My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
REV100505
DRMS
>
Back File Migration
>
Revision
>
REV100505
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/25/2016 1:10:59 AM
Creation date
11/22/2007 12:36:20 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1991080
IBM Index Class Name
Revision
Doc Date
9/20/2005
Doc Name
Succession of Operators Approval
From
DMG
To
Howard and Barbara Stone
Type & Sequence
SO1
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
UPPLEMENTAI- AGREEMENT FOR <br />"PAYABLE-ON-DEATH ACCOUNTS <br />THE FOLLOWING PERSONS ARE DESIGNATED AS PAYABLE-0N- <br />Upon the death of the last remaining depositor, any and all Nnds in Utis <br />account belong a) to alt surviving beneficiaries or payees ss joim tenants, or b) <br />solely to the surviving beneficiary or payee if only one survives all depositors <br />with all rights and obligations ss sperified in Vecira Bank Colorado's Rules <br />and Regulations. Vectra Bank Colorado may requue identification and <br />reasonable proof of death from these beneficiaries or payees before any funds <br />ere paid out. <br />Qanomer's Initials Customer's Initials Customa's Initials <br />SUPPLEMENTAL AGREEMENT FOR <br />`"TRUST ACCOUNTS" <br />THE TRUST ACCOUNT IS HEIR AS FOLLOWS: <br />It is hereby agreed that in convduation of Vectra Bards Colorado's opening <br />this accoum usdng part of its title "Tout" or'7rustee", Vemra Bade Colorado <br />assume neither responsibility nor liability relating io use of funds in the <br />account The undersigned and his/her hews, agems, and/or personal <br />representative agrw to hold harmless Vectra Bank Colorado for any and all <br />loss, including bin not Emited to reasonable attomey'e fees, resuhing from <br />arty end all claims relating to any W st admidsuation. <br />Customer's Initials Customer's Idtials Customer's Initials <br />Tlrt: 521-60 A~4~ WITHHOI.DiNG <br />{~ Taxpayer I.D. Number -The Taxpayer Idrntification Number shown <br />above is my eartect taxpayer identitcation number. <br />i,L~C Backup Withholding - I am not subject to backup withholding either <br />because I have not barn notified that I am subject to backup withholding <br />ss a resuh of a failure to report all imeresl or dividends, or the Internal <br />Revenue Service has notified me that 1 am no !anger subject to backup <br />withholding. <br />^ Exempt Recipirnts - I am an exempt recipient under the Inlemal <br />Revenue Service Regulations. <br />^ Nonresident Aliens - I am not a United States person or if I am an <br />individual, 1 am neither a citizen nor a resident of the United States. <br />1 certify under penalties of perjury that the slatemrnts marked in this section <br />are true. <br />HOWARD <br />Account Title: AND BARBARA STONE ASSIGNED TO <br />$TATF F MT ORADO./ <br />DII.RB <br />. <br />Accoum Number: 449000517 7 <br />Si er l: Id. at Lally~~f~~~~ <br />Simtature ~µ`"~`^'y <br />Si nter 2: <br />Si enaNre 2: <br />Si mer 3: <br />Sit urature 3: <br /> <br />RESOLUTION AND AUTHORIZATION <br />The undersigned reprearntmive of the business entity [tamed below <br />(hereinafter, "Eniit}'~, holding the office indicated below, haeby certifies that <br />a meeting wss held in accordance with [he laws of the state where the Entity is <br />incorporated, organized, or authorized to conduct business, and the following <br />resolution was adopted. <br />RESOLVED, that Entity shall open an account with Veclra Bank Colorado, <br />National Association (hereinafter, "Bank's std umil this authority is revdced <br />by written notification to Bank of such action by Ihoae authorizing this action, <br />the persons !tamed and whose signatures appear on this ACCW m Agreemem are <br />hereby authorized to sign cbeckt, drafts, withdrawal orders, bills of exchange <br />std make telephone transfers from this ucoum for and on behalf of Emey. <br />Emity agrees that this aaount will be managed and operated according to <br />epplica6le slate and federal laws and regulations, and in accordance with the <br />roles and regulatiorm of Bank. Enth acknowledges that this acooum is subject <br />to service fees as disclosed in Bank's current fee schedule, now in effect or <br />hereafter established This resolution and authorization supersedes all prior <br />authorizations, which are hereby cancelled and revoked. <br />If Emily is a Partnership, Limited Liability Partnership, a Limited Liability <br />Iamited Partnership, the undersigned certify that they are all of the generd <br />parNers of the Emity herein ruined and that all have agreed to the <br />authorizetiona contained herein. V there ate additions or deletions of grneral <br />pnrutera, or if there is a change m Entity's statue to a oalwration or limited <br />liability company, Bank will be notified immediately and this Agrtemem <br />amrnded and superseded If Emily is a limbed liability company, the <br />undersigned certify that they are the duly appointed rmnagers fisted in the <br />Articles of Organization of the limited liability company herein ruined, and <br />that all Mve agreed to the suthorizatioro cornained herein If Fadity is as <br />Association, the undersigned certify that they are authorized by the bylaws or <br />rules oCEmity to act on behalf of Emity, and that dl have agreed to the <br />authorizations contained herein. <br />Emity Name: <br />Type of lhgadzation: <br />Authorized Representative: <br />Prim Name: <br />Title: <br />Authorized Represrntative: _ <br />).'rim Name: <br />Title: <br />Authorized Represrntative; <br />Print Name: <br />Title: <br />Authorized Represrntative; <br />Print Name: <br />Title: <br />Released and Made Payable Ottly To: <br />Howard and Barbara Stone <br />Ron CaL~Directo~ <br />Division of Minerals and Geology <br />Office of Mined Land Reclamation <br />State of Colorado ' B-99-ot672i99 <br />
The URL can be used to link to this page
Your browser does not support the video tag.