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VEL I RA UAW.LULUHAUU CLH I IFICATE ACCOUNT AUREEMEN I AIVU JIuNA I UNE CAH) 1/we the undersigned authorhed indwidualls),agree to the terms and conditions of this account as contained in this account agreement and Vectra Bank Colorado's Rules and Regulations,which have been received and incorporated herein,as they may be amended By signing this signature card I/we acknowledge receipt of a copy of and agree to the terms of the following disclosures: FOLD CARD AS INSTRUCTED BEFORE SEPARATING KJ Personal Account Terms ❑Business Account Terms 51 Rate Information BACK UP WITHHOLDING CERTIFICATION-Under penalty of perjury,by my signature below on this signature card.I certify that: VO The number shown on this form is my correct taxpayer identification number (TIN). I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends,or the Internal Revenue Service(IRS)has notified me that I am no longer subject to backup withholding. ❑ Exempt Recipients-I am an exempt recipient under the Internal Revenue Service Regulations. ❑ Nonresident Aliens-I am not a United States person or if I am an individual, I am neither a citizen nor a resident of the United States. COLORADO WATER CONSERVATION BOARD 491-950192-6 Account Title Account Number 13-0838200 03-14-00 Taxpayer I D. Number(TIN) Mother's Malden Name Date SUPERSEDES CARD DATED AUTHORIZED SIGNERS SIGNATURES PETER EVANS, DIRECTOR xSel'*'---- - DAN MCAOLIFDE R DEPUTY DIRECTOR NN. 1a1% ry X X 1. FOLD THIS FLAP BACK t Ident• ification Employer ❑ NATURAL PERSONISI OR DBA 0 SOLE PROPRIETORSHIP 0 LIMITED LIABILITY CO. ❑ TRUST/TRUSTEE 0 PARTNERSHIP/LLP 0 PUBUC FUNDS ❑ ASSOCIATION OR CLUB 0 CORPORATION ❑ INDIVIDUAL 0 ESTATE X ❑ JOINT CERTIFICATE OF DEPOSIT DATA PURCHASE AMOUNTS ****16,611.10 TERM 012 AEl MONTHS 0 DAYS 2. FOLD THIS FLAP FORWARD III NEXT MATURITY DATE 03-14-01 INTEREST RATE 04.89 % ANNUAL PERCENTAGE YIELD 05.01 % INTEREST PAYMENT FREQUENCY: INTEREST FOR THIS ACCOUNT IS: AT MATURITY(12 mos.or less) V COMPOUNDED DAILY Xi ANNUALLY 0 SIMPLE ❑ QUARTERLY ❑ MONTHLY INTEREST PAYMENT METHOD: ❑CAPITALIZED g PAY BY CHECK ❑TRANSFER TO ACCOUNT ft ❑CHECKING/MONEY MARKET ❑SAVINGS Renewing certificates will automatically renew for the same maturity period if not presented for 3. FOLD THIS FLAP FORWARD AND TUCK INSIDE t payment within ten 1101 calendar days after any maturity date,or unless the Bank issues or mails notice otherwise to the address then on Bank records,at least thirty 1301 days before any maturity date.This armies only to certificates with maturities over thirty 1301 days The renewal interest rate TEAR ALONG PERFORATION.AND DISCARD and annual percentage yield will be those prevailing at the time of maturity for certificates of like duration and amount. Nonrenewing certificates reaching maturity will remain in the account until withdrawal is requested. These certificates will not accrue interest after maturity unless transferred to another interest-bearing account. We use the daily balance method to calculate Interest on your account. This method applies a periodic rate to the principal in the account each day. If you withdraW any of the principal in the account before the maturity date,a penalty may be Imposed as follows:For certificates with maturities of 12 months or less,the penalty shall be one month's interest;for certificates with maturities greater than one year,the penalty shall be three month's interest. Additional deposits are permitted to consumer accounts with an initial maturity date of 12 months or less. For accounts with initial maturities greater than 12 months or with opening deposits greater than$1,00,.000.0D,a ditional deposits are not permitted. X l k �\ra-O .X OPENED BY