📄 Extracted Text (676 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
T>ib undersigned hereby authorizes and directs Deutsche Bank Alex. Brown
("Deutsche Bank Alex. Brown" or "DBAB"I to follow the below asset movement
instructions
If you wish to request multiple wires, checks, journals or free deliveries,
please use the long form
DBAB Account Name. ISJE LLC
Account #m
Journal
Q Journal Funds in the amount of $
❑ Journal Holdings:
Qty/Symbol/Security:
Otv/Symbol/Security:
Q Journal All Holdings
To DBAB Account #•
Wire
0 Wire federal funds in the amount of $ 7,556.40
To Bank Name: JP Morgan Chase
City t State-
ABA
Further credit to Intermediary Financial Institution (Optional)
Arzcount #•
Scotia Bank
Name
Account Name:
Ultitnate Batefiiriary Inibfinatnn:
RflfwtirtwvNamfl Tri Island Energy. LLC
04496010613
Account #
Free DelivHtres
❑ Please deliver the securities indicated below to:
LSJ 0004
Additional Instnictions:
DTCCff-
Name of Receiving Firm:
Check
Q Issue a check m the amount of S
Reopient's Name:
Reapienl's Mailing Address -
Account Name.
paveUero.
at Receiving Firm
EFTA01403684
Account Number:
Qty/S ymbol/Secunty
Qtv/Syrnbol/Securtly:
Standing AuthofBatkxi
Q The undersigned hereby requests that this authorizatton act as a standing
authorization. The undersigneiJ undeistands and agrees that this
authorization will
remain in elfect until Deutsche Bank Alex. Brown requests a new
authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue
the wire,
check or journal on the
❑ The undersigned further authorizes Deutsche Bank Alex. Brown to accept
verbal instnrchons from the undersigned to wire funds, issue checks or
journal
funds to/from the above Nsted accounts. The undersigned will provide verbal
instructions as to the dale and the amount of the wire, check or journal. II
the
undersigned decides to vary either the date or the amount of the wire, check
or journal, the undersigned hereby authorizes Deutsche Bank Alax. 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 cf Deutsche Bank Alex. Brown to verify the authorization and
accuracy of verbal instructions.
day of
for a term ol
The iiiitleisigned heieby acknowledges that (i) ihe information contained in
this form is complete and accurate to the best knowledge of iha undarsignad;
and (ii) the
undersigned is responsible for the method of transmission of any mslruclions
issued pursuant to this authorization. If the utiriefsigned elects to
transmit any such
instructions via lax (including deskiop fax), via email or as an image
attachment to email (e.g.. as a PDF, TIF or clhar image of such
instmctionsi, the undersigned
understands and agrees that the undersigned bears the nsk of loss arising
from such method of iransmission in ihe event of transmission errors,
misunderstandings,
impersonations, transmission by unauthorized persons, forgery or intercepts.
For trusls or other entities, the undersigned further acknowledges that tha
undersigned is
authorized to issue the ebove asset movement instructions under the terms ol
lha governing documents and any applicable laws. The undersigned hereby
releases and
holds harmless Deutsche Bank Alex. Brown from and againsi loss from any
action, claim or demand of any person as a result of Deutsche Bank Alax.
Brown's receipt ol
or compliance with this authorization and/or any instructions that may be
given to Deutsche Bank Alex. Brown pursuant to this auihorization (including
any standing
authorization).
The undersigned understands that Deutsche Bank Alek. Brown may. but is not
EFTA01403685
required to, seek verification of the undersigned's instructions by call
back and that
Deutsche Bank Alex Brown may rn its sole discretion refuse to execute such
instructions (including standing instructions) given pursuant to this
authorization, without
incurring any liability, if Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing instructions) have not been provided by the
undersigned, The
undersigned further understands ih^Deutsche B^ak^n- Brown retains the right
to refuse to execute any instructions to transfer funds or securities to any
account(sl
bmsuani to this authorizalion withdUtYirilten ir^M-tio/s bearing original
signature(s) of the undersigned.
Darren Indyke
7-6-2015
iAJUi.
Dale
Print Name
ture
Date
Print Name
Signature
III I III mil I III III
LOA
lO-PWM-01775(12/10)
EFTA01403686
ℹ️ Document Details
SHA-256
4ab97b8b962b1f7b7c1d52099318e5b9ffaf81ab9a44cdec0755a91eea02a37c
Bates Number
EFTA01403684
Dataset
DataSet-10
Document Type
document
Pages
3
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