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📄 Extracted Text (661 words)
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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