APPLICATION COPY CHEMICAL PERSONAL SIGNATURE CARD Chemical Bank BRANCH ACCOUNT TITLE (A JOINT ACCOUNT IS PAYABLE TO EITHER OWNER, OR THE SURVIVOR). 2 digits FOR BANK USE ONLY AND a t v•-r— itVhq-1 ACCOUNT NU ER - or 12 4 BAC/PROF1T C 0712'1S 7- TAXPAYER IDENTIFICATION NU PRIMARY APPUCANT'S TAXPAYER ID# 6 7 UGMA MINOR'S TAXPAYER ID 0 1 CHECK ACCOUNT ARRANGEMENT: CHECK ONE: BER(S) SECONDARY APPLICANT'S TAXPAYER ID 0 10 &<idividual 0 Joint 0 Estate/Trust 0 Other El None El UGMA D ITF D POA CHE5K ACCOUNT TYPE: 11 gehecking CI Checking with Interest 0 MMA '0 Savings NON-CREDIT UNCOLLECTED FUNDS AVAILABIUTY AND OVERDRAFT PROTECTION ("SERVICE") (*RESTRICTED TO NDS) 12 CHECK CASHING POWER° E] *CASH NOW." 0 'COVERAGE NOWsu D Yes, Savings/MMA/CD ACCT 0 No Yes, Savings/MMA/CD ACCT 0 No Yes, Savings/MMA ACCT 0 No EFTA01481235