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2008-03-05_REVISION - M1985023 (7)
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2008-03-05_REVISION - M1985023 (7)
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Last modified
6/16/2021 2:19:08 PM
Creation date
3/11/2008 10:00:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985023
IBM Index Class Name
REVISION
Doc Date
3/5/2008
Doc Name
Succession of operators approval
From
DRMS
To
Hollenbeck, Inc
Type & Sequence
SO2
Media Type
D
Archive
No
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VECTRA BF.Nx COLORADO CERTIFICATE ACCOUNT AGREEMENT AND SIGNATURE CARD <br />i/we~Ihe undersigned authorized individuallsl, agree to [he terms and conditions of [his account as <br />contained in this account agreement antl Vectra Bank Colorado's Rules artd Regulations, which have <br />bean received and incorporated herein, as they ntay be amended. By signing this signature card I/we <br />acknowledge receipt of a copy of and agree to the terms of the following disclosures: <br />^ Personal Account Terms ~ Business Account Terms f~Rate Information <br />BACK UP WITHHOLDING CERTIFICATION- Under penalty of perjury, by my signature <br />below on this signature card, I certify that: <br />IX The number shown on this form is my correct taxpayer identification number <br />(TIN). <br />L~ I am not subject to backup withholding either because I have not been notified <br />that I am subject to backup withholding as a result of a failure to report all <br />interest or dividends, or the Internal Revenue Service (IRS) has notified me that <br />I um no longer subject to backup withholding. <br />L_I Exempt Recipients - 1 am an exempt recipient under rite Internal Revenue <br />Service Regulations. <br />^ Nonresident Aliens - I am not a United States person or if I am an individual, <br />1 am neither a citizen nor a resident of the United States. <br />HOLLENBECK INC "ASSIGNED TO" 494-950129-2 <br />AClallnt Ti[IB % 1'IIlYGL L <br />' I Account Number <br />84-0684491 P 100040051010 <br />_ 09-05-00 <br />Taxpayer LD. Number (TINT MotYrer's Maiden Name Oate <br />SUPERSEDES CARD DATFO <br />AUTHORIZED SIGNERS SIGNATURES <br /> <br />GENE HOLLENBECK X ASSIGNMENT OF CERTIFICA <br />DEPOSIT ATTACHED <br /> X <br /> X <br /> X <br />OPENING DEPOSIT $15,716.00 <br />PUBLIC FUNDS PDPA ~/0100040051010 <br />~I2L_IZ612 4 a 5 <br />Iduniti[:ation - <br />Employer <br />^ NATURAL PERSONISI OR DBA ^ SOLE PROPRIETORSFIIP ^ LIMITED LIABILITY CO. <br />^ THUST/TRUSTEE ^ PARTNERSHIP/LLP $J PUBLIC FUNDS <br />U ASSOCIATION OR CLUB ^ CORPORATION X <br />U INDIVIDUAL ^ ESTATE <br />^ JOINT <br />CERTIFICATE OF DEPOSIT DATA <br />PURCHASE AMOUNTS * * * * 15 , 716.0 U <br />TERM _Qq-~ ^ MONTHS L~DAYS <br />NEXT MATURITY DATE ~ 2_~ T_ O O <br />INTEREST RATE 04.89 % ANNUAL PERCENTAGE YIELD 05.01 <br />INTEREST PAYMENT FREQUENCY: INTEREST FOR THIS ACCOUNT IS: <br />~7 AT MATURITY(12 mos. or less) ^ COMPOUNDED DAILY <br />^ ANNUALLY ^ SIMPLE <br />^ QUARTERLY <br />^ MONTHLY <br />INTEREST PAYMENT METHOD: <br />^ CAPITALIZED <br />y^~, PAY BY CHECK <br />fJTRANSFERTOACCOUNT a 4948001683 <br />gl CHECKINGlMONEY MARKET <br />^ SAVINGS <br />Renewing certificates will automatically renew for the same maturity period if not presented for <br />payment within ten t10) calendar days after any maturity date, or unless the Bank issues or mails <br />notice otherwise to the address then on Bank records, at least thirty (30) days before any maturity <br />date. Tltis applies only [o certificates with maturities over thirty (301 days. The renewal interest rate <br />and ar!nual percentzgo yield wilt be those prevailing at the time of maturity for certificates of like <br />duration antl amount. <br />Nonrenewing certificates reaching maturity will remain in [he account until withdrawal is reQues[ed. <br />These certificates will not~accrue interest eher maturity unless transferred toanother interest-bearing <br />account. <br />We use the daily balance method to calculate interest on your account. This method applies a <br />periodic rate to the principal in tliu account each day. <br />II you withdraw any of the principal in the account before the maturity date, a penalty may be <br />imposed as lollows: For certificates with maturities at 12 months or less, the penahy snail be one <br />month's interest; for certificates with mat urines greater than one year, the penalty shall ne three <br />month's interest. <br />Addibonal deposits are permitted [o consumer accounts with an initial maturity date of 12 nwnths <br />or less. For accounts with initial maturities grey r than 12 months or with opening deposits yreater <br />than 5 0 ,0 0.00, ad itiona de sits r [o permitted. <br />1 /~:i(~ <br />'EKED 8V <br />E <br />FOLD CARD AS INSTRUCTED BEfORf SEPARATING <br />7. FOLD T/L/S FLAP BACK 1 <br />2. FOLD THLS FLAP fORWARD <br />3. FOLD TH/S FLAP FORWARD AND TUCX /NSKtf <br />TEAR ALONG PERFORAT/ON, AND DISCARD <br />
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