LPPD000408

• Contract/PO #: C153721
• Contractor Name: Lyons, Town of
• Contract Type: Loan
• Water District: 5
• County: Boulder
• Loan Projects - Doc Type: Contract Documents

The annual percentage yield (APYI assumes interest will remain 0
maturity. A withdrawal will reduce earnings.

Regulation DO:
Complete disclosures on all services and accounts including rates
percentage yield (APYl are available upon request.

ENDORSEMENT

SIGNATURE
SIGNATURE

DATE

,We are required by the Financial Institution Regulatory
Agencies to furnish the following information on your Time
...Deposit...

EARLY WITHDRAWAL PENALTY NOTICE

You have contrgcted to keep thes.e funds, upon deposit until the stated due date
and for the full maturity of any subsequent renewals_ Under Financial Institution
Regulatory Agency regulations. your deposit may not be withdrawn prior to matur-
ity date except with our consent which may be given only at the time such a
,request is made. We will charge a substantial penalty if we grant your request for
early withdrawal. The size of the penalty we charge depends on the maturity of
your time deposit as described below

~Stated Ma turity 01 Time Deposit
'Up to 6 dayS:'.
:7 days to 31 days
:32 days to one (1) year
more than one (1) year. .

._Penally
7 ~ays_simple interest
all- in'te-rest earned
30 days simple interest
9a~days simple interest

;AII of the above penalties will apply only to the amount YOl:! ~ithdraw before
'maturity. These penalties may result in a reduction of prj~eipaL-Only the follow.
"jng situations will be exceptions to these rules . .

We will honor a request for early withdrawal and we'" will ~not assess any
.,penalty if any owner of this deposit dies or is judicially deClared to be mentally
incompetent. U
If this deposit is in a properly established "IRA"' or "Keogh" Plan. we will
.:allow withdrawal within 7 days after establishmerl-' with forfeiture of all interest
:earned at the nominal (simple interest) rate being paid on the deposit.
, Also. under two other circumstances. Federal Regulations allow early
':withdrawal without penalty from "IRA"' or ""Keogh" accounts at our discretion
These are disability (other than mental incompetency) or attainment of age 59' 2
by the depositor. We will exercise our dIscretion in consldering.any request lor
early withdrawal under either of these circumstances

"Under the penalties of perjury. I certify (1) that the number shown on this
form is my correct taxpayer identification number: and (2) that I am not subject
lo backup withholding either because I have not been notified that I am subject
to backup withholding as a result of a failure to r~port all interest or dividends.
or the In.ternal Revenue Service has notified me, that I am no longer subject to
backup with.holding 7. q-I7-7'

:'1fill ~ r:';;-o/b

SIGNATURE I DATE

......
en
o
a.
Q)
o

'+-
o
Q)
......
CU
U

'+-
......
~
Q)
()
Q)
E
I-

I
II

,
I'
I

~
1.0
1.0
r-....

01
Z

En.
~\1 0
=---=- P-i
'!.J

i' .-:-:.
...v

= =
'":..~

E :"'"-:.

r"\~

f"\.~

a:
UJ~/
W~.
ZZ
O~
Q..

III
.::e.
c
ra
CO

....
C1l
C1l
C
o
0::

(J)
a:
<(
-l
-l
o
o

i:2

0'\
..j-

r .
--'

o
~u
o
j:Q

~

t/lw
s::;;;
o~
...
H~
<
(J) C>
(J)
w
a:
o
o
<(

I-
(j)
o
a..
w
o

.!? E u) :2
~ ~ ~ "2
.~~.~ E
;og- ~
:u~o Q)
~.go g
=~* ~
....:_s.~ 8
III Q)~ ~
~=8 .~
:JO_ >-
E~~ g
~-og -g
co U Q) C'tI
~ ~~ ~
~~ ~ ~
*~~~ ~
"C50(/) w
~ ~i5 0..
:J CtI C'tI C ~
~ g.~ ~ :>
U :=.g ~
~n;E~2 ~
o~::~ii ....
-g~oCii_S ~
~,-:Q~~ ~
\.0 ai ~ mE;:' ~
') g- _~ a.~~ w
~ ~~!i~ ~
I _._~_ ~ :g QJ .~ :0-
0\ ~ CtI.S? ~ a.i ~
~c~g~~-g
~ 0 c ~.S? C'tI
~ ~ ; ~ :S ~ .9
~ ~ HH i~

M ~ co :JED.lI] ';U~
.c: ~ ~ h~~ = ~
~ CC'tlc~~~~~
o g~~'~~~~~
a :J ~ IIlS~a: ~:;
.~ QJ t.~ ~ ~ 8 ~
~D~:5~~.c~
co.~ ~~t~ ~_s
E co (/) u >-~
~ CIll"C~"C~C~
<U ~_~~~~~~~
>~ jgo~~~~~~
,.... w ~ z jro~'::' .~-g
~~ ~ >--g o~E~ 2C't1
Q)~::i~ ~roc'--=:o_Ec-
~.... I./") ro~o2~-:-og
'-DJcroroc-ro
-' ~~~~ggg~
~ .~ ~ ~~~.~ ~8
~ tii~a:~oo:':: ~~
~E~~j~~E=~
~ ~~ ~c~~~~:~~
:; U-CIDU 0-
.... gOLf'\~.\:J ~ ~:c ro.~ ~.~
H ~ c :!: ~.~ ~ ~ .~ 8-
~ ~g~o-~-g~~
b~ a~~g~~~~
~b~~~~~~
~~~~~~~~
o ~~ ID~~: ~E
~ (/)~~E~~Eo
o ~ ~., * ~ ~ *u'~
0, ~ B ~ Q) U.c -=- ro
r~~~~~g~~
...::t (/) X f:!?u
ex) ~ .-~ ~ ~ ~

C>
W
....
;;;
~
w
Cl
....
z
::>
C>
:E
c(

N
N
~

w
0<
..;:t~
Lf'\!::
o~
00<
:E

r--

I
r--
.-t
I
0'\

'"
~
>-
'"
w
~
'"
>-
c(
C>
W
~
'"
c(
>-
:

....
'"
w
'"
"'d~
S::1!O
::l
rx..~
~

j:Q
u
~
U
I
t/l
s::
o

S::O
:3 z
o C>
E-!x
o :!'
I- '"
W ,C>
-l
CD
<( u
~ ~
a..

u
w
'"

....J
<(
09:
I-U
o~
ocr:
<(0..

~

:.::
U
w
I
U
....J
<(
:2:
o

w
en
cr:
w
>
w
a:
z
o
en
<(
en
w
5
<(
z
W
0..
o
I-

~ i\
~ ~ I
w ~ I
u;;; \
~<h
o L!. ;,
o z sl

o
Z
I-
Z
::J
o
U
U
<(
o
l-
I-
en
w
cr:
W
I-
Z
~
en
o
0..
W
o

,I

I: