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-M-1Q9V-117 <br />Date <br /> Number: <br /> <br />Amount of <br />Deposit: Forty-six Thousand Seven Hundred Forty three Dollars And No Cents $46743.00 <br />This Time Deposit is Issued to: Issuer: <br />i MOUNT ROYALE VENTURES LLC ' AMERICAN NATL BANK - BOULDER 6/s?o ?Q <br />FBO STATE OF COLORADO 2835 PEARL STREET ?, f* <br />MINED LAND RECLAMATION BOARD <br />1313 SHERMAN ST RM 215 <br />DENVER CO 80203 PDPA#010004005101 <br />Not Negotiable - Not Transferable - Additional terms are below. <br />Additional Terms and Disclosures <br />This form contains the terms for your time deposit. It is also the Minimum Balance Requirement: You must make a minimum deposit to <br />Truth-in-Savings disclosure for those depositors entitled to one. There <br />are additional terms and disclosures on page two of this form, some of open this account of $ 1,000.00 <br />which explain or expand on those below. You should keep one copy of ® you must maintain this minimum balance on a daily basis to earn the <br />this form. <br />Maturity Date: This account matures 02/22/2010 annual percentage yield disclosed. <br />(See below for renewal information.) Withdrawals of Interest: Interest ? accrued IN credited during a <br />Rate Information: The interest rate for this account is 3.5000 % term can be withdrawn: <br />with an annual percentage yield of 3.55 %. This rate will be <br />paid until the maturity date specified above. Interest begins to accrue on Early Withdrawal Penalty: If we consent to a request for a withdrawal <br />the business day you deposit any noncash item (for example, a check). that is otherwise not permitted you may have to pay a penalty. The <br />Interest will be compounded quarterly penalty will be an amount equal to: 90 Days <br />Interest will be credited quarterly to <br />interest on the amount withdrawn. <br />1XThe annual percentage yield assumes that interest remains on deposit Renewal Policy: <br />until maturity. A withdrawal of interest will reduce earnings. ? Single Maturity: If checked, this account will not automatically <br />? _ If you close your account before interest is credited, you will not renew. Interest ? will ? will not accrue after maturity. <br />receive the accrued interest. ® Automatic Renewal: If checked, this account will automatically <br />The NUMBER OF ENDORSEMENTS needed for withdrawal or any renew on the maturity date. (see page two for terms) <br />other purpose is: Interest ? will ® will not accrue after final maturity. <br />ACCOUNT OWNERSHIP: You have requested <br />and intend the type of account marked below. <br />? Individual <br />(and not as tenants <br />? Joint Account - With Survivorship in otanon) <br />? Joint Account - No Survivorship (as wtanta in common) <br />? Trust: Separate Agreement Dated <br />® Public Funds <br />? Revocable Trust Designation as defined in this <br />agreement (Beneficiaries' names and addresses) <br />BOULDER, CO 80301 <br />s <br />d?q <br />BACKUP WITHHOLDING CERTIFICATIONS <br /> <br />® Taxpayer I.D. Number - The Taxpayer ? Exempt Recipients - I am an exempt <br />Identification Number shown above (TIN) is recipient under the Internal Revenue Service <br />my correct taxpayer identification number. Regulatio <br /> thholding I am not subject A provision for my signature, certifying <br />P g ' J under penalty of perjury the statements <br />to backup withholding either because I have checked in this section and that I am a U.S. <br />not been notified that I am subject to backup person (including a U.S. resident alien), is <br />withholding as a result of a failure to report contained on the first copy of this <br />all interest or dividends, or the Internal certificate. <br />Revenue Service has notified me that I am no <br />longer subject to backup withholding. <br />e/ © 1993 Bankers Systems, Inc., St. Cloud, MN Form CD-AA-NPD (1) 1/3/2001 <br />ENDORSEMENTS - SIGN ONLY WHEN YOU REQUEST WITHDRAWAL <br />X <br />X <br />X <br />READ PAGE TWO FOR ADDITIONAL TERMS (page 1 of 2)