Dataset 10 · 1 page · 237 KB · 616 words
SIGNATURE CARD FIFTH THIRD BANK (HEREAFTER RFERRED TO AS 'SAM') Name (Primary Owner) Account No. TERMS AND CONDITIONS 1. The terms and conditions stated Shocker Holdings LLC herein, together w?.n re:mit/lions or Type authonzalions which accompany this Street Address signature card. it app'icab'e and the 27 High Tech Blvd Business Standard Checking Ril.cs Regulations. Agreements. an/ Disclosures of Bank constitute the City and Stele ZIP Deposit Agreement (-Agreement') Thomasville NC 27380 between the individual (s) or entity (io) Dale of Birth Mothers Malden Name named hereon (*Depositor) and the Home Phone Bank. 2. This Agreement Incorporates the Work Phone Rules. Regutadons, Agreements, and Employer Disclosures established by Bank from time to Into, clearing house roles and regulations state nna federal lawn, Tax ID or S.S. Number recognized banking practices and 20-2030353 NEW []ADD M. REPL customs, soma charges as may be established from lime to time end is Ownership' Opened By BC No. Date sub;cct to lava regulating transfers at death and other taxes. Partnership P Fintchre 47349 09124/2013 3 fel signers hereby agree that the ' Joint accounts shall be owned es joint tenants with right of survivorship, no as tenancy by the entireties above named Dank is authorized to ac as a depository under Mu terms and Check appropriate box for federal tax classification required) condemns of the Agreement. 0 Partnership O lndividuallSole Proprietor M Trust/Estate LLC - Enter tax classification (CeC Corporation, SINS Corporation, P•Pannership) S • C Corporation OS Corporation • Outer 0 Non Res.derilNan 4. Bank is authorized to recognize tho signatures executed hereon in such numbers as indicated, for the withdrawal of funds or transactions of any other THE UNDERSIGNED AGREES TO THE TERMS AND CONDITIONS AT THE RIGHT business regaming leis account Tee: written notate the contrary Is received by Bank Sig.tri)3 I Non-US Senior Foreign a In tho case of overdraft or RIO Person' Official" Ouarodymont on this account, whether Shocker Holdings Ile 1 by error, mistake, Inadvertence or otherwise, the amount of sett overdraft 18,nUTeelays y'''' ..; Yes No Yes No or overpayment shall be trr.mcdfatety M ❑ a ' paid to Bank X e.:- , a.-- ❑ 6. Depositor acknowledges and egrets that Bank. to' itself and as agent fcr I Rarpona Fylckers l 1 Yee No Yes No any offilate of Fifth Ted Bancorp, is granted a security Interest In, and may, X ' .It ion- ‘iiierL — at any time, set off, against any ba'ance in this account. any debt owed to Bank by any person having the right of Yes No Yes No withdrawal or any debt owed to Bank by any entity !Med under the Account Talc A debt Includes. but Is not limited te, on obligation owing to Bank, whether now I Yea No Yes No exigible or hereafter acrpired cy Bank whenever payable end witho.it regard X to whether arsine as maker, drawer, endorse:, or guarantor. Payable on Death Beneficiary $tatement Address 7 Al. signers agree to the Torms and Condemns set forth hereon and acknowledge receipt o' a copy of the Rules and Regulations, Agreomonki. USA PATRIOT ACT REQUIREMENTS: and Disclosures of Bank and agree to 'I. Ne you a Non-US person with more than S500,000 on deposit or invested with Fifth Thlro7 the terms sot hnth them n "2. Ne you a Senior Foreign Official of a government branch, military branch. political party, foreign government-owned company, or a close personal or professional assodalo of cr.e of these? Verification — interne: Use Only. I.D. Run Cdstorner in Quat4ile Verify Opening behest: Rag CC Kola (If Needed) Verify Phone Numbers Verify Morass Thank You CardiFollow Up 96.213 (5/3-REV 6+14) Send original to Chadic Processing 1M0C11.. SDNY_GM_00036248 CONFIDENTIAL EFTA_0014686 I EFTA01281685