📄 Extracted Text (669 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authorizes and diraois Deutsche Bank Alex. Brown
("Deutsche Bank Alex. Brown" or "DBAB"I to tollow the below essel movement
Instructions.
11 you wish to request multiple wires, checks, journals or free deliveries,
please use the long form.
DBAS Account Name-. LSJE
LLC
Accrtuni»:
Journal
Q Jourrtal Furtds in the amount of S
Q Journal Holdings-
Ql-y/Svmbol/Securitv;
Qty/SvmboirSeeurity:
o Jourrtal All Holdings
To DBAB Account #:
Account Name:
Wire
£) Wire federal (unds in the amount of $ 434.99
To Bank Name: Wachovia Bank
City/State:
ABA#-
063000021
Further credit to Intermediary Finencial Institution (Optionel)
Account #:
Nivne:
Ultimata Benefkiaiv Intbmiation:
RmeiratvHume American Export Company
Aaxxmt#:
• structxms: Quote R1507150
an atvarlea
o Please deliver the securities indicated below to;
DTCCK:
Name of Receiving Firm;
Account Name;
Check
Q Issue a check in the amount of $
Recipient's Name:
Redpienl's MaiSng Addrffis:
payable to-.
Account Numbor-
at Receiving Firm
EFTA01400960
Oly/Svmbot/Socurity:
Qty/SymbolrSoc utity;
Striding Authorization
❑ The undersigned hereby requests that this authorization act as a standing
authorization. The undersigned understands and agrees that this authonzafion
will
remain in effect until Deutsche Bank Alex. Brown requests a new
authorization. The undersigned euthoures Deutsche Bank Atax. Brown to issue
the wire,
check or journal on the day of . _ _
Q The undersigned further authorizes Oeuische 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 dale 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 journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to
accept the verbal Instructions Irom the undersigned regarding the change or
changes. The undersigned further understands and agrees to comply with the
proc^ures of Deutsche Bank Alex. Brown to verify the aulhotization and
accuracy of verbal rnsiructlons.
for a temi of
The undersigned hereby acknowledges that (I) the information contained in
this form is oompfete and accurate to the best knowledge of the undersigned;
end (iij the
undersigned is responsible for the method of transmission of any
instructions issued pursuant to this euthorizelion. If the undersigned
elects to transmit any such
instructions via fax (including desktop lax), via email or as an imago
attachment to email (e.g., as a PDF, TIF or other image of such
instructions), the undersigtied
understands and agrees that Iha undersigned bears the risk of loss arising
from such method of transmission in the event of transmission errors,
misundeistandings,
impersonations, transmission by unauthorized persons, forgery or intercepts.
For trusts or other entitlas, the undars'igned further acknowledges 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 hanniBss Deutsche Bank Alex. Brown from and egamst 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 aulhotization and/or any instructions that may be
given to Deutsche Bank Alex. Brown pursuant to this authorization (including
any standing
authorizatibnl.
The undersigned understands that Deutsche Bank Alex. Brown may. but Is not
requited to. seek vertficaucin of the undersigned's InslrucUons by call back
and that
EFTA01400961
Deutsche Bank Alex. Brown may In its sola discretion refuse to execute such
Instruciicns (including standing fnsiruclions) given pursuant 10 this
eulhonzaiion, without
incurnng any liability, rl Deulscha Bank Alex. Brown has reason to believe
such instructions (or standing Inslruclional have not boon prowdod by the
undersigned. The
undersgned lunher understands that Oeu"he Bank Alex. Brot" leteins the nght
to refuse to exaculoany inslruciions to uansler (unds or sacuriiias to any
acctaum(s)
qklt"ni to this authorization without wtifiet) Insuuctioniriynr A original
signaturels) of the undersigned.
"N/7 S . ^ ^ Indyke
7-15-2015
Print Name
Date
bale
Print Name
Signature
LOA
10-PWM-01775 (12/101
EFTA01400962
ℹ️ Document Details
SHA-256
1201fb9544dbade496410998b4db93c83e750fc78618ef2946c3bb95069ce85e
Bates Number
EFTA01400960
Dataset
DataSet-10
Document Type
document
Pages
3
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