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📄 Extracted Text (671 words)
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
TTia undersigned hereby authorizes and direcle Deutsche Bank Alex. Brown
("Deutsche Bank Alex. Brown" or "DBAB") to Follow the below asset ntovement
instructions
If you wish to rariuest multiple wires, checks, journals or free deliveries,
please use the long form
DBAB Account Name. LSJE LLC
Account il- 42959295
Journal
Journal Funds m the amount of $
d Journal Holdings:
Oty/SymbolrSecurity:
Oiy/Symbol/Secuiilv;
0 Journal All Moldings
To DBAB Account ff-
Account Name:
Wire
(2] Wire federal funds in the amount of $ 7.556.40
To Bank Name: JP Morgan Chase
Ci(v f State-
ABA tf-
Further credit to Intermediary Financial Institution (Optional)
Account if-
Scotia Bank
Nainei
Uttfmaie BenafiJaiv Information;
Rrmfiikxary Name; TM Island Energy, LLC
Arxount*
AddiDonal Instructions: LSJ 0004
Fteo Delrwioe
Q Please deliver the securities Indicated below to:
DICC»-
Name of Receiving Firm:
CherBc
G Issue 8 check m the amount of S
Recipient's Name:
Recipient's Mailing Address-,
Name.
parable to.
EFTA01403885
at Receiving Firm
Account Number:
Qly/Symbol/Security
QlviSyinbol/Secuniy:
Standing Authorization
❑ The undersigned hereby requests that this authorization ant as a standing
atihoriralion. The undersigned understands and agrees that this
aulhoiizalion will
ramain in elleet unlit Daulsoho Bank Alex. Brown requests a new
aulhorization. The undersigned eurhorfees Deutsche Bank Alex. Brown to issue
the wire,
check or journal on iha
G The undersigned further aulhorizes Douleche Bank Mex. Brown to eixepi
verbal instructions from Iha undersigned to wire funds, issue checks or
journal
funds to/from ihe above lisied accounts. the undatsgnad will provide vorbal
Itistiuctions as to the data and Iha amount of the wire, check or journal.
If the
undersigned decides to vary either the data or tha amount of Iha wire, check
or lournal. Iho undersigned hereby authorizes Deutsoha Bank Alax. Brown to
accept the verbal instructions from tha undersigned regarding the change or
changes The undersigned funhor understands and agrees to comply with the
proeaduras of Deutsche Bank Alex. Brown to verify the authorirafron end
accuracy of verbal instructions.
day of
(or a torm of
The iiiKleisIgned hereby acknowleiJges that (i) the information contained in
this form is complata and accurate to tha best knowledge of the undersigned;
and (ii) the
uodeisigncd is responsible for ihe method of transmission of any
instructions issuod pursuant to this authorization. If the unrtotsignod
elects to tiansinil any such
instiuciions via (ox (including desktop fax), via omail or as an imago
attachment to email le g., as a PDF, TIF or olhar imaga of suclt
instructions), the undersigned
uisderstands and agraas that the uittlotsigned bears the nsk of loss etislng
from such method of transmission in the evani of iransmissiDn errors,
misunderstandings,
impeisDivaiions. transmission by unaulhorizad persons, forgery or
intercepts. For trusts or other entities, the undersigned further
acknowledges thal Iho undersigned is
euihotized to Issue tha ebova asset movement InsuucUorrs under the terms of
the governing documents and any applicable laws. The undersigned hereby
releases and
holds harmless Deutsoha Bank Alex. Brown from and against loss from any
action, claim or demand of any person ss a result of Deutsche Bank Alax.
Brown's recaipt 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
EFTA01403886
authorization).
Tlie undersigned understands that Deutsche Bank Alex. Brown may, but is not
required to. seek veri(icalion of the untfersigned's msiruouons by call back
and that
Oeulscho Sank Alex. Brown may in ns sole discrailon rafuss to executo such
insiiucticns {Including standing Instructions) given pursuant to this
authorization, without
ineurnng any liability, if Deutscdta Bank Alax. Brown has reason to believa
such instructions (or siandmg insuuciions) have not (joen provided by the
undorsigned. Ttio
undersigned further understands itmDeulsche Bjigli'Atox. Brown retains the
right to reluso 10 execute ony insiruciions to transfer funds or aacumiesto
any eccountts)
tZiK"ni to Ihis authorization syiihOmyrriUen iiyfl"iiu/s bearing original
signaturols) of the undetsigned.
bigriaiuie ^
Darren Indyke
7-6-2015
A /0
(=rinl Name
Dale
Print Name
Date
Signature
V
LOA
10-PWIvl •0)775(12/10)
EFTA01403887
ℹ️ Document Details
SHA-256
e38ffbb588a945526c748dc9176d842784b9c6e7470091995e50ad42f9fb17aa
Bates Number
EFTA01403885
Dataset
DataSet-10
Type
document
Pages
3
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