2015-09-15_REVISION - M1995097 (5)

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Date Opened: 03/12/03 Term: 12 Month (s) Certificate of Deposit Tax ID: 0 1 g450q-7 Number: Account Number: Amount of Deposit:Seventy nine thousand eight hundred eighty eight & no/100 $ 79,888.00 I his Time Deposit is Issued to: Issuer: NEW SMUGGLER MINE CORPORATION ' Alpine Bank ASSIGNED TO STATE OF COLORADO MLRB Aspen PDPA 10004005101 600 E Hopkins, Suite 001 1313 SHERMAN ST RM 215 Aspen, Co 81611 DENVER CO 80203 ` 1 Not Negotiable - Not Transferable - Additional terms are below. By ERLINDA MORE EAD 1 YEAR TIME DEPOSIT Additional Terms and Disclosures This form contains the terms for your time deposit. It is also the Minimum Balance Requirement: You must make a minimum deposit to Truth -in -Savings disclosure for those depositors entitled to one. There are additional terms and disclosures on page two of this form, some of which explain or expand on those below. You should keep one copy of open this account of $ 1,000.00 this form. ❑ You must maintain this minimum balance on a daily basis to earn the Maturity Date: This account matures 03/12/04 annual percentage yield disclosed. (See below for renewal information.) Withdrawals of Interest: Interest ❑ accrued ❑ credited during a Rate Information: The interest rate for this account is 1.8 8 4 0 % term can be withdrawn: with an annual percentage yield of 1 • 9 0 %. This rate will be paid until the maturity date specified above. Interest begins to accrue on Early Withdrawal Penalty: If we consent to a request for a withdrawal 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 Interest will be compounded _ . penalty will be an amount equal to: Interest will be credited AND WILL BE PAID BY DEPOSIT TO 1 MONTHS' interest on the amount withdrawn. ® The annual percentage yield assumes that interest remains on deposit Renewal Policy: until maturity. A withdrawal of interest will reduce earnings. ❑ Single Maturity: If checked, this account will not automatically ❑ If you close your account before interest is credited, you will not renew. Interest ❑ will ❑ will not accrue after maturity. receive the accrued interest. 1�1 Automatic Renewal: If checked, this account will automatically The NUMBER OF ENDORSEMENTS needed for withdrawal or any renew on the maturity date. (see page two for terms) other purpose is: 1 Interest � will ❑ will not accrue after final maturity. ACCOUNT OWNERSHIP: (select one and initial) ❑ Single Party Account ❑ Multiple Party Account ❑ Trust - Separate Agreement dated: ® CORPORATION Rights at Death: (select one and initial) ❑ Single Party Account ❑ Multiple Party Account with Right of Survivorship ❑ Multiple Party Account without Right of Survivorship ❑ Single Party Account with Pay on Death ❑ Multiple Party Account with Ri t of Survivorship and Pay on Death Pa On Death Beneficiaries: Toa name one or more: �teficiaries' 1 Rommm oMWon of Redwrok n, RELEASED ON: R-is-avt5 1/ ►1 TIN: 84-1278903 Social Security or Employer's I.D. Number: A correct taxpayer identification number is required for almost every type of account. A certification of this number is also required and is contained on the first copy of this certificate. Backup Withholding - A certification that you are not subject to backup withholding is necessary for almost all accounts (except for persons who are exempt altogether). This certification is contained on the first copy of this form. Failure to provide this certification when required will cause us to withhold a percentage of the interest earned (for payments to the IRS). Providing a false certification can result in serious federal penalties. - SIGN ONLY WHEN YOU REQUEST WITHDRAWAL I I'll IX 6(1er- " 0 1993 Bankers Systems, Inc., Stftud, MN r LA 1 READ PAGE TWO FOR ADDITIONAL TERMS (page 1 o/2)