EFTA01403579.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 TTia undersigned hereby authorizes and directs Deutsche flank Alex. Brown ("Deutsche Bank Alex. Brown" or "DBAB") to follow the below asset movement instructions If YOU wish to request multiple wires, checks, journals or free deliveries, please use the long fomt. DBAB Account Name: LSJE LLC Account #: 42959295 Journal LI Journal Funds in the amount of $ ❑ Journal Holdings: Qty/Symtiol/SeCLjrilv: Qty/Symboi/Security; Q Journal All Holdings To DBAB Account #; Account Name: Wire Wire federal funds m the amount of $ 12,889.00 To Bank Name: Wachovia Bank City / Slate. ABA#. 063000021 Further credit to InlermedletY Financial Institution (Optional) Account #: Name: Ultimate Beneficary Infomiatkin; RenefitMiv Name American Export Company 2000002794804 Account#; Free Deliveiies Q Please deliver the securities Indicated below to: Quote R1506184 Addaonai Instructions: DTCC#: Name of Receiving Firm; Check Q Issue a check in the emount of $ Recipient's Name: Recipiant's Maiing Address: Account Name: payable to: Account Number: EFTA01403579 at Receiving Firm Oly/Symbol/Secunty. Oty/Svmboi/Secunty; Standing AuthoBBtion Q Dte undersigned hereby requests that this authorization act as a standing aulhocizalion. The undersigned understands and agrees that this authorization will remain in elfeci until Deutsche Bank Alex. Brown requests a new authonzalion. The undersigned auihonzes Deutsche Bank Alex. Brown to issue the wire, check or journal on the Q The undersigned further eulhorizes Deutsche Bank Alex Brown to accept verbal instructions from the undersigned to wire funds, issue checks or journal funds to/from the above listed accounts. The undersigned will provide verbal Instructions as to the date and the amount of the wire, check or journal, If the undersigned decides to vary either the date or the amount of the wire, check or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to accept the verbal inslruclions from the undersigned regarding the change or changes. The undersigned funher understands end agrees to comply with the proc^ures of Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal instructions. day of for a term of The undersigned hereby acknowledges that (i) the information contained in this form is complete and accurals 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 authorization. If the undersigned elects to transmit any such instructions via fax (including desktop fax), via email or as an image ettachment to email (e.g., as a PDF TTF or other image of such instructions), (he undersigned understands and agrees that the undersigned bears the risk of loss ansing from such method of transmission in the event of transmission errors, misunderstandings, imoersonaiions, transmission by unauthorized persons, forgery or intercepts. For trusts or other amities, the undersigned further acknowledges that the undersigned is authorized to issue the above asset movement instructions undei the terms of the governing documems and eny applicable laws. The undersigned hereby releases 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 aulhorizalion and/or any instructions that may be giver to Deutscrte Bank Alex. Brown pursuant to this aulborizallon (induding any standing authorization). EFTA01403580 The undersigned understands that Deutsche Bank Alex. Brown may, but is not required to. seek verification of the undersigned's instructions by call back and that Deutsche Bank Alex. Brown may in its sole discretion refuse to execute such instructions linduding standing instructions) given puisuani to this authorization, without incurring any liability, if Deutsche Bank Alex. Brown has reason to believe such inslruclions for standing instructions) have not bean provided by the undersigned. The undersigned further understands that Deutsche Bank Alex. Brown retains the right to refuse to execute eny Instructions to transfer funds or securities to any accountfs) pursuant to this aiiihnriratino wniinut written instructions bearing original signature(sl of the undersigned. Darren Indyke ' Print Name 6-18-2015 /a [ 4. Sfinsiute Date Signature Date Print Name III I III III] I I III III LOA 10-PWM.0177S (12/t0) EFTA01403581
ℹ️ Document Details
SHA-256
849842e936b083ec8091d983c1d50878755fb8b58d692f1fa4a0c5f10151d70d
Bates Number
EFTA01403579
Dataset
DataSet-10
Type
document
Pages
3

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