Consumer Account Application Bank Name: Store Name. WELLS FARGO BANK, N . A . BELLEVIEW & KIPLING Banker Name: OfficeriPortfoGo Number: Dater BEEVERS, CHARLES L6623 11/17/2016 Banker Phone: WELLS FARGO Store Number Banker AU: • 06623 To help the government fight the funding of terrorism and money laundering activities, U.S. Federal tom-quires financial institutions to obtain, verify, and record information that identifies each person (individualsand businesses) who opens an account. What this means for you: When you open an account we will ask too you name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver's licenses oche, identifying documents. New Account Information Product Name: Account Number. Product: Wells Fargo Everyday Checking IDDA Purpose of Account. Motor COID. Personal/Household 1163 New Account lGt Chedcing/Savings Bonus Offer Available: I NO Related Customers Customer Name. CARLOS PEREZ Statement Mailing Information Account Relawnslup Sole Owner Customerfs) Listed on Statement [CARLOS PEREZ D5G6921 (5.16 SW ) Statement Mailing Address: Address Line 2. City. State: ZIP:Postal Code. 2W02-000865833262-01 Country. US Page I of 2 Wells Fargo Confidential EFTA00125032