3} Bank NEW PERSONAL ACCOUNT REGION; Ceial/Cuasial Jersey (14) STORE NUMBER: 977 ACCOUNT NUMBER: Ft ST 94004 TYPE OF ACCOUNT, Young Saver Stmt TYPE CODE: _ 107 DATE OPENED: «=COPCNED oy: ACCOUNT TITLING / MAILING ADDRESS: pc ACCOUNT RELATIONSHIP: CUSTOMER #1 k= rm BS assoc lm | az 04/22/2013 fe DATE OF BIRTH HOME PHONE DATE OF mrt HOME Primary Minor and Student ID IDENTIFICATION (Describe below) IDENTIFICATION (Descrioe below) © Type er, State Devers License wiPhoto and Signat 10 Type 2 Tyee a1 Socist Securr 1D Tyee a> ® verry of tesunence SamerCountry of issuance Seater Coueary of tosennce Number: Nurber Numer Expwaton Dune faprinen Date Expranon Date VERIFICATION FICATION ' SIGNATURE bare USTOMER at MAR CUSTOMER #3 TH CUSTOMER #4 Te TW TPE TN TYPE DATE OF BIRTH HOME PHONE DATE OF BIRTH HOME PHONE TDENTINICATION (Descebw Letiw) IDENTIFICATION (uescte baw) 10 Type w": 10 Type 2 O Type #t © Type #2 Su rent ol bearer Owe mortey af lee usnce Pree atey of evonce Crater Carntry of mere Peres rumen rumen Number Expestion Dane Expiration Cate Expeation Caw Exprrtion Outer LEGAL ADDRESS (Ne PO Boxes) VERICATION LEGAL ADORESS (No VERIFICATION i 1 SGNaTURe oars SIGNATURE bate CUSTOMER #3 EMAR CUSTOMER #4 EMAIL IMPORTANT INFORMATION Federal law requires all [nancial Institutions tw obtain, verity and record informa IN that WeNUnes eacn person wno opens an account. ¥We acknowledge receipt of the Deposit Account Agreement, Account Maintenance information ond, Fee Schedule and Rates, which govern myour accounts with the Bank. Mwour use of this account shall evidence mylour acceptance of ihe terms and condibons sel forth in the Depasit Account Agreement, Account Maintenance Information grid, Fee Schedute and any Addendums as the same may ba amended from time to lime. Joint accounts are owned as joint tenants wilh night of survivorship. We, Doth individually and on Dehail of the account owner, if different. hereby authorize the Bank to, fram time to time. request cansumer reports containing refesences about mals from thint parties. such as a Consumer reporting agency, in Connection with opening and maintain this account. lf vou (the Bank) are unable lo Ooen @ deposi! account. you will provide mafus wilh an Additional antes ragareing the enevaener reporting agency By signing this signature card. Uwe acknowledge that the deposit accaunt tn which [hue amisee baing added 9s 9 co-aner may have an existing Monayline account attached. | understand that » Monevline account #5 a hine of credit for overdraft protection. We acknowledae receipt af the Monevline Agreement ard disclosures and agree ta their terms and condihinns Wie understand and agree Pal, a6 4 co-cuner of the denost account, Wwe will be fully responsible for payments on the Moneyline account {inducing any outstanding balances at this tne) and that payment history and other credit information may be reponied to consumer porting agencies This section does not apoly to U.S. non-resident aliens. Under penalty af pequry aach customer signing abewe cerbfies that 1. The number 2. Lam not subject to backup withholding because: (a) | am exempt from backup withholding. or (b) | have nol been notified by the Internal Revenue Service (IRS) thal | am subyeet tn hackup withholding as A reed of a failure to report all interest or Gwidends, or (c) the IRS has notified me that | am no longer subject lo backup withhakiing, and 3. fama US. person Oncluding a US. resident alien) OWN on This fowTe ik my ereraed taenemyer identifratinn mumnher (re tae wating tv a number tebe ieeued 16 me) and Certification Instructions. You muss! Cross Out Rem 2 abave it you have been notified by the I'S *hat you are currently subject to backup withhokding because you have fared to report all interest and dividends on your tax retum oF for any other reason. For real eslile insnsactons, Item 2 dors not apply. For morgage interest paKd, ACQUISMON OF abanconmers of secures property, cancelistion of debt, contrmutions 10 an dividual retirement arrangement (HRA) end, ge PUL POqUITeU WO SegrT Ine Gerinicason, Out you MUS! prowige your ‘The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding, Rew 070011 1 TO Rank NA ~L. tnstructions for Store Teaen Memnbers: if faxing to CIF please insert in tvs dection J. Ohy, paryierentla Uilese Waar Wiles! gid UtwIURTIED, UR a EFTA00124993