2008-03-05_REVISION - M1985023 (7)

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__ __ __..... ._... _. ~ vr,rune ~Hnu I/we the undersigned authorized individualisl~agree to the terms and Yconditions of this arcount as contained in this account agreement antl Vectra Rank Colorado's Rules and Regulations, which have ueen received and incorporated herein, as they may be amended. By signing this signature card I/we acknowledge receipt of a copy of and agree to the terms of the following disclosures: ^ Personal Account Terms ~ Business Account Terms L'xRate Information BACK UP WITHHOLDING CERTIFICATION- Under penalty of perjury, by my signature below on this signature card, I certify that: I$ The number shown on this form is my correct taxpayer identification number (TINT. [~ I am not subject to backup wthholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service IIRS) has notified me that 1 aln no longer subject to backup withholding. i_I Exempt Recipients - I am an exempt recipient under the Internal Revenue Service Regulations. L7 Nonresident Aliens - I am not a United States person or if I am an individual, I am neither a citizen nor a resident of the United States. HOLLENBECK INC "ASSIGNED TO" 494-950129-2 Acv tt Title I Account Number 84-0684491 P t-00040051010 _ 09-05-00 Taxpayer LD. Number (TINT Moths%s Maiden Nams Date SUPERSEDES CARD DATED AUTHORIZED SIGNERS SIGNATURES GENE HOLLENBECK X ASSIGNMEN RTIFICA DEPOSIT H X X X OPENING DEPOSIT $15,716.00 PUBLIC FUNDS PDPA 410100040051010 ~pL.~L61.2 4 4 s _ _ Idwudicatioii 6nployer ^ NATl1RAL PERSONIS) OR OBA ^ SOLE PROPRIETORSHIP ^ LIMITED LIABILITY CO. ^ TRUSTlTRUSTEE ^ PARTNERSHIP/LLP L] PUBLIC EUNDS LJ ASSOCIATION OR CLUB ^ CORPORATION X L.J INDIVIDUAL ^ ESTATE ^ JOINT CERTIFICATE OF DEPOSIT DATA PURCHASE AMOUNTS * * * * 15 , 716.0 O TERM _D_~ ^ MONTHS C~DAYS NEXT MATURITY DATE l_ 2 - 11 - 0 0 INTEREST RATE 04.89 % ANNUAL PERCENTAGE YIELD 05. Ol INTEREST PAYMENT FREQUENCY: INTEREST FOR THIS ACCOUNT IS: 4Y_7 AT MATURITY172 mos. or less) ^ COMPOUNDED DAILY CJ ANNUALLY ^ SIMPLE L QUARTERLY f.7 MONTHLY INTEREST PAYMENT METHOD: ^ CAPITALIZED ^ PAY BY CHECK 1:]TRANSFERTOA000UNT # 494o00io'c.i 1~1 CHECKING/MONEY MARKET ^ SAVINGS Renewing certificates will automatically renew for the same maturity period if not presented for payment within ten (101 calendar days after any maturity date, or unless the Bank issues or mails notice otherwise to the address then on Rank records, at least thirty 1301 days before any maturity date. This applies only to certificates with maturities over thirty (301 days. The renewal interest rate and annual pcrc[;n:cgo yield will bu :hose prevailing at the time or maturity for certificates of like duration and amount. Nonrenewing certificates reaching maturity will remain in the account until withdrawal is requested. These certificates will not accrue interestaher maturity unless transferred to another interest-bearing account. We use the daily balance method to calculate interest on your account. This method applies a periodic rate to the principal in the account each day. It you withdraw any of the principal in the account before the maturity date, a penalty may be imposed as follows: For certificates with maturities of 12 months or less, the penalty shall be one month's interest; for certificates with maturities greater than one year, the penalty shall he three month's interest. Additional deposits are permitted to consumer accounts with an initial maturity date of 12 monUis or less. For accounts with initial maturities grey r than 7 2 months or with opening deposits greater than 5 Obi ,Op0.00, ad/fitionaJ,de~osits r~ permitted. 1 ~D / .~/i7 ~ ~ FOLD CARD AS INSTRUCTED BEFORE SEPARATING 7. FOLD TH/S FLAP BACK 1 2. FOLD TH/S FLAP FORWARD 3. FOLD TH/S FLAP FORWARD AND TUCK /NS/DE TEAR ALONG PERFORq TION AND DISCARD rrL»~C,- ~