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sd-10-EFTA01374724Dept. of JusticeOtherEFTA Document EFTA01374724
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Dept. of Justice
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sd-10-EFTA01374724
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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 Wire Wire federal funds In the amount of S _ To Bank Name City/State: ABA Further credit to Intermediary Financial Institution (Optional) Account 0: Name: Ultimate Beneficiary Information: Beneficiary Name' Account az_ Ad
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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
Wire
Wire federal funds In the amount of S _
To Bank Name
City/State:
ABA
Further credit to Intermediary Financial Institution (Optional)
Account 0:
Name:
Ultimate Beneficiary Information:
Beneficiary Name'
Account az_
Additional Instructions:
Check
0 Issue a check In the amount of S
payable to:
Recipient's Name:
Recipient's Mailing Address:
SOUTHERN FINANCIAL LLC
Journal
o Journal Funds in the amount of S
0 Journal Holdings:
PtY/Syrnbol/Security:
Ply/Symbol/Security.
o Journal All Holdings
To DBSI Account I
-
Account Name'
Standing Authorizatiorr. Checking both boxes allows you to verbally vary instructions set forth in box A.
10 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 O831 requests 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 OBSI 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 comply 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 intructions ice red 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, TW
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 sixteen°
authorization). For trusts or other entities or agents acting on bobcat 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 afilokatile laws-
The undersigned understands that DBSI 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 DBSI retains the right to refuse to execute any instructions to transfer funds or securities
n
a
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 DBSI of notice of: 0) Client's or the
undersigned's revocation of the instructions or 00 the death or legal incapacity of Client (if Client Is a natural person) or the undersigned.
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Print Name
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Signature
Print Name
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2018 Squad* Bank AG. All rights reserved. wlinetotes 019594.100818
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0069558
CONFIDENTIAL
SDNY GM_00215742
EFTA01374724
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