2003-04-04_REVISION - M1995097 - Laserfiche WebLink

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ate Opened: 03/12/03 Term; 12 Month(s) Certificate of Deposit Tax 84-1278903 _ Number: Account Number• 16522 Amount of Deposit:Seventy nine thousand eight hundred eighty eight & no/100 $ 79,888.00 This Time Deposit is Issued to:. Issuer: NEW SMUGGLER MINE CORPORATION ASSIGNED TO STATE OF COLORADO DMG PDPA 10004005101 1313 SHERMAN ST RM 215 DENVER CO 80203 Not Negotiable -Not Transferable -Additional terms are below. ' Alpine Bank Aspen 600 E, Hopkins, Suite 001 Aapen,//C~,o 81611 ,/~///~/, ..... BY~ ~D 1~~/? ' "~ ERLINDA MOREH 1 YEAR TIME DEPOSIT Additional Terms and Disclosures This form contains the terms for your time deposit It is also the Minimmn Balance Requirement: You must make a minimum deposit to Truth-in-Savings disclosure for those depositors entitled to one. There aze additional terms and disclosures on page two of this form, some of open this account of $ 1, 000.00 . which explain or expand on those below. You should keep one copy of this form ~ You must maintain Otis 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Interest ^ accrued ^ credited during a Rate Information: The interest rate for this account is 1.8840 qo term can be withdrawn: with an emus! percentage yield of 1 •90 %. This rate will be paid until the maturity date specified above. Interest begins to accrue on Early WiOtdrawal Penalty: If we consent m a request for a withdrawal the business day you deposit any noncash item (for example, a check). that is oOterwise not permitted you may have m pay a penalty. The Interest will be compounded penalty will be an amount equal [o: Interest will be credited AND WILL BE PAZD BY DEPOSIT TO DEMAND20200217MONTHLY 1 MONTHS' interest on Ore amount withdrawn.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 no[ renew. Interest ^ will ^ will not accrue after maturity. receive the accrued interest. [~ Automatic Renewal: If checked, this account will automatically The NUMBER OF ENDORSEMENTS needed for withdrawal or say renew on the maturity date. (see page two for terms) other purpose is: 1 Interest ~ wID ^ wID not accrue after final maturity. ACCOUNT OWNERSHIP: (select one and initial) ^ Single Party Account ^ Multiple Party Account ^ Tmst - Sepaza[e Agreement dated: ® CORPORATION Rights at Death: (select one and initial) ^ Single Party Account ^ Multiple Party Account with Right of Survivorship ^ Multiple Party Accoum without Right of Survivorship ^ Single Party Account with Pay on Death ^ Multiple Party Account with Right of Survivorship aztd Pay on Death Pay On Death Beneficiaries: To add Pay On Death Beneficiaries' name one or more: X ®1993 Bankers Systems, Inc., St. Cloutl, MN Form CD-AA-LA2-CO It) 10/12/2001 X X Social Security or Employer's LD. Number: A correct taxpayer identification number is requred for ahnost every type of account. A certification of this nttmber is also required aM is contained on the first copy of th . rsaceup wttnnotamg - A cemncanon tna[ you are no[ subject to backup withholding is necessary for almost all accounts (except for persons who are exempt altogether). This cerlficaton is contained on Ore first copy of this form. Failure to provide Otis certification when required will cause us m withhold a percentage of [he interest earned (for payments m Ore IRS). Providing a false certificaaon can result m serious federal penalties. READ PAGE TWO FOR ADDFFIONAL TERMS !nape t or zl