Text 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 authorizes end directs Deutsche Bank Alex. Brown
("Deutsche Bank Alex. Brown" or "DBAB'l to follow the below asset movement
instructions.
If you wish to request multiple wires, checks, journals or tree deliveries,
please use the long form.
DBAB Account Name; Jaffray E Epstain
Account #:
Journal
0 Journal Funds in the amount of S
K Journal Holdinos;
Qty/Symbol/Secunty:
Oty/Symbol/Security:
Q Journal All Holdings
To DBAB Account #:
Wire
Q Wire federat funds in the amount of S 3260
To Bank Name: TD Bank
City / State:
ABA#;
Further credit to Intermediary Financial Institution (Optional)
Account #;
Name:
Account Name;
LRtrnste Bemfkiary Infonnaticn:
Benelidary Name
Account#:
Arutod bisuuciiDns: rant and eXD for October
FieeDeEveries
G Please deliver the securities indicated below to;
DTCC#:
Name of Receiving Firm:
Oiedt
Q Issue a check in the amount of S
Reapiant's Name;
Reapient's MaSng Address;
Account Name:
pavabtetp;
Account Number:
at RaceivinQ Firm
EFTA01428559
Qty/Sym bol/Security;
Oty/Symbol/Security;
Standng AuthorizBtim
Q the undersigned hereby requests that this authorization act as a standing
authorization. The undersigned understands and agrees that this
authorization vvill
remain in effect unfil Deutsche Bank Alex. Brown requests a new
authorization The undersigned authorizes Deutsche Bank Alex. Brown to issue
the wire.
check or journal on the
G The undersigned further authorizes 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
inslructuns as to the dale and the amount of the wire, check or journal. If
the
undersigned decides to vary either the dale or the amount 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 aulhorizaiion and
accuracy of verbal inslmclions.
day of
for a term of
The undersigned hereby acknowledges that (i) (he information contained in
this form is complete 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, TIF 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 entities, the undeisigned further aeknowiedges 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 and/or any instructions that may be
given to Deutsche Bank Alex. Brown pursuant to this authorization (including
any standing
authorization).
The undersigned understands that Deutsche Bank Alex. Brown may, but is not
EFTA01428560
required to, seek veriFxation of the undersigned's instmefrons by call back
and that
Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such
instructions (including standing instructions) given pursuant to this
authorization, without
incurring any liability, if Deutsche Bank Alex. Brcmn has reason to believe
such instructions (or standing instruct ions) have not bran provided by the
undersigned. The
midersigned further understands that Deutsche Bank Alex. Brown retains the
right to refuse to execute any instructions to transfer funds or securities
to any acoounl(s)
pu^uant to this authorization without written instructions bearing original
signature(s) of the undersigned.
V,. . i../ . f: 0).
1 ' ; /l-'n.-
Darren K Indyke
t
9-29-2014
V
:5
Signature
Print Name
Date
Signature
Print Name
Date
LOA
10-PWM-01773(12/101
EFTA01428561