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Date Tax <br /> Opc-ned: 11/04/97 Term: 12 MONTHS ID: E 84-1433530 Number: 221849 <br /> Certificate of Deposit Account Number: 4225000533 <br /> Amount of <br /> Deposit: Three thousand Five hundred Eighteen 05/100 **** $ 3,518.05 <br /> This Time Deposit is Issued to: Issuer: <br /> SMITH IRRIGATION DITCH COLORADO COMMUNITY FIRST NAT'L BANK <br /> 139 E VICTORY WAY <br /> CRAIG CO 81625 <br /> 96193 E HIGHWAY 40 970-824-9431 <br /> CRAIG CO 81625-7928 <br /> Not Negotiable-Not Transferable-Additional terms are below. B} STACY RAZZANO <br /> Additional Terms and Disclosures <br /> This i i contains the terms for your time deposit. It is also the Minimum Balance Requirement: You must make a minimum deposit to <br /> Truth-in-Savings disclosure for those depositors entitled to one. There <br /> are additional terms and disclosures on page two of this form, some ofopen this account of$ 1,000.00 <br /> which explain or expand on those below. You should keep one copy of <br /> this form. ® You must maintain this minimum balance on a daily basis to earn the <br /> Maturity Date:This account matures 1 1/04/98 annual percentage yield disclosed. <br /> (See below for renewal information.) Withdrawals of Interest: Interest ❑ accrued ❑ credited during a <br /> Rate Information: The interest rate for this account is 5.2500 % term can be withdrawn: <br /> with an annual percentage yield of 5.38 %. This rate will be <br /> paid until the maturity date specified above. Interest begins to accrue on Early Withdrawal Penalty: If we consent to a request for a withdrawal <br /> the business day you deposit any noncash item(for example,a check). that is otherwise not permitted you may have to pay a penalty. The <br /> Interest will be compounded MONTHLY . penalty will be an amount equal to:30 days <br /> Interest will be credited MONTHLY <br /> interest on the amount withdrawn. <br /> ® The annual percentage yield assumes that interest remains on deposit Renewal Policy: <br /> until maturity. A withdrawal of interest will reduce earnings. ❑ Single Maturity: If checked, this account will not automatically <br /> ❑ If you close your account before interest is credited, you will not renew. Interest ❑ will ❑ will not accrue after maturity. <br /> receive the accrued interest. ® Automatic Renewal: If checked, this account will automatically <br /> The NUMBER OF ENDORSEMENTS needed for withdrawal or any renew on the maturity date. (see page two for terms) <br /> other purpose is: 1 Interest ❑ will IN will not accrue after final maturity. <br /> ACCOUNT OWNERSHIP:(select one and initial) <br /> ❑ Single Party Account TIN: E 84-1433530 <br /> ❑ Multiple Party Account Social Security or Employer's I.D. Number: A correct <br /> ❑ Trust-Separate Agreement dated: taxpayer identification number is required for almost <br /> ❑ every type of account. A certification of this number is <br /> • also required and is contained on the first copy of this <br /> Rights at Death: (select one and initial) certificate. <br /> ❑ Single Party Account Backup Withholding - A certification that you are not <br /> ❑ Multiple Party Account with Right of Survivorship subject to backup withholding is necessary for almost all <br /> accounts (except for persons who are exempt altogether). <br /> ❑ Multiple Party Account without Right of Survivorship This certification is contained on the first copy of this <br /> ❑ Single Party Account with Pay on Death form. Failure to provide this certification when required <br /> ❑ Multiple Party Account with Right of Survivorship and Pay on Death will cause us to withhold 31% of the interest earned (for <br /> payments to the IRS). Providing a false certification can <br /> Pay On Death Beneficiaries:To add Pay On Death Beneficiaries' result in serious federal penalties. <br /> name one or more: <br /> ENDORSEMENTS-SIGN ONLY WHEN YOU REQUEST WITHDRAWAL <br /> X <br /> X <br /> X <br /> ©1993 Bankers Systems,Inc.,St.Cloud,MN(1-800-397-2341) Form CD-AA-CO(1) 7/26/96 READ PAGE TWO FOR ADDITIONAL TERMS (page 1 of 2) <br />