Case File
efta-efta01097531DOJ Data Set 9OtherDeutsche Bank
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01097531
Pages
1
Persons
0
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Extracted Text (OCR)
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Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
The undersigned hereby authorizes end Sects Deutsche Bank Alex. Brown I'Deutst.ne Bank Alex. Drown' Of -OBAB1 to follow the below asset movement instructions.
II you wish to request multiple wires. checks, guineas of bee deliveries. Ales* use the long rant.
DBAO Account Name. Sol othern Trust Cnmpany. Inc.
Account I:
Win
Wire lederal furxis in the amount of S
75.000.09
To Bank Name: First aanic Puerto Rico
City Stew
1519 Ponoe De Leon Ave. PR 0090(1
ABA X:
221571473
Further credit to Intermediary Financial Institution (Optional)
Account a
Ultimate Berericery Information:
Benikwy Nara Southern Trust Company. Ins.
Account II.
Arida:Di Instuoims
Check
0
Issue a check In vie amount cr
Becistenta Nero'
laxicient's Ming Address:
gel—
Journal
0
Journal Funds in the amount of $
0
Journal Holdirgez
Oty/Symbol/Secueity;
Oty/Syrnbol/Securky:
CI -burner Al Holcims
To DBMS Account t
Account Name'
Rest Delverie
CI Please deiver the securities indicated below to:
OTCCI •
None of Recening Arm.
escapism' Hamer
Account Number
Oly/Synnboroscurity
ondSymtiotSecurity:
et flecahing Firm
$sizalkig Authorization
K
The undersigned hereby requests that this authorization act as a slen6ng authorial :NT the undersigned understands and agrees that this authorization will
remain in effect until Deutsche dank Alex. Brown requests a now authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue coo wire,
Cheek Or Purrisl on the
day of
_
fore term of
U
The undersigned further authorizes Deutsche Dank Mint. Broom to accept verbal instructions from the undersigned to wire funds. issue checks or journal
funds tortrom the above fisted accounts Tito undersigned wn provide verbal instructions as to the date and the amount or the wire. Mee* or journal. If the
undersigned decides to very either the date or the amount 01 the wiry, check or jotanal. the undersigned hereby authorizes Deutsche Bank Mex. Brown to
accept the verbal instructions from the undersigned regarding the change or changes the undersigned further understands end agrees to comply with the
procedures of Deutsche Bonk Alex.. Brown to verify the authorization end accuracy of verbal instructions.
the undersigned hereby ileknowledges that IB the information Contained th this form is complete and accurate to the best knowledge of the undersigned. and liil rho
undersigned b responsible for the method of transmission of any instructions issued pursuant to this authorization. II the undersigned elects to Uaremii any such
instructions viz fax including desktop Bei ale *mei or as an image attachment to email (ea.. as a PDF. TIF or other imaged such insUuctions). the undersigned
understands and agrees that the undersigned bon the risk of loss erasing from such method of transmission in the event of transmission errors. misunderstamings,
imperacinanorw„ transmission by unauthorized persons, forgery or intercepts. For trusts a Other entitles. the undersigned further acknowledges that rho undersigned is
authorized to issue the above asset movement instructions under the terms of the go erring documents and any *Definite, laws. The undersigned hereby releases and
holds harmless Deutsche Bank Alex. grown from and against loss From any action, claim or demand of any person ass result of Deutsche Bank Aim Brown's receipt of
or compliance with this authorization and/or any instructions that may be given to Deutsche Bank Max. Brown pursuant to this authorization (including any standing
authorization).
The undersigned understands that Deutsche Bank Alex. Brawn may. but is not required to. seek verification of the undersigned's instructions by cal beck and that
Deutsche Bank Aka. Brown may in AS sole diSaet.O9 refuse to team such instructions (including stenclIng instructions) given pursuant to this authorization, without
incurring any liability II Deutsche Bean
turmi has reason to believe such instruchons for standing instructional have not been provided by the undersigned. The
undersigned further under
that a =he Bank Mac Brown retains the right to refuse to execute any Instructions to transfer funds or securities to any accountisl
Pursuant to this out
itton instructions bearing original ugne:u.et of
Signature
lodetUf•
Mrdorsn
/
27
Pon, Name
Don,
III I I I WI I I III MI
IO
LOA
PWM OW5112/101
EFTA01097531
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