1992-06-01_REVISION - M1983102 - Laserfiche WebLink

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f TMSCERIUICILTE Thompson Properties or State of Colorado/Mined Land Reclamation 0857 EVIDENCES A Certificate Number DEPOSrrINTHE PO Box 3 Division NAME(S)OF. Granby, CO 80446 Account Number 84-0963806 Date May 13, . 19 92 INTHEAMOUNTOF ******Five Thousand Dollars and 00/100**************** DOLLARSS 5.000.00 TERM,NATURIIYAND DESCRIPTION:This certificate has a term of 5 years .It will(first)mature on May 13• . 19 97 . The minimum balance is S 1,000.00 ]INTEREST:Your deposit will eam interest at the rate of 6.25 %per year to the first maturity date.We calculate interest using the 365i 365 I days per year method.We will wRpCWI[>P1F3�Ce6rLWIXxa[70Rf�60C]mmfEgL9d y.3r}—'^ra ro<r C�1 0 We will pay interest quarterly by check to the above address. r. 1'1 The interest rate we wW pay on automatic renewals of this certificate will be the same rate we offer on new cenJcates on the maturity date which have the i -, same term.minimum balance,and other characteristics as this original certificate.You may call us on or shortly before the maturity date and we can tell you what the interest rate will be for the next renewal term. YOUR DEPOSIT WILL NOT EARN INTEREST AFTER THE MATURITY DATE UNDER Tffi5 CERTIFICATE(UNLESS IT IS RENEWED). ( RENEWALS: ® If checked, we will automatically renew this certificate on each 1 " succeeding maturity date.Each renewal term will be the same as the original GRAND NATIONAL HANR OF COLORADO term. beginning on the maturity date. We will not automatically renew this �- certificate(I)if you tell us not to do so,in writing,on or before the next maturity PRAS�//�RADO �., date.or(2)if you present this certificate to us for payment(or other disposition) -; on or within 10 calendar days after the maturity date dil has a term of more than i 31 days.and one calendar day if it has a term of seven to 31 days. By „ a � ,Z SINGLE MATURITY:❑If checked,we will not automatically renew this certificate. Gar G oberts, Cashi It will mature once on the maturity date. y r 4: PERSONAL ACCOUNTS:You have requested and NON rJ CGDTIABI 84-0963806 intend the type of account marked below. SOCIALSECURITYORENIPLOYEIrS LD.NUNRER- A correct taxpayer icientflcation number is required for ❑Individual almost every type of account. A certification of this Account-With Survrvorship NON-PERSONAL ACCOUNTS:Depositor is a: number 6 also required and is contained on the first copy of this certificate. ❑ Multiple Depositors-No Survrvorship ®Partnership ❑Corporation ❑Trust Account ❑ BACKUP WITHHOLDIdG-A certification that you ❑ Subject To Separate Agreement are not subject to backup withholding is necessary Dated Authorization dated for almost all accounts (except for persons who are exempt altogether).This certification is contained on the ❑ Subject To Terms On This Form first copy of this form.Failure to provide this certification Beneficiaries Named Below when required will cause us to withhold 20% of the The NUBDIER OF ENDORSEMENTS needed interest earned (for payment to the IRS). Providing a ❑ Pay-On-Death for withdrawal or any other purpose is: 1 false certification can result in serious federal penalties. Beneficiaries Named Below ---- - _ ❑ — -- ENDORSEMENTS-SIGN ONLY WHEN YOU REQUEST WITHDRAWAL x Thelma Thompson BENEFICIARIES OF TRUST OR PAY-ON-DEATH x Ronald Thompson ACCOUNTS xMichael B Long 9 �•-1 h 'E SYSTEwS INC.51 C�ouo..,n 16301 Co,.e co-sc io 6181Ea READ OTHER SIDE FOR ADDITIONAL TERMS