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EFTA01281685

Dataset 10 · 1 page · 237 KB · 616 words

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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
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