2008-03-05_REVISION - M1985023 (8)

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- -- - .1 .1 i unc uNnu uwe the undersigned authorized individual(s), agree to the terms and -conditions of this arcount as contained in this account agreement and Vectra Bank Colorado's Rules and Regulations, which have peen 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 N Business Account Terms JxRate Information BACK UP WITHHOLDING CERTIFICATION- Under penalty of perjury, by my signature below on this signature card, I certify that: IX The number shown on this form is my correct taxpayer identification number (TIN). I am not subject to backup withholding either because I have not been notified that 1 am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service (IRS) has notified me that 1 am no longer subject to backup withholding. i_I Exempt Recipients - I am an exempt recipient under the Internal Revenue Service Regulations. ? Nonresident Aliens - I am not a United States person or if I am an individual, 1 am neither a citizen nor a resident of the United States. HOLLENBECK INC "ASSIGNED TO" 494-950129-2 Account Title I Account Number P 100040051010 84-0684491 09-05-00 Taxpayer I.D. Number (TINT M.otha%s Maiden Name 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 #0100040051010 _ CDL---U 12445 Idunhlicalitni Emvlover ? NATURAL PERSON(S) OR DBA ? SOLE PROPRIETORSHIP ? LIMITED LIABILITY CO. Ci rRUSTlTRUSTEE ? PARTNERSHIP/LLP g1 PUBLIC FUNDS U ASSOCIATION OR CLUB ? CORPORATION X ? INDIVIDUAL ? ESTATE ? JOINT CERTIFICATE OF DEPOSIT DATA PURCHASE AMOUNT $ ****15,716.00 TERM _D 9-7 ? MONTHS CR DAYS NEXT MATURITY DATE 12-11-00 INTEREST RATE 04 . 8 9 % ANNUAL PERCENTAGE YIELD 05. 01 INTEREST PAYMENT FREQUENCY: INTEREST FOR THIS ACCOUNT IS: fY_7 AT MATURITY02 mos. or less) CI COMPOUNDED DAILY ? ANNUALLY ? SIMPLE ? QUARTERLY ? MONTHLY INTEREST PAYMENT METHOD: ? CAPITALIZED ? PAY BY CHECK C] TRANSFER TO ACCOUNT # 4948001603 * CHECKING/MONEY MARKET ? SAVINGS Renewing certificates will automatically renew for the same maturity period if not presented for payment within ten (10) calendar days after any maturity date, or unless the Bank issues or mails notice otherwise to the address then on Bank records, at least thirty (30) days before any maturity date. This applies only to certificates with maturities over thirty (30) days. The renewal interest rate and annual pc-enicgc yield will be those 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 interest after 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. If 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 onth's interest. Additional deposits are permitted to consumer accounts with an initial maturity date of 12 months or less. For accounts with initial maturities grea r than 12 months or with opening deposits greater than SIZ1,5p0.00, adlfitionaJrdeposits r to permitted. E FOLD CARD AS INSTRUCTED BEFORE SEPARA TLNG 1. FOLD THIS FLAP BACK 1 2. FOLD THIS FLAP FORWARD 4 3. FOLD THIS FLAP FORWARD AND TUCK INSIDE T TEAR ALONG PERFORATION, AND DISCARD 74,/ , (/