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sd-10-EFTA01374723Dept. of JusticeOtherEFTA Document EFTA01374723
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Dept. of Justice
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sd-10-EFTA01374723
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Summary
Deutsche Bank Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby authorizes and directs Deutsche Bank Securities Inc. (DBSI) to follow the below asset movement instructions. Account Number DBSI Account Name N4Oxxx804 ;SOUTHERN FINANCIAL LLC Wire ca Wire federal funds in the amount of _ To Bank Name- City/State: ABA Further credit to Intermediacy Financial Institution (Optional) Account If: Name: Ultimate Beneficiary Information:
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Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Bank
Wealth Management
Authorization for Asset Movement For Non-Retirement Accounts
The undersigned hereby authorizes and directs Deutsche Bank Securities Inc. (DBSI) to follow the below asset movement instructions.
Account Number
DBSI Account Name
N4Oxxx804
;SOUTHERN FINANCIAL LLC
Wire
ca Wire federal funds in the amount of _
To Bank Name-
City/State:
ABA
Further credit to Intermediacy Financial Institution (Optional)
Account If:
Name:
Ultimate Beneficiary Information:
Beneficiary Name.
Account Y: —
Additional Instructions:
Check
0 Issue a check In the amount of S
Recipient's Name:
Recipient's Mailing Address:
payable to:
Journal
o Journal Funds in the amount of $
0 Journal Holdings:
PtY/Syrnbol/Security:
Pty/Symbol/Security.
0 Journal All Holdings
To DBSI Account F.
Account Name.
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Free Deliveries
Please deliver the securities indicated below to:
orcov_VEZH
Name of Receivin
Account Name.
eAV Xitic.)11
AcoountTiaReceiving
Arm
Pty/SyMbOllSecutity:124rOOO1AAPIa_Plo Mc cc"
Qty/SymbobSecurIty: _
Ply/Symbol/Security: _
Standing Authorizatiorr. Checking both boxes allows you to verbalty vary instructions set forth in box A.
1.0 A 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 0851requests a now authorization or DBSI receives notice of the revocation of these
instructions. The undersigned authorizes DBSI to issue the wire. check or journal on the
day of
until otherwise instructed. This authorization will expire after 15 months of non-use.
8 The undersigned further authorizes DBSI to accept verbal or electronic instructions from the undersigned to wire funds. issue checks
or journal funds to/from the above listed account(s). The undersigned will provide verbal or electronic instructions as to the date and
the amount of the wire, check or journal. PLEASE NOTE: The undersigned understands and agrees to cons* with the procedures of
0951 to verify the authorization and accuracy of verbal or electronic instructions.
The undersigned hereby acknowledges that (i) the information contained in this form is complete and accurate to the best knovAedge of the
undersigned; and (ii) the undersigned is responsible for the method of transmission of any intrirctions ice ied 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
n a PDF, TIF
of 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.
The undersigned hereby releases and holds harmless DEIS! from and against loss from any action. claim or demand of any personas a result of DBSrs
receipt of or compliance with this authorization andlor any instructions that may be given to DBSI pursuant to INs authorization (including any stancang
authorization). For trusts or other entities or agents acting on behalf of Client the undersigned acknowledges that the undersigned is authorized on
behalf of Client to enter into this authorization and issue the instructions under the terms of the governing documents and any aPPrIcable laws.
The undersigned understands that 0851 may. but is not required to, seek verification of the undersigned's instructions by call back and that
DBSI may in its sole discretion refuse to execute such instructions (including standing instructions) given pursuant to this authorization.
without incurring any liability, if DBSI has reason to believe such instructions (or standing instructions) have not been provided by the
undersigned. The undersigned understands that 0851 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. Further, the
GEE
undersigned acknowledges that OBS! shalt be entitled to rely on the authorization until actual receipt by OBSI of notice of: 0) Client's or the
undersigned's revocation of the instructions or (II) the death or legal incapacity of Client (if Client Is a natural person) or the undersigned.
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Print Name
Date
Signature
Print Name
Dare
2018 Davadwit Bank AG. All rights reserved. wlinegaes 01.9594.10081B
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0069557
CONFIDENTIAL
SDNY GM_00215741
EFTA01374723
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