EFTA01403559.pdf

DataSet-10 3 pages 680 words document
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Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts Tha undersigned hereby authorizes and directs Deutsche Bank Alex. Brown ["Deutsche Bank Alex. Brown" or "DBAB") to follow tha balow asset movement instructions. If you wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name: LSJE. LLC Account #: 42959295^ Journal ❑ Journel Funds in the amount of $ ❑ Journal Holdings: Oty/Symbol/Security: Oty/Symbol/Security: Q Journal All Holdings To DBAB Account #: Wire Q Wire federal funds in the amount of $ 3.525.00 To Bank Name: Bank Of America Qly / State: ABA#: 026009593 Further credit to Intarmedlary Rnanclal Institution (Optional) Account #: Name. Ultimate Beneficiary Infbnnatian; BenBfrravNamH Cambridge Mercantile Coro. 4426601636 Account Name: Account#: AddrtionBi Instnjctions; 20 Coconut Palms Free Deinntna ❑ Please deliver the secunties indicated below to: lnv#'s: 03-080-2015 DTCCrf: Name of Heoeiving Firm: Check Q Issue a check in tha amount of S Reapient's Name; Recipient's MaStig Address: Account Name: payablato: at Receiving Firm Account Number: EFTA01403559 Qty/Symbot/Secunty: Qty/Svmbot/Security; Standing Authorization Q 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 Deutsche Bank Alex. Brown requests a new authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire. check or journal on the Q The undersigned further euthorizes Deutsche Bank Alex. Brown to accept verbal instmctions from the undersigned to wire funds, issue checks or (ournal ' funds to/from the above listed aocounts. The undersigned will provide verbal instructions as to the date and the amount of the wire, check or Journal. If the undersigned decides to very either the dete or the amount of the wire, check or journal, the undersigned hereby authonzes Deutsche Bank Alex. Brown to eocept the verbal jnstructions from the undersigned regarding the change or changes. The undersigned further understands and agrees to comply with the procedures of Deutsche Bank Alex. Bmwn to verify the authorization and eccuraisy of verbal instructions. day of for a term of The undersigned hereby acknowledges that [I] the information contained in this form is complete end accurate to the best knowledge of the undersigned; end [ii] the undersigned is responsible for the method of transmission of any instructions issued pursuant to this authonzation. If the undersigned elects to transmit any such instructions via fax (including desktop fax), via email or as an image attadiment to email (e.g.. as a PDF, TIF or other image of such instructions), the undersigned understands and agrees that tha undersigned bears the risk of loss arising from such method of transmission in tha event of transmission errors, misunderstandings, impersonaiions, transmission by unauthorized persons, forgery or intercepts. For trusts or other entities, the undersigned further acknowledges that the undersigned Is auifiotized to issue the above esset movement instructions under the terms of the governing documents and any applicable laws. Tha undersigned hereby releeses 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 EFTA01403560 required to, seek verificalion of tha undersigned's instructions by call back and Ifiat Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such instructions (including standing instructions) given pursuant to this authorization, without incurnng any liability, if Deutsche Bank Alax. Brown has reason lo believe such inslruclions (or standing instructions) have nol bean provided by the undersigned, The undersigned further understands Jhat Deutsche Bank Alex. Brown retains the right to refuse to execute any Instructions to transfer funds or secunties to any eccount(s) Pvxsuant lo this authorization w((hoi:)( writton>ns^tions bearing original srgnaturels) of the undersigned. Signature //.y- Darren In dyke 03-24-2015 Prim Name Date t y Priru Name Dale Signature III III! III mil III LOA 10-PWM-0177S (12/10) EFTA01403561
ℹ️ Document Details
SHA-256
51cfcb1db6a308a9e951fa258f688570a9e01ac79e2c5d8641aac5b1fc188729
Bates Number
EFTA01403559
Dataset
DataSet-10
Type
document
Pages
3

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