Fec/25/2O14 5.40:04 PM

Fec/25/2O14 5.40:04 PM Bank of America 7186871266 Y:8 Bank of America VP Personal Signature Card BANK OF AMERICA. N.A. (TIM 'ANK') with Substitute Form W-9 Account Number: Account Type DDA SAV K CD Account Title: Bank Number: a Individual Owner na NC: IF JOINT OWNERS, TOE JOINT OWNER SURVIVORSHIP MUST BE SELECTED ON PAGE 2. ALL OTHER STATES: IF JOINT OWNERS, SELECT FROM THE APPROPRIATE SURVIVORSHIP BELOW, U Joint with Right of Survivorship K Tenants by Entireties (POrm ofJoint with Right of Sarritorehlp for spousal co-owners atty.Nome DIAS% to Joint with Right of Sun/Wont:1p If state law does not recognize Tenants by Entireties tor balk accounts.) Check If designating beneficiaries: K Payable on Death (POD) / In Trust For (ITP) Totten Trust (Refer to Beneficiary Addendum for details) By Signing below, I/we acknowledge and egret that this account is and will be governed by the terms and conditions set forth in the iteMelat opening don:meets, including the Deposi