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 aulhonzes and directs Deutsche Bank Alex. Brown
rOeutscha Bank Alex. Brown" or "DBAB") to follow the below asset movement
instructions.
H you wish to request multiple wires, checks, journals or free deliveries,
please use the long form
❑BAB Account Name: LSJE
LLC
Account #: 42959295
Journal
Q Journal Funds m the amount of $
K Journal Holdings:
Oty/SymboVSecurity:
OlyrSymbol/SBcurity:
Q Journal All Holdings
To DBAB Account #:
Wire
IZl Wire lederal funds rn the amount of S 4,771.20
To Bank Nama: Wachovia Bank
City/State:
ABA #:
063000021
Further credit to Intermediary Rnanclal Institution (Optional)
Account (I:
Name:
Accounl Name:
Ultimate Beneficiary Iniermation:
RiwrfirMrvNamfl American Export Company
2000002794804
Attcounl#
Adckoonal Instructions. Quote R1506185
Free DeUveties
il Please deliver the sBounties indicated below to:
DTCCfl-
Name of Receiving Firm:
Cheek
Ql Issue a check in the amount of $
Reopieni's Name
Recrpeni's Maaing Address
-
Account Name.
payable to:
Accourtt Number:
at Receiving Firm
EFTA01403582
Oty/Symbot/Seciinty.
Qiy/SYmboi/Secunly-
Standing Authorization
C3 The undersigned hereby requests that this authonzation act as a standing
authorization. The undersigned understands and agrees that this
auihoiization will
remain in effect until Deutsche Bank Alex. Brown requests a new
authorization. The undersigned authorizes Deutsche Bank Alex. Brown to rssue
the wire.
check or journal on the
0 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 will provide verbal
instructions as to tha data and the amount of the wire, check or journal. If
the
undersigned decides to vary either the date or the amount of the wire, check
or ioumal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to
accept the verbal 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 authorizatron and
accuracy of verbal instructions
day of
for a term of
The iindeisigned hereby acknowledges that li) the information oomamed in
this form is complete and accurate to the best knowledge of the undersigned;
and jii) the
undeisigned is lesponsible for the method of transmission of any
instructions issued pursuant lo this authorization. If tha undsrsigned
elects to transmit any such
nstructions via fax (including desktop fax), via email or as an image
attachment lo email (e g.. as a PDF, TIF or other image of such
instructions), the undersigned
understands and agrees that the undersigned bears the risk of loss arising
from such method of transmission in the event of transmission errors,
misunderstandings,
impersonations, transmission by unauthorized persons, forgery or intercepts
For trusts or other entities, the undersigned further acknowledges 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 Alex. Brown from and against loss from any
action, claim or demand of any person as a result of Deutsche Bank Afex.
Brown's receipt of
or compliance with this authorization and/or any insnuclions that may be
given to Deutsche Bank Alex Brown pursuant to this authonzatron linduding
any standing
authorization).
The undersigned understands that Deutsche Bank Alex. Brown may, but is not
required to, seek venfication of the undersigned's instructions by call back
EFTA01403583
and that
Deutsche Bank Alex. Brown may rn its sole discretion refuse to execute such
instructions (including standing instructions) given pursuant to this
authonzation, without
incurnng any Irability, ii 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. Brown retains the
right lo refuse to execute any instructions to transfer funds or securities
to any account(sl
pursuant to this aulhorrzation without written instructions bearing original
signaiure(s) of the undersigned.
Darren Indyke
6-18-2016
Print Name
Date
Signature
Print Name
Date
III I III III! 11 III III
LOA
tO-PWM-0177S (12/10)
EFTA01403584