EFTA00123694.pdf

Bankof America ea Personal Signature Card with Substitute Form W-9 D1 Account Numbe Account Type: SAV Account Title: If this document was opened via the customer service phone line, 1/we agree that this account is and shall be governed by the terms and conditions set forth in the account opening documents mailed to me, as amended from time to time. If this deposit account was opened via online banking, I/we agree that a I am the person named in the "Applicant" or "Co-Applicant" section and all the information is, to the best of my knowledge, correct, b) I have received, opened, reviewed and consented to the Legal Documents, c) the computer used for the application and to be used to review other Electronic Communications meets the System Requirements as outlined in the online banking application process d) I intend to be bound by the Legal Documents, e)I authorize a credit report or other consideration of other accounts and services and for any other lawful purpose. Substitute Form W-9. Certification - Under penalties of perjury, I certify that: (1) The number shown on this form is the correct taxpayer identification number (or I am waiting for a number to be issued to me), and (2) I am not subject to backup withholding because: (A) I am exempt from backup withholding, or (B) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (C) The IRS has notified me that I am no longer subject to backup withholding, and (3) I am a US citizen or other US person (Defined in the W-9 instructions). (4) "I am exempt from FATCA reporting" since as a US Withholding Agent, our US customers are not subject to FATCA reporting. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. Report Tax Identification Number Signature interest On 1. Customer acknowledgement electronically obtained 20171025 2. 3. 4. Customer Responses 1) Customer agrees to terms and conditions? Y 2) Customer is a U.S. citizen? Y 3) Customer is not subject to backup withholding? Y 4) TIN/SSN verified by customer? Y 5) Exempt from FATCA Reporting? Y 00-53-6026NSBW 08-2016 Page 1 of 1 EFTA00123694