Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authorues and di rects Deutsche Bank Alex. Brown
("Deutsche Bank Alex. Brown" or "DBAB"I to fallow the below asset movement
instructions
If you wish to request multiple wires, checks, joumals or free deliveries,
please use the long form.
DBAB Account Name.
Account #:
Journal
Q Journal Funds in the amount of $
Q Journal Holdings:
Qty/Symbol/Security:
Qty/Symboi/Security.
0 Journal All Holdings
To DBAB Account #:
Account Name.
Wire
12 Wire federal funds in the amount of $ 18.000.00
To Bank Name Sovereign Bank
City / State:
ABA#:
011075150
Further credit to Intermediary Finanitial Institution (Optional)
Account #:
Name
Ultimate Beneficfaiy InformatiDn:
FtHwiiriarvNamB Martin G. WeinberQ. PC
Account#:
Addiiional Instroctnns:
61604935890
FieeDeOveries
CJ Please deliver the secunues indicated below to:
DTCC#.
Name of Receiving Firm:
Account Name:
Check
ID Issue a check in the amount of
Redpient's Name:
Reapient's Maiing Address.
patablelo
Account Number:
at Receiving Firm
Qty/Sym bol/Security:
EFTA01469751
Qiy/Symbol/Security
Standing Authonmtion
Q The undersigned hereby requests that this authorizaiion act as a standing
authorisation. The undersigned understands and agrees that this
authorization will
remain In effect until Deutsche Bank Alex. Brown requests a new
authoiizaiion. The undersigned euthoiizes Deutsche Bank Alex. Brown to issue
the wire,
check or journal on the
!_] 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
instructions as to the date and the amount of the wire, check or journal. If
the
undersigned decides to vary either the date or the amount of the wire, check
or loumai. 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 authorization and
accuracy of verbal instructions.
day of
_ for a term of
The undeisigned hereby acknowledges that (i) the information contained in
this form Is complete and accurate to the best knowledge of the undersigned;
and (il) the
undersigned is responsible for the method of transmission of any
instruclions issued pursuant to this authorization. If the undersigned
elects to transmit any such
msiructions via fax (including deskiop (ax), 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 unauthonzed persons, forgery or intercepts.
For trusts or other entities, the undersigned further acknowledges that the
undersigned is
authotized to issue the above asset movement instructions under the terms of
the governing documents and any applicaWa 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 es a result of Deutsche Bank Alex.
Brown's receipt of
or compliance with this authonzatipn 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
required to. seek verification of the undersigned's instructions by call
EFTA01469752
back and that
Deutsche Bank Alex. Brown may in its sola discretion refuse to execute such
instruceons (including standing instructions) given pursuant to this
authorization, without
incurring any liability, ii Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing instructions) have not been provided by the
undersigned. The
undersigned further understands that " " "
pursuant to this authorization without Atitien instr
sche Bani^ax.^own retains the right to refuse to execute any instructions to
transfer funds or securities to any accounlfsj
ting original signature(s) of the undersigned.
Darren Indyke
6-11-2014
Print Name
Signature
Date
Signature
Print Name
Date
LOA
10-PWM-01775 (12/10)
EFTA01469753