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efta-efta01097530DOJ Data Set 9Other

Deutsche Bank

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DOJ Data Set 9
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efta-efta01097530
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EFTA Disclosure
Text 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 authorises and directs Deutsche Bank Alex Brown l'Oeu Hobo Bank Ala Oman' 'DOOR"; to follow the below assn movement instructions. II you wish to request multiple wires, checks. lOurrksts or free deliveries. please use the long form 00ABA800unt Name: Southern Trust Company Inc - Account 8: Wire ta cove federal funds in the amount off ±00.000.00 To Bank Name: First Bank, Puerto Rico City / State: 1519 Ponce De Leon Ave. PR 00908 ABA 221571413 Further credit to Intermediary Financial Institution (Optional) Account Ih. Nene: Ultimate Beneficial, InfOrrnOtnni Bencliwy Name Sou h ust Company. I1, Accoant Addtwel Infauctims Check K issue a clock in the amount of S Redpierd's hen Florgiox's Wang Address _ ;mode lo: Journal CI Journal funds ei the amount of S 0 Journal Holdings: City/Symbol/Security. Oty/SyrntioUSecwity. K Journal All Holdings To 00AB Account o• Account Name: fuss Theemote 0 Please deliver the securities indicated below to. MCC*: Name of Receiv'ng Firm. Account Name Account Number: t y/Sy mbsiSett6 r..y: Oly/Symbotraeourity: et fleceiving Finn Standing AMIxettatien K The undersigned hereby requests that this authorization act as a standing authorization. The undersigned understands and agrees that Brix authorization wW remain in effect until Deutsche Bank Alex. Brown requests a new authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wie. check or /puma/ on the day of nor a term et . CI The undersigned further authorizes Deutsche Bank Alex. Brown to accept verbal instructions from the undersigned to wee (undo. issue checks or awash funds to/from lho above listed accounts. The undersigned will prOviCc verbal OStruCtiOnS as to the date end the amount of the wire, check or journal. If the undersigned decides to vary either the date or the amount or the wire. check or journal, the undersigned hereby authorizes Deutsche Bank Mix. Brown to accept the verbal instructions from the undersigned regarding the change or changes. The undersigned further understands and 00/003 to comply with the procedures of Deutsche Bank Nix. Brown to verify the authorization end accuracy of verbal instructions. The undersigned herebyacknowledges that Cl) the information contained in this form is complete and accurate to the best knowledge of the undersigned; and Iii) the undersigned Is responsible for the meted of transmission of any instructions issued pursuant to this authorization. If the undersigned elects to transmit any such instructions via fax lincludong desktop leak viaemail or as en image attachment to email (e.g.. as a PDF. TIF or other image of such instruction.d, the undersigned understands end agrees that the undersigned beers the risk of loss arising from such method 0/ transmission in the event of transmission errors. misundentandings, impersonations. uansrnission by unauthorized persons, forgery or Intercepts. For trusts or other entitles, the undersigned lurlher °okras...to:40es that the undersigned is authorized to issue the above asset movement instructions under the terms of the governing documents and any applicable laws. The undersigned hereby releases and holds harmless Deutsche Bank Wox. Brown from and against loss Iron any action. claim a demand of any person as a result of Deutsche Bank Alex. Brown's receipt of or compliance with this authorization end/or any Instructions that may be given to Deutsche Bank Alex. Brown pursuant to this authorization (including any standing authorization). The undersigned understands that Deutsche Bank Alas. Bromn may. bat is not required to, seek venfeetion of No urdersigned's instructions by call back and that Deutsche Bank Alex. Grown may iii:is sole ellacrolion refuse to OOPS such instructions ProchicIng standing instructions) given pursuant to this authorization. without incurring anY lability, II Deulsc ank Alex. Brown lies mean m Wove such insuuctions for standing insfruelions) have not been provided by the undersigned. The undersigned furtherhnders that Deutsche Bank Abe. brawl retains the right to refuse to execute any onstructrons to transfer funds or securities to any accounda) putsuant to this our,. • hoot written idelructions beefing original signaturefsl the uncle's; rostra* Pnit Fa .-I 1:j4# I" Date ct ql / 0 4 4 * 3 Signature Print Name Pate III MaOAli MEI L 10 FSVM Ol 77S (IMO EFTA01097530

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