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Date <br /> <br /> <br />Amount of <br />Deposit: One Hundred Seventy-six Thousand Dollars And No Cents $ 176000.00 <br />This Time Deposit is Issued to: Issuer: <br />I MOUNT ROYALE VENTURES, LLC <br />ASSIGNED TO STATE OF COLORADO <br />MINED LAND RECLAMATION BOARD <br />PDPA #010004005101 <br />1313 SHERMAN ST, RM 215, DENVER, CO 80203 <br />Not Negotiable - Not Transferable - Additional terms are below. <br />pEc <br />Division ?f' 3?0D8 <br />Mining and S? cation, <br />mwa <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 <br />this form. ® You must maintain this minimum balance on a daily basis to earn the <br />Maturity Date: This account matures annual percentage yield disclosed. <br />_ (See below for renewal information.) Withdrawals of Interest: Interest ? accrued X credited during a <br />Rate Information: The interest rate for this account is 4.8500% term can be withdrawn: <br />with an annual percentage yield of 4.94 %. 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 DDA 70269664 <br />interest on the amount withdrawn. <br />AMERICAN NATIONAL BANK <br />1360 WALNUT STREET <br />BOULDER, CO 80302 <br />By <br />© The 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 />El Joint Account - With Survivorship innom°mon>oams <br />r <br />Joint Account - No Survivorship (as ti,mnts in ommon) <br />? Trust: Separate Agreement Dated <br />® Public Funds <br />? Revocable Trust Designation as defined in this <br />agreement (Beneficiaries' names and addresses) <br />BACKUP WITHHOLDING CERTIFICATIONS <br /> <br /> 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. Regulations. <br />El Backup rovision for my signature, certifying <br />p g - 1 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 e©1993 Bankers Systems, Inc., St. Cloud, MN Form CD-AA-NPD (1) 113/2001 <br />ENDORSEMENTS - SIGN ONLY WHEN YOU REQUEST WITHDRAWAL <br />X <br />X <br />X <br />READ PAGE TWO FOR ADDITIONAL TERMS (page I of 2)