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UUCUMMUN BU51NLSS <br />LTD. <br />This Certificate ASSIGNED TO S T A T E OF C O L O R A D O /MINED , L A N D Certificate Number <br />Evidences A SSN/TIN <br />R E C L A M A T I O N 1 3 1 3 S H E R M A N STREET R M 215 <br />Deposit In The <br />Name(s) Of: DENVER, CO 8 0 2 0 3 Account <br />P D P A# 010 O O n Q 0 51 d1 <br />- Date September 24, 2003 <br />In The Amount Of Thirty three thousand and no/100* * * * * * * * * dollars $ 33, 000.00 <br />ACCOUNT TYPE AND TERMS - Only the boxes that are checked and the lines that are filled in apply. <br />'Perm (Initial) 24 mpnths ? Additions permitted in a minimum amount of $ <br />Maturity Date (First) 09/24/2005 Mixed Rate ? Min. Balance Req. $ <br />Interest Rate (Initial) 2.500 % ? Variable Rate: Initial Index Rate % Maximum Rate % <br />Compounded daily Minimum Rate % First Adjustment Date <br />Interest Calculated actual /365 Adjustment Frequency <br />No. Endorsements Required for Withdrawal 1 Rate Formula <br />? Single Maturity .Automatically Renewable <br />Interest Paid Mnthly WELD COUNTY BANK <br />(a) ? By 370 JUSTIN AVE. <br />(b) XXBy Deposit To Acct. ,NCO 80651970) 785-2000 <br />DEFINITIONS: "We" and "us" means the financial institution. "You" and <br />,,your" means the depositor(s). "Certificate" means both this original instrument <br />as well as the deposit it shows. This certificate (and the account it represents) <br />may not be transferred or assigned without our prior written consent and is not <br />negotiable. <br />VARIABLE INTEREST RATE: Your deposit will earn interest at the initial <br />interest rate stated on this certificate to the first adjustment date. Then, and on <br />each succeeding adjustment date, the rate this certificate will earn is subject to be <br />increased or decreased according to the formula described on this certificate. The <br />rate will remain the same between interest adjustment dates. <br />If the "first adjustment date" is phrased in terms of "index change" this means <br />the first adjustment date and the rate adjustment frequency after the first <br />adjustment date are not regularly scheduled. In this case, the rate this certificate <br />will earn will be adjusted any time the "index" changes. <br />The interest rate we will pay on this certificate will not, however, be greater <br />than the stated maximum rate (if any) or be less than the stated minimum rate (if <br />any) regardless of changes in the index rate. <br />COMPOUNDING: The compounding frequency and interest calculation method <br />will not change during the term of the certificate, regardless of adjustments to the <br />interest rate, until we give reasonable notice to you of such change. <br />ADDITIONS: If we permit you to make any additions, they will only be <br />permitted in an amount equal to, or greater than, the minimum amount indicated. <br />The making of additions to this certificate will not extend the maturity of all, or <br />any portion, of the funds on deposit. Additions will earn interest from the date of <br />deposit, and will mature at the same time as the first deposit. No additions may <br />be made within days of the final maturity date. <br />SINGLE MATURITY: If the single maturity box is checked, the depositor <br />should present this certificate promptly at maturity for payment. <br />Interest ? will ? will not accrue after maturity. <br />AUTOMATIC RENEWALS: If the automatic renewal box is checked, this <br />certificate will be automatically renewed after the stated maturity date stated for <br />successive terms, each equal to the original term. The interest rate will be the <br />same we offer on new certificates on the maturity date which have the same term, <br />minimum balance (if any) and other features as this original certificate. The <br />depositor may call us on or shortly before the maturity date and we will tell the <br />depositor what the interest rate will be for the next renewal term. <br />The automatic renewal of this certificate may be prevented if one of the <br />following things happens: <br />(1) This certificate is personally presented for payment on a maturity date or <br />within 10 days after the maturity date; or <br />(2) We receive written notice from the depositor before a maturity date of <br />their intention to cash in this certificate. <br />YOUR DEPOSIT IM WILL ? WILL NOT EARN INTEREST AFTER <br />FINAL MATURITY. <br />Endorsements (Sign only when requesting withdrawal): <br />x <br />x <br />NOTICE OF PENALTY FOR EARLY WITHDRAWAL <br />Except as mentioned below, you cannot withdraw any principal from this <br />account before a maturity date without our consent and we will charge a penalty. <br />We can only consent to an early withdrawal at the time you request it. The <br />penalty will be an amount equal to: <br />? the greatest of: (1) all of the interest earned on the amount withdrawn <br />from the most recent date of deposit or last renewal, (2) all the interest <br />that could have been earned on the amount withdrawn during a period <br />equal to one-half of the maturity period, or (3) seven days' interest on the <br />amount withdrawn. <br />? one month's interest on the amount withdrawn. <br />? three months' interest on the amount withdrawn. <br />•Z$ 60 DAY PENALTY <br />We will charge the penalty first against any interest then in the account, and any <br />excess will be deducted from the amount you withdraw. <br />FIXED RATE TIME DEPOSITS: For a fixed rate time deposit we will use the <br />nominal (simple interest) rate in effect to calculate the amount of the applicable <br />penalty. <br />VARIABLE RATE TIME DEPOSIT: For any time deposit which earns a rate <br />that may vary from time to time during the term, the interest rate we will use to <br />calculate this interest forfeiture will be: <br />? average (weighted for time) of the simple interest rates earned on this <br />certificate up to the date of withdrawal; <br />? simple interest rate in effect on the date that this account is opened; or, <br />? the simple interest rate in effect on the date of early withdrawal. <br />Minimum Balance Account: If we require a minimum balance on this account, <br />we may treat any withdrawal that reduces the balance below such minimum as a <br />withdrawal of the entire balance and calculate the penalty accordingly. <br />EXCEPTIONS: Federal regulations permit, or in some cases require, the <br />waiver of the early withdrawal penalty if: <br />(1) any account owner dies or is declared incompetent, or <br />(2) this is an I.R.A. or Keogh account and you are at least 591/2 years of <br />age or disabled at the time of the withdrawal request, or <br />(3) this is an I.R.A. or Keogh account and the request for withdrawal is <br />made within seven days of establishing the account. (The penalty in such <br />case will be all interest earned on the amount withdrawn.) <br />© 1982, 1990 Bankers Systems, Inc., St. Cloud, MN (1-800-397-2341) Form VFRCD-LAZ 7/22194 <br />VARIABLE/FIXED RATE TIME CERTIFICATE OF DEPOSIT (page 1 of 11 <br />Original