*If alimony, child support or other maintenance income, it need not be
disclosed if applicant(s) do(es) not intend to rely on such income.
All of the statements made by me (us) in this application are true and
correct and have been made by me (us) in order to induce you to grant credit to me (us). I (we) have no outstanding
obligations except as shown in this application and/or personal financial statement and no undisclosed law suits or
judgements are pending or entered against me (us). I (we) understand that consumer reports may be requested from
consumer reporting agencies in connection with this application. I (we) understand that upon request, I (we) will be
informed whether or not a consumer report was requested and if a report was requested, informed of the name and
address of the consumer reporting agency that furnished the report. I (we) authorize you to exchange credit
information with others in connection with this application. I (we) agree that this application shall be and remain
your property whether or not this application is approved.
IMPORTANT INFORMATION ABOUT OPENING YOUR NEW ACCOUNT
TO HELP FIGHT THE FUNDING OF TERRORISM AND MONEY LAUNDERING ACTIVITIES, FEDERAL LAW REQUIRES ALL
FINANCIAL INSTITUTIONS TO OBTAIN, VERIFY AND RECORD INFORMATION THAT IDENTIFIES EACH PERSON WHO OPENS AN ACCOUNT.