Febd/25/2014 5:40:04 PM Bank of America 718687 1266 3/28 nkofA EP Ba merica Personal Signature Card BANK OF AMERICA, N.A. "BANK") with Substitute Form W-9 Account Number; ii Bank Number: [ij Account Type: ppoa (Jsav [Jeo Account Title; fe Individual Owner TX & NC: IF JOINT OWNERS, THE JOINT OWNER SURVIVORSHIP MUST BE SELECTED ON PAGE 2, ALL OTHER STATES: IF JOINT OWNERS, SELECT FROM THE APPROPRIATE SURVIVORSHIP BELOW. £"] Joint with Right of Survivorship C} Tenants by Batireties (Porm of Joint with Right of Survivorship for spousal ¢o-cwners only, Note: Defaults to Joint with Right of Survivorship if state law does not recognize Tenants by Entireties for bank accounts.) Cheek If designating beneficiaries: o Payable on Death (POD) / In Trust For (ITF) / Totten Trust (Refer to Beneficiary Addendum for details) below, Liwe acknowledge and agree that this account is and will be governed by the terms and conditions set forth in the account opening documents, including the Deposit Agreement and Disclosures and the Personel Schedule of Fees. I/we acknowledge the receipt of these documents, V/we understand and agree that the Bunk may qhange these documents at any time by adding new terms, or deleting or amending existing terms, The Deposit Agreement includes a provision for jury tial waiver or reference to s judicial referee, A joint account with right of survivership is the property of each co-owner and payable to cither co-owner or to the surviving co-owner(s) if a co-owner dies, By checking the bax marked “ATM/Debit Card Requested?” L/we hereby request an Auomatic Teller Machine Card and/or a Debit Card. By signing below, Live consent to the issuance of en ATM card and/or Debit Card to the other account holders indicated below, By signing below, we acknowledge and agree that the signature(s) will s¢rve ag verificetion for any transaction In connection with thid account, and as the certification (set forth below) of the taxpayer identification sumber (TIN). Substitute Form Wo Certification — Under penalties of perjury, I certify that: (1) The number shown on this form Is the correct taxpayer Identification aumber (or I sm waiting for a number to be issued to me); and (2) I am not subject to backup witbholding because: (A) Lam exempt from backup withholding, or (B) I have not been notified by the Internal Revenue Service (ERS) that Tam subject to backup withholding as a result of a failure to report all interest or dividends, or (C) the IRS has notifled me that I am no longer subject to backup withholding; and (3) [ am a US cltizen or other US person (Defined In the W-9 instructions). Cortiflention Instructions You must cross out item 2 above if you have been notified by the IRS that you arc currently subject to backup withholding because you have failed to report all Interest and dividends on your tax retwen, Por real estate cransnctions, item 2 does not apply, For mortgage Interest pald, acquisition ar abandonment of secured property, cancellation of debt, contributions ro an Individual retirement xrrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN, (Please refer ¢o the IRS Instructions for Form W-9). The Internal Revenue Service does not require your consent to any provision of th required to ayold backup withhol {J Nonresident Atien Status (applicable) {f you and all ofthe joint owners of this nocount are foreign persons, check here and complete and sign the applicable Form(s) W-8, Rpt ATM/Debit Card Tax TD Namber | Interest On Yeu/No ep © 2012 Bank of America, N.A. All Rights Reserved i UME 00-14-9295M 01-2014 H] Page 1 0f2 EFTA00123688

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Feb/25/2014 5:40:04 PM Bank of America 718687 1266 4/28 Account Number TEXA§ & NORTH CAROLINA ONLY: During the lifetime of the co-owners of the account, the Bank may pay the money in the account to, or on the order of, any person named on the account, Joint Accounts can be with or without survivorship, With survivorship means upon the death of one joint owner, the money remaining in the account will belong to the surviving joint owner(s), and will not be inherited by the heirs of the deceased joint owner cr controled by the deceased owner's will. Without survivorship means if one of the owners dies, the deceased owner's ownership interes: in the account passes as part of the owner's estate under the owner's will or by intestacy if there is no will. Joint Account Survivorship Selection (Select One of the following options: all owners must sign and date): [-] Joint Account - With Survivorship/Tenants by Entireties (with Survivorship for Spouses) OR Oo Joint Account — Without Survivorship Signer Information Customer ) Account Owner's Signaturs Date Customer 2, Account Owner's Signature Date Customer 3 Account Owner's Signature Date Customer 4 Account Owner’s Signature Date Customer 5 Account Owner’s Signature Date ii | Name US Driver License W/Phote Review Information Customer 2 Name , Review information $$ Customer 3 Name Review Information Customer 4 Name Review informetion a Customer § Name Baak Information Date OwL2014 Banking Center Name CHURCH AVE AND OCEAN AVE Associate's Name Bilots Summers — See Associnte’s Phone Number | _ shes NNY Page 2 of 2 EFTA00123689 roueaaen ea QUAN ST A