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📄 Extracted Text (680 words)
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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