Case File
efta-01405701DOJ Data Set 10OtherEFTA01405701
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01405701
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 undersigned hereby aulhqiizes and direcis Deutsche Bank Alex. Brown
("Deutsche Bank Alex. Brown" or "DBAB") to follow the below esse) movement
instructions.
If you wish to request multiple wires, checks, journals or free deliveries,
please use the long form,
DBAB Account Name; LSJE
LLC
Account Ih 42959295
Journal
Q Journal Funds in the amount of 3
Q Journal Holdings'
Qty/Svmbol/Securitv:
Qtv/Svmbol/Securilv:
l_Jt Journal All Holdings
To DBAB Account #:
Account Name:
Wire
[Z] Wire federal funds In the amount of $ 434.99
To Bank Name: Wachovia Bank
City / Slate:
ABA #
063000021
Further credit to Intermediary Rnencial Institution (Optional)
Account #:
Name:
Ultimate Beneliciaiv Infcxmation:
RHiefirvfvName American Expopt Company
Account fh
Addnional Insuuctons. Quote R1507150
2000002794804
FieeDeiveriee
K Please deliver the securities indicated below to-
DTCC#:
Name of Beoeiving firm:
Account Name;
Check
Q Issue a check in the amount of $
Recipient's Name;
Rocipianfs tvlaiing Address:
payable to;
Account Number'
at Receiving Firm
EFTA01405701
QtyfSymbol/Securitv:
Oty/Symbol/Secufity:
Standing Authorization
Q The undersigned hereby requests that this authorization act as a statxiing
authorization. The undersigned understands and agrees that this aulhonzation
will
remain in effect until Deutsche Bank Alex. Brown requests a new
authorization. The undaisigned euthoiizes 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 checks or
journal
funds to/from the above listed accounts. The undersigned yvill provide
verbal insimctions as to the dale and the amount of the wire, check or
journaf. If the
undersigned decides to vary either the date or the emcuni of the wire, check
or journal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to
accept the veibal 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 verify the authorization and
accuracy of verbal instructions.
day of
for a term of
The undersigned hereby ecknowiedges that (i) the infotmation contained in
this form is complete and accurate to the best knowledge of the undersigned;
and (it) 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
attachment to email (e g., as a PDF, TIF or other image of such
instructions), the undersigned
understands and agrees that lha undersigned bears the risk of loss arising
from such method of transmission in the event of transmission errors,
rnisunderstandings,
impeisonations. transmission by unauthorized persons, forgery or inleioepts.
For trusts or other entities, the undersigned further acknowledges that the
undersigned is
authorized to issue the eboya asset movement instructions under the terms of
the governing documents and any applicable laws. The undersigned hereby
releases and
holds hsrmless 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 aulhprizalion and/or eny instajctions that may be
given to Deutsche Bank Alex. Brown pursuant to this authorization (including
any standing
authoiizationl.
The undersigned understands that Deutsche Bank Alex. Brown may, but is not
EFTA01405702
requirad 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 (including standing insiruclions) given pursuani to this
euthonzabon, without
incurnng any liability, if Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing instructions) have not been provided by the
undersigned. The
undersigned further understands that Deutsche Bank Alex. Brorw retains the
right to refuse to execute any instructions to transfer funds or securities
to any account(s)
.puranl to this authorization without wrifterl instructionrtwarim original
signature(sl of the undersigned.
Vyx JL Indyke
Signature _ z —
7-15-2015
Print Name
Date
Print Name
Signature
Date
LOA
10-PWM-01775 (12/10)
EFTA01405703
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