EFTA01281685.pdf

SIGNATURE CARD
FIFTH THIRD BANK
(HEREAFTER RFERRED TO AS 'SAM')
Name (Primary Owner) Account No. TERMS AND CONDITIONS
1. The terms and conditions stated
Shocker Holdings LLC herein, together w?.n re:mit/lions or
authonzalions which accompany this
Street Address Type
signature card. it app'icab'e and the
27 High Tech Blvd Business Standard Checking Ril.cs Regulations. Agreements. an/
Disclosures of Bank constitute the
City and Stele ZIP Deposit Agreement (-Agreement')
Thomasville NC 27380 between the individual (s) or entity (io)
named hereon (*Depositor) and the
Home Phone Dale of Birth Mothers Malden Name
Bank.
2. This Agreement Incorporates the
Rules. Regutadons, Agreements, and
Employer Work Phone Disclosures established by Bank from
time to Into, clearing house roles and
regulations state nna federal lawn,
Tax ID or S.S. Number recognized banking practices and
NEW []ADD M. REPL customs, soma charges as may be
20-2030353 established from lime to time end is
sub;cct to lava regulatni g transfers at
Ownership' Opened By BC No. Date
death and other taxes.
Partnership P Fintchre 47349 09124/2013 3 fel signers hereby agree that the
above named Dank is authorized to ac
' Joint accounts shall be owned es joint tenants with right of survivorship, no as tenancy by the entireties
as a depository under Mu terms and
Check appropriate box for federal tax classification required) condemns of the Agreement.
O lndividuallSole Proprietor M Trust/Estate 0 Partnership 4. Bank is authorized to recognize tho
LLC - Enter tax classification (CeC Corporation, SINS Corporation, P•Pannership) S signatures executed hereon in such
• C Corporation OS Corporation • Outer 0 Non Res.deril Nan numbers as indicated, for the withdrawal
of funds or transactions of any other
THE UNDERSIGNED AGREES TO THE TERMS AND CONDITIONS AT THE RIGHT
business regaming leis account
Tee: written notate the contrary Is received
by Bank
Sig.tri)3 I Non-US Senior Foreign a In tho case of overdraft or
RIO
Person' Official" Ouarodymont on this account, whether
Shocker Holdings Ile 1 by error, mistake, Inadvertence or
otherwise, the amount of sett overdraft
18,nUTeelays y'''' ..; Yes No Yes No or overpayment shall be trr.mcdfatety
q a paid to Bank
X e.:- , a.-- ' q M 6. Depositor acknowledges and egrets
that Bank. to' itself and as agent fcr
I Rarpona Fylckers l 1 Yee No Yes No any offilate of Fifth Ted Bancorp, is
granted a security Interest In, and may,
X ' .I t ion- ‘iiierL — at any time, set off, against any ba'ance
in this account. any debt owed to Bank
by any person having the right of
Yes No Yes No withdrawal or any debt owed to Bank by
any entity !Med under the Account Talc
A debt Includes. but Is not limited te, on
obligation owing to Bank, whether now
I Yea No Yes No exigible or hereafter acrpired cy Bank
whenever payable end witho.it regard
X to whether arsine as maker, drawer,
endorse:, or guarantor.
Payable on Death Beneficiary $tatement Address 7 Al. signers agree to the Torms
and Condemns set forth hereon and
acknowledge receipt o' a copy of the
Rules and Regulations, Agreomonki.
USA PATRIOT ACT REQUIREMENTS:
and Disclosures of Bank and agree to
'I. Ne you a Non-US person with more than S500,000 on deposit or invested with Fifth Thlro7 the terms sot hnth them n
"2. Ne you a Senior Foreign Official of a government branch, military branch. political party,
foreign government-owned company, or a close personal or professional assodalo of cr.e of these?
Verification — interne: Use Only.
I.D.
Run Cdstorner in Quat4ile
Verify Opening behest:
Rag CC Kola (If Needed)
Verify Phone Numbers
Verify Morass
Thank You CardiFollow Up
96.213 (5/3-REV 6+14) Send original to Chadic Processing 1M0C11..
SDNY_GM_00036248
CONFIDENTIAL
EFTA_001 4686 I
EFTA01281685