/Symbol/Security:
orty/Symbol/Securily:
Q Journal All Moldings
To DBAB Account #:
Account Name:
Wire
Q Wire federal funds in the amount of S 391.66
To Bank Name: Bank Of Amflrica
Ciiy / Stale:
ABA#:
Further credit to tnlarmediary Rnancial InatHution (Optional)
Account #m
Name:
UiiTiaiB Banafnary hfcnnation;
Bmrrfirianr Marne Yulla SteoanOVa CuomO
Aaxiunl#:
Adduxial Instnjclions:
FteeDafiverin
Q Please deliver the secuntios indicated below to:
I
DTCC#:
Name of Receiving Firm*
Oiedt
(_I Issue a check in the amount of $
Redpiem's Name:
Reapienl's Maiing Address:
Account Namo:
porabtelo;
I
Account Number:
EFTA01402732
at Receiving Firm ,
I
Qly/Symbol/Security:
Qiy/Symbol/Secuiily:
Sterr&ig AuthorizAkin
Q The undersigned hereby requests that this authorization act as a standing
authorization. The undersigned understands end agrees lhal this
authorization will
remain in effsc: until Deutsche Bank Alex. Brown requests a now
auihorizeiion. The undersigned auihonzes Deutsche Bank Alex. Brown to issue
the wire.
check or journal on the
(D The undersigned further authorizes Deutsche Bank Alex. Brown to accept
verbal instructions from the undersigned lo wire funds, issue checks or
lournal
funds toArom the above listed accounts The undersigned will provide verbal
instructions as to the date and the amount of the vvire, check or journal.
If ihe
undersigned decides to vary either the date or theamouni of the wire, check
or journal, the undersigned hereby authonzes Deutsche Bank Alex. Brown to
accept the verbal insirucTions from the undersigned regarding ihe chance or
changes The undersigned further undersiands end agrees lo comply with the
procedures of Deutsche Bank Alex. Brown lo verily the authorization and
accuracy ol verbal instructions.
day of
for a term of
The undatsrgned hereby ackntzwiedges that (i) ihe information coniained in
this form is complete end accurate lo the bast knowledge of the undersigned;
and (ii) ihe
undersigned is responsible for the method of Iransmission ol any instmctions
issued pursuant to this authorization II the undersigned elects lo transmit
any such
nsiiuclions Via fax (including desktop fax), via email or as an image
ailachmeni lo email (e g., as a PDF. TiF or other image ol such
instructions), the undersigned
understands and agrees that the undersigned bears the nsk of loss arising
from such method of traesmissen in the event of transmission errors r-
oisunderstandings,
mpersoneiions, Iransmission by unauthorized persons forgery or intercepts
For trusts or other entities, the undersigned further acknowledges that tho
undersigned is
-authorized 10 issue tho above asset movement msiructions under the terms of
the governing documents and any applicable laws The undersigned hereby
releases and
holds harmless Deutsche Bank Alex. Brawn from and against loss Iram any
actxin. claim or demand of any person as a result ol Deutsche Bank Alex,
Brown's receipt ol
or compliance with this aulhorizalkir andfor any instruciions lhal may be
given to Deutsche Bank Alex. Brown pursuant lo this euthorizalion (including
any standing
auihonzalion)
EFTA01402733
The u-dersigned understands that Deutsche Bank Alex. Brown may, but is not
required K5, seek venftcalion of the undersigned's instructions by call back
and that
Deutsche Bank Alex Brawn may irt ns sole discretion refuse la execute such
instructions jinciuding standing instruciions) given pursuant to this
auihonzalion, wiihoui
incurring any liability if Deutsche Bank Alex Brown has reason to believe
such instructions (or standing instruciions) have not been provided by the
undersigned. The
undersigned lunher understands that Deutsche Bank Alex, Brown retains the
nght to refuse to execute any instructions lo transfer funds or securilies
to any account(s)
qmsoanl to this authoiizauop wilhoui
V
nng original signaturo(s) of the undersigned
Darren K Indyke
12-29-15
Pnni Name
Pnnt Name
SKjnaiufe
We
LOA
10-PWM-0I77S (12/101
EFTA01402734