EFTA00272088.pdf

SIGNATURE CARD FIFTH THIRD BANK (HEREAFTER ReFERaED TO AS *BANC) Name (Primary Owner) Shocker Holdings LLC Account No. 7471853726 Street Address 27 High Tech Blvd Type Business Standard Checking City and State Thomasville NC Zip 27360 Homo Phone Date of Birth Mothers Malden Name Employer Work Phone 338.475.4042 Tax ID or S.S. Number 20-2030333 ❑NEW 0 ADD O. REPL Ownership' Partnership Opened By P Fintchre BC NO. 47349 Date 09/24/2013 • Joint accounts shall be owned as joint tenants with right of survivorship. no as tenancy by the entireties Check appropriate box for federal tax classification ID Individual/Sole Proprietor O Trust/Estate O Partnership a LLC - Enter tax dassilicatIon (C=C Corporation, SI'S Coffioration, required) P-Partnership) S OC Corporation IN 5 Corporation all Omer O Non Resident Alien THE UNDERSIGNED AGREES TO THE TERMS AND CONDITIONS AT THE RIGHT Tide: Sig.he.V Arleta Non-US Senior Foreign Person' Official.' IShocker Holdings LLC 1 I Elriar ,.......WAelueS ... y e A ..... Yes X e..• . ... ....4..- ❑0 No Yes K No KA filemona Fylcicers h 4___ Yes X ' .it ion - V% K No Yes El K No a I Yoe X K No K Yes K No K I Yes No Yes No F x Payable on Death Beneficiary Statement Address USA PATRIOT ACT REQUIREMENTS: '1. Are you a Nort.US person with more than 5500,000 on deposit or invested with Fifth Theo? "2. Are you a Senior Foreign Official of a government brunch, military branch. political party, foreign government-owned company, or a close personal or professional associate of one of these? 90-213 (Bra-REV 6114) Send original to Check Processing 1MOC1L TERMS AND CONDITIONS 1. The terms and conditions stated herein, together wan re.solutions or authorizations witch accompany this signature card. tf applicable and the Rulcs Regulations, Agteem-ants, an/ 0,sclaten.s of Bank constitute the Deposit Agreement (-Agreement") between the :nail/dual (s) cc entity (:es) named hereon rDepositorl and the Bank. 2. This Agreement Incorporates the Rules, Regulations, Agreements, and Disclosures established by Bank from time to limo, clearing house rules and regulations. slate ono federal laws, recognized banking practices and customs, service charges as may be established from time to time and is subcct to laws regulating transfers at death and other taxes. 3 All signers hereby agree that the above named bank is aulho:ized to act as a depository under the terms and condit.ons of the Agreement. 4. Bank Is authorised to recognize the signatures executed hereon In such numbers as Imitated, for the withdrawal of funds or transactions of any other bus.ness 'teetering tnis account until written notice to the contrary Is received by Bank S. In the acne of overdraft or overaayment on this account, whether by error, mistake. Inadvertence or otherwise, the amount of seen overdraft or overpayment shall be inuriodlatety paid to Bank G. Depositor acknowledges and agrees that Bank. itself and as agent fer any affilata of Fifth Thrd Bancorp, a granted a security Interest In, and may. at any time, set off, against any balance in this account. any debt owed to Bank by any person having the right of withdrawal or any debt cwed to Bank by any entity Lsted under the Account Tile. A debt Includes. but Is not Emited to, on obligation owing to Bank, whether now existing or hereafter acquired cy Bank whenever payable and without regard to whether arising as maker, drawer. endorse:, or guarantor. 7 Al. signers agree to the Terms and Conditions set forth hereon and acknowledge recolpt of a copy of the Rules and Regulations. Agreement:. and Disclosures of Bank and agree to the terms set forth there n Wrification — Internal Uso Only. Run CJstorno In (Waggle Verify Opening Deposit Rag CC Moto (If Needed) Verify Phony Numbers Verify Morass Thank You CardiFollow Up EFTA00272088