2012-Nov•15 0315 PM BANK OF AMERICA 3,a Bank of America 430' Personal Signature Card tir (TIlli "BANK.) with Substitute Form W-9 Act:Null Number 1eenunt Type: K DDA SAV ❑CD Atternint Bank Number: to a. Individual Owner TX, VA, & NC: IP JOINT OWNERS, THE JOINT OWNER SURVIVORSHIP MUST BE SELECTED ON PAGE I. ALL OTHER STATES: IF JOINT OWNERS, SELECT FROM THE APPROPRIATE SURVIVORSHIP BELOW. LI Joint with Right of Survivorship El Tenants by Entireties (Form of Joint with Right or Survivonhlp tar spousal co-owners only. Note: Defaults to Jett with Right of 3nreivonhip If aisle law does not recognize Tenants by Entireties for beak anoints.) !'hock if designating hcreficiarios: 0 Payable on Death (POD) / in Trust For (ITP) /Totten Trust (Refer to Beneficiary Addendum flu details) It, Jgdng beton, IM e Ileilllowledge and agree that this account is and will be governed by it terns and conditions set forth in the account opening documents, cam Ii dreg die Deposi Agreement and Disclosures and the Person! Schedule of Fees. Uwe aekaowledge the receipt of these document. Uwe understand and agree trim the Bank may change these documents at any time by adding now =Is, or deleting or amending existing terms. The Deposit Atonement includes a prevision tar ton trial newer or reference ton Judicial referee A joint account with nen of sumvorthip it the property of each co-owner and payable to either eo•owner or to the vin n Illp WSW Ire avowtt dice. It, checking the boa marked "ATM/Debit Card Rammed?" Uwe hereby request en Automatic Teller Machine Card and/or a Debit Cud. By algalag below. Uwe consent to ton imam of ea KIM card and/or Debit Card to to other account holders indicated below. By signing below. Ilwe acknowledge aid agree that the ..ipitaturett) will tune to vetificatiott for ally trot eeliOn le connection web this account, and as the cemilleation (Set lath below) of the taxpayer identification norther I IN) Form W.9 'orti - Under penalt' o