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EFTA00021997
OCR Database · OCR Text Extractions · #50
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50
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EFTA00021997
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The Chase Manhattan Bank (= CHASE BUSINESS SIGNATURE CARD
oO BRANCH COPY
ACIPROFTE CENTER
‘CARD COMPLETION DATE
[ACCOUNT NUMBER
FACCOUNT TTLE CDEPOSTTOR)
MAY Ho tebe Servicos Cos)
TAXPAYER IDENTIFICATION NUMBER womath OF Che
soars : oa?
BOUTS oars [T]_nores [7 ae
‘The Depositor certifies that it has reviewed the information contained in this Signature Card and the
Business Account Application and finds it accurate on this date. The Depositor has received and
agrees to the Terms and Conditions for Business Accounts and the Business Banking Card
Agreement curently in effec and as may be amended forthe type of aocaunt and services i has
selected. The Depositor certies that the (No,) signature(s) presented below, including
reverse side, is/are the signatures) of the person(s) authorized to sign and/or act with respect {0
account transactions.
LINE OUT UNUSED SIGNATURE BOXES
PAINTED RANE me SenATORE
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GHISCAIHKE Marwete Nb Gas
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Under the penalty of perjury, the Depositor cenifies (1) that the number shown on this form is its
correct taxpayer identification number and (2) that the Depositor is not subject to backup
withholding either because: (a) it is exempt from backup withholding, or (b) it has not been notified
that itis subject to backup withholding as a result of a failure to report all ierest or dividends, or (c)
the Internal Revenue Service has notified it that the Depositor is no longer subject to Backup
withholding. (If the Depositor has in fact been notified by the IRS that it is subject to backup
withholding due to notified payee underreporting, please strike out the appropriate
phrase within the cery@ration
x Desk i Dai ay (ane
Signature Signature
THIS SECTION FOR CORPORATIONS ONLY
‘The undersigned Secretary of the Corporation hereby certs that the above signatures are tho signatures of persons authorized,
1 sign andlor at an te Corporation’ boat uit cope jions. Lf
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Bi Check here if there are additional account signers on reverse side of BRANCH COPY,
TRE AIOE HESTON flO) SGHATURELS WERE VERFED BY
rctvane “7S eons waits 7 oot Nona: / BY
atin can enc oyna eur on Ta ea Fok ana oe te eur
coooeo® ean Tati COPY” OO NOT StNO TO CHECK REVIEW
$B1062192-F1
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