Case File
efta-01403518DOJ Data Set 10OtherEFTA01403518
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01403518
Pages
3
Persons
0
Integrity
Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undorsigned hareby auihofijes end dirocLs Deulscha Bank Alex. Brown
("Deulsohe Bank Alex. Brown" or "DBAB") lo follow the below asset movemenl
instiuolions
II YOU wish to request multiple wires, checks, jouinsls or free deliveries,
please use the long form.
DBAB Account Name: LSJE
LLC
Account #:
Journal
LI Journal Funds in the amount of $
CJ Journal Holdings:
01Y/SymboVSecurity:
Oty/Symboi/Security;
Q Journal All Holdings
To DBAB Account #;
Account Name:
Wire
I4] Wire federal funds in the amount of $ 12,889.00
To Bank Name: Wachovia Bank
OtyJ State.
ABA#:
063000021
Further credit to Intermediary Financial Inalllulion (Optional)
Account 4:
Name;
Ultimate Beneficiary Information;
Benafvawy ithnv. American Export Company
2000002794604
Account#:
Free Deliverias
K Please deliver the securities Indktated below to:
Quote R1S06184
Adriuonel Instructions:
DTCCF:
Name of Receiving Firm;
cheek
L] Issue e check in the emount of £
Recipient's Name:
Hecsiranl's Maiing Address:
Account Name:
payatJeto;
Account Number:
EFTA01403518
at Receiving Firm
QtVfSvmbol/Security.
Oty/Syntbol/Secunty:
Standing AuthatsBtiDn
Q The undersigned hereby requests tliai this authotiiafion act as a standing
authorization. The undersigned understands and agrees that this
authorization will
remain in ellecl until Deutsche Bank Alex. Blown requesis a new
authorization. The undersigned authonzes Deutsche Bank Alex. Brown to issue
the wire.
check or journal on the _
Q The undersigned further authorizes Deutsche Bank Alex Brown to accept
verbal instructions from the undersigned to wire funds, issue eStecks or
journal
funds to/from the above listed accounts. The undersigned will provide verbal
insiruolions as 10 the date and the amount of the wire, check or journaf, If
the
undersigned decidas to very eiiher the date or the amount of the wire, check
or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to
accept me verbal Instructions from the undersigned regarding the change or
changes. The undersigned further understands end agrees lo comply with the
procedures of Deutsche Bank Alex. Brown to verify the authorrzeiion and
accuracy of verbal instructions.
day of
fora term of
The undersigned liereby acknowledges ihet (i) the information contained In
this form is compfeie and Bocurale to the best knowledge of the undersigned;
end (III the
undersigned is responsible for the method of transmission of any
insliuclions issued pursuani 10 this euthorizatfon. If the undersigned
elects to irensmlt any such
instr jcilons via lax {irxJuding desktop lax], vie email or as an image
ettachment lo email (e.g., es a PDF TIF or other image of such fnsitucdonsl,
fhe undersigned
undeistarids and agrees that Uie undersigned bears tire risk of loss ansmg
from such method ul iisnsrnission In the evanr of transmission errors,
misunderstandings,
imperscnsiioiis, ifsnsrniaslon by unauthorized poisons, iorgeiy or
intercepts. For trusts or other entities, the undersigned further
acknowledges that the undersigned Is
authorirod to issue iho above asset movement uisiniciionB undoi the terms of
the governing documents and eny applicable laws. The undersigned hereby
releases and
holds harmless Oeutscha 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 eulhorization and/or any mstruclicns that may be
given to Deutsche Bank Alex. Brown pursuant to this euthorizallon (including
any standing
authorization).
The undoisigned understands ihei Deutsche Bank Alex. Brown tnay, but is not
EFTA01403519
required 10, seek verifieeuon of the undersigned's insiruciiens by cell back
and that
Deutsche Bank Alex. Brown may in ns sola discretion refuse to execute such
instructions lintiuifing sianding Insirootkins) given pursuant to I his
aulhorizalkm, without
incurring onv liability ii Oauischo Bank Alax. Brown has reason 10 believe
such inslructloiM (or stending msirucllonsl have not been provided by the
undersigned. The
unrfersipned fuitlisr understands that Cteulsche Bank Alex, Brown raiains
the rigbl to refuse la execute any insuucilurrs to trensfer funds Or
seourilles to eny aocountls)
pursuant 10 this auihnrirfliinn Withnut written instiocltons bearing
original signeturels) of the undersigned.
^ TNk AxB.. U a Darren Indyke
6-18-2015
1
Prim Name
Sigrutura
Date
uni Nama
LOA
10-PWM-01775 (12/10)
EFTA01403520
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