(Page 1 of 1) {) Bank NEW PERSONAL ACCOUNT REGION: Centicl(Cuasial Jersey (14) STORE NUMBER: 977 ACCOUNT NUMBER: | sT 94004 TYPE OF ACCOUNT. Young Saver Stmt TYPE CODE. _ ‘07 DATE OPENED OPENED By: ACCOUNT TITLING / MAILING ADDRESS ACCOUNT RELATIONSHIP: USA 07203 cso: MZ 2 . ZS osc 2, DATE OF BURTH HOME PHONE batt OF mT Primary Minor and Student ID CENTFICATION (Descrte betow IDENTIFICATION (Desotte tetow| 1D Type st State Onvers License wPnote and Signstp Type 0 Tweet jal Security Card 10 Tyne 2 State\Courery of Issuance BunerCounty of sume Srare'Coury ol Issuence ame Couety of mance Nureer Mutt Number suber Erpestor Date Engermon Date Enpeation Ouwe Expramen Oat VERIFICATION RIFICATION ae Ww ~ SIGNATURE pare fe CUSTOMER #1 EMAR CUSTOMER #3 ™! CUSTOMER #4 toe Tr TPE DATE OF BIRTH HOME PHONE DATE OF BIRTH HOME PHONE SEN TIFICATION (Descave Deow) IDENTIFICATION (Desonbe teow) 10 Tye at (© Type #2 O Tye © Type #2. Deter nsrtny rl lessee Srotese nae nem of lenin Pune Coumtry of Neworen oo veuroer ure numoer Expration Date Exprnen Date Exgeation Oune Expiration Cate LEGAL ADORESS (No PO Bones) VERIFICATION LEGAL ADORESS (No PO Boxes} VERIFICATION ~ P ~ n \ SIGNATURE GATE SIGNATURE DATE CUSTOMER #2 EMAR CUSTOMER #4 EMaiL IMPORTANT INFORMATION Federal law requires all financial institutions to obtain, verity and record informavon nat jwenunes @acn person wno opens an account. WWe acknowledge receipt of te Deposa Account Agreement, Account Maintenance Information grid, Fee Schedule and Rates, which govern mylour accounts wilh the Bank, My/our use of this account shal evidence Mmylour acceptance of the terms and conditions set forth in the Deposit Account Agreement, Account Maintenance information grid, Fee Schedule and any Addendums as the same may be amended from time to tine. Joint accounts are owned as joint tenants with right of survivorship WWe, both individually and on behalf of the account owner. if different. hereby authorize the Bank to. trom time to ime. request consumer reports containing references about ma/us trom third parties, such as a Consumer reporting agency. in commectian with operina and mainitairna Ihis account Wf vou (ihe Bank) are unable to oben a deposit account. vou will orewide me/us with an additonal notice recarting the consumer reporting agency By signing this signature card, Uwe acknowledge that the denosil account ta which Uwe amare being added a6 @ co-owner may have an existing Moneyine account attached. | understand thot a Moneyline account 1S 8 ine of crecil for overdraft protection WWe acknowledge receipt of he Moneyline Agreement and disclosures and agree to their terms and conditions VWe understand and agree that. as a co-owner of the deposit sccount, we will be fully responsible for payments on the Moneyline account (including any outstanding balances at this lime) and that payment history and ather credit information may be reported to consumer reporting agencies. This section does not apply to U.S. nonresident aliens. Linder penal 1. This nurriiae semen oe thie fiieen ie omy 2. 1am not subject to backup withholding because: (2)! am exempt from backuo withnoiding. oF (b) | have nok been notfied by the Internal Revenwe Service (IRS) thal Iam subject to backup withholding as a result of 2 failure to report al enerest or dindends, or (c} the IRS has notified me that | am no longer subject to backup withholding, and 3. lama US. person (inciuding a U.S. resident atien). of panury each customer signing ahove cavtifies Pat rurect tavpayer wienkiratinn mimhoe (ne lam waiting tow a numer in he iteuad ta me) end Certification instructions. You must cross cut lem 2 above it you have been nolihed by the IR'S thal you are currently subject to backup wittholding because you have tailed to report al interest and devidends on your tax return oF for any other reason. For real estate iransactons, liem 2 Goes not apply. For morgage interest paid, Soquisition or abandonment of secured property, cancellation of debt. contributions to an individual FEOF ree H rar RFETHAETN (URA) aru yerenastly, paRprERety UAE Coat IMREH US UIVRRTIUD, YOU BIR NOT eqUITED 1D SIM SNe CATUNCANOM, CUE YOU MUST Provie YOUr COC! #1r6 The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding OMI | TM Rane NA aL. instruction for Store Team Members: if famng | 0 CIF, please insert im this dwection J. EFTA00124985