EFTA01480394.pdf

a CHEMICAL BLUE SEC "-FOR BANK USE ONLY PERSONAL SIGNATURE CARD AND APPLICATION Chemical Bank BRANCH COPY ACCOUNT TITLE (A JOINT ACCOUNT 15 PAYABLE TO EIDER OwNER. OR THE SURVWOR) 2 6 Ida R'.ct 6 DATE ACCOUNT OPENED ti I SUel.v*Z: YV)41C4412-0- 4 0'7 a 15 TAXPAYER IDENTIFICATION NUMBER(S) Cl I I CONDARY APPLICANTS TAXPAYER O 0 7 UGMA MINOR'S TAXPAYER ID I a CHECK ACCOUNT ARRANGEMENT: I 9L CHECK ONE: 1O ISICTIVI0UEB O Joint O Estate/Trust O Other O None O UGMA O ITF O POA =ACCOUNT TYPE: 11 'ng O Checking with Interest O MMA ' O Savings NON-CREDIT UNCOLLECTED FUNDS AVAILABIUTY AND OVERDRAFT PROTECTION ('SERVICE") (*RESTRICTED TO NOS) 12 CHECK CASHING POWER° 0 Yes, Savings/MMA/CD ACCT O No 'CASH NOW" O Yes. Savings/MMA/CO ACCT O No 'COVERAGE NOW" 0 Yes. Savings/MMA ACCT O No Please activate the Service selected above. I (we) authorize you to use the account identified above for uncolected funds availability and/or overdraft protection in connection with the Service. I (we) agree to the terms and conditions for the Service as contained in the Deposit Account Agreement and Disclosures. Uwe agree that Uwe have reviewed the information contained in this Personal Signature Card and Application and find it accurate on this date. In the payment of funds and in the transaction of all other business relative to this account. Uwe agree that you are authorized to rely upon the signature(s) written below and on the reverse side. Uwe have received and agree to the terms and conditions of. the Deposit Account Agreement and Disclosures currently in effect and as may be amended for the type of account and services Uwe have selected above. It !Ave do not have a Chemical Banking Card, Uwe will be issued one/two and all eligible accounts will be linked to rt/thern These linked accounts, whether singly or jointly owned, can be accessed by the Chemical Banking Card or by telephone. During the review of my (our) application, the Bank may obtain a consumer report on me (us) and if the application is approved, the Bank may at any time in the future obtain additional consumer reports to review my (our) account. I (we) have the right to ask for the name and address of the consumer reporting agency which gave the consumer report. Under penalty of perjury, I (we) certify (1) that the number(s) shown on this form is my (our) correct taxpayer identification numbeits) and (2) that I (we) am/are not subject to backup withholding either because: (a) I (we) artrare exempt from backup withholding, or (b) I (we) have not been notified that I (we) am/are subject to backup withholding as a result of a failure to report all interest or cividends, or (c) The Internal Revenue Service has notified me (us) that I (we) am/are no longer subject to backup withholding. (If you have in fact been notified by the IRS that you are subject to backup withholding due to notified payee underreporting, please strike out the appropriate phrases within the certification.) JOINT APPuCANT SIGNATURE 14 X 0 Check if there are additional account signer8 on reverse. LINE OUT UNUSED SIGNATURE BOXES. 5 THE ABOVE INFORMATION AND wo22._ SiGNATIME(S) pniwiser AND JONIF APPuCABLE) WERE VERIFIED Ay 'ALEX PEREZ416) ASSISTANT MAti,Wea a ivr 7 pm Name fin IARais (18) • NO ENTER ON REVERSE SIDE ALL PERTINENT POWER OF ATTORNEY AND/OR BENEFICIARY INFORMATION. BRANCH COPY - DO NOT SEND TO illiIST(1O-95) 4 4 SIGNATURE VERIFICATION Confidential Treatment Requested by JPM-SDNY-00002545 JPMorgan Chase CONFIDENTIAL SDNY_GM_00271743 EFTA01480394