EFTA01402847.pdf

DataSet-10 3 pages 661 words document
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Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby authoriies 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, D6AB Account Name LSJE LLC Account #: Wire Journal CJ Journal Funds in the amount of I LJ Journal Holdings: Qiv/Svrribo'/Security: Orv/Svmtiol/Security; Q Journal All Holdings To DBAB Account #: Account Name; 12 Wire federal funds m the amount of $ 39.793.81 To Bank Name: First Bank Puerto Rico City / State: ABA#- Further credit to Intermediary Financial Institution (Optionall Account #: Narine Ultimate Beneficiary Information; BenefoavNatie Offshore Marine Acoourl#- FmuDeEveties LI Please deliver the secunlies indicated below to: Quote# 1005538 Additional InsSuctxins: DTCCfl: Name of Receiving Firm: Cheek Q Issue a check in the amount of S Rec®ienfs Name: Rectpent's Mading Address: Account Name: payable to: Account Number- at Receiving Firm Qiy.'Symboi/Security: EFTA01402847 Qtv/Syrnbol'Securiiy. Standing Authornalion Q The undersigned hereby requests that this authorization act as a standing authorization. The undersigned understands and agrees that this aulhonzaiion will remain in efiect 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. 0 The undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal instructions from the undersigned to w.re funds, issue checks or journal funds loffrom the above fisted accounts. The undersigned will provide verbal Lnstoictions as to the dale and the amount of lha wire, check or journal. If the undersigned decides to vary either the dale 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 of Deutsche Bank Alex. Brown to venfy the authorization and accuracy of verbal instructions. day of for a term of The undersigned hereby acknowledges that (0 the information contained in this form is comjilete and accurate to the best knowledge of the undersigned; and lii) the undersigned is responsible for the method of transmission of any instructions issued pursuant to this authorization, if the undei signed elects to transmit any such instr uctions via fax (including deskiop fax), via email or as an image anachmem to email le .gas a PDF, TIF or other image of such instf uctrons), the undersigned understands and agrees that the undersigned beers the nsk of loss arising from such method of transmission in the event of transmission errors, misunderstandings. impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other entities, the undersigned further acknowledges that the undersigned is auTiiprized to issue the above asset movement instructions under the terms ol the governing documents and any apj^icable laws. The undsisignsd hereby releases and holds harmless Deutsche Bank Alex, Brown from and against loss from any action, claim or demand ol any parson as a result ol Deutsche Bank Afex. 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 authorization llncluding 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 EFTA01402848 back and that Deutsche Bank Alex. Brown may in its sola discretion refuse to execute such instructions (including slanding instructions) given pursuant to this authorization, without incurring any liability, it Deutsche Bank Alex. Brown has reason to believe such instructions (or standing instructions) have not been provided by the undersigned. The undeisrgned (uither understarxfs thai^utsch^BanklAtex. Brown retains the right to refuse to execute any instructions to transfer funds or securities to any accountlsi pursSSqt to this authorization withoufwrmenjrasiufyions bearing original signature(s) of the undersigned. 12-29-2015 Print Name Signature Date Print Name SignatuiB Date LOA 10-PWfVI-01775 lunoi EFTA01402849
ℹ️ Document Details
SHA-256
5df8ffb68796a80e19113cdd60c76a83b5cffde6a2be066b143ad166dbf06051
Bates Number
EFTA01402847
Dataset
DataSet-10
Type
document
Pages
3

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