9619752673357

SIGNATURE CARD
U.S. Bank National Association - Signature Card

CHECKING ACCOUNT INFORMATION (Minnesota Residents must complete)

The person initializing below agrees that the following information and all information on the application are true*
1. Have you had a transaction account at this or another financial institution within the past year?
Yes___ No___ Name of institution______________________________________________
2. Have you had a transaction account closed, without your consent, within the past year?
Yes___ No___ Reason for closing ______________________________________________
3. Have you had a criminal conviction, involving a check related offense, within the past two years?
Yes___ No___ Date: _____________________________ Initials: ______________________
*In MN only, the above statements are made under oath and subject to penalty of perjury.

Account Type: Elite Checking Individual Joint

Name: Jose R Arizaga Account#: XXXXXXXX6117

Date: 11/12/2010
Mailing Address: 565 Texas St Primary Date of Birth: 08/03/1982
Pomona, CA 91768
Identification Type: Driver's License
Primary Identification: (CA) d1831415

Authorized Signers:
By signing this signature card, you are acknowledging your express consent to the terms and conditions in your applicable account agreement, including but not
limited to our policies on funds availability and our cellular phone contact policy, and you are acknowledging receipt of a copy of that account agreement. Joint
Accounts: This Account is jointly owned by the parties named hereon. Upon the death of any of them, ownership passes to the survivor(s). Joint tenancy
intended.

X_______________________________________________
Jose R Arizaga

Tax Identification Number Certification

Account Tax Identification Number: 568-73-3170 Date: 11/12/2010

Certification: Under penalties of perjury, I certify that:
(1) The number shown on this form is my 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 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 U.S. person (including a U.S. resident alien).
(4) I am exempt from reporting. To claim exemption you must check this box.
Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you
have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or
abandonment of secured property, consolation of debt, contributions to an individual retirement arrangement (IRA) and generally, payments other than interest and
dividend you are not required to sign the Certification, but you must provide your correct TIN.

The Internal Revenue Service does not require your consent to any provision of this document other than the certification required to avoid backup withholding.

Signature: Date :
( U.S. Person whose taxpayer identification number is entered above. )

For internal use only

Branch #: 4995 FOR BRANCH USE ONLY:

PLEASE SEND TO DIRECT BANK AT EPMNWS5B OR FAX TO 651-495-8222

 8236732673358
SIGNATURE CARD
U.S. Bank National Association - Signature Card

CHECKING ACCOUNT INFORMATION (Minnesota Residents must complete)

The person initializing below agrees that the following information and all information on the application are true*
1. Have you had a transaction account at this or another financial institution within the past year?
Yes___ No___ Name of institution______________________________________________
2. Have you had a transaction account closed, without your consent, within the past year?
Yes___ No___ Reason for closing ______________________________________________
3. Have you had a criminal conviction, involving a check related offense, within the past two years?
Yes___ No___ Date: _____________________________ Initials: ______________________
*In MN only, the above statements are made under oath and subject to penalty of perjury.

Account Type: Goal Savings Individual Joint

Name: Jose R Arizaga Account#: XXXXXXXX8254

Date: 11/12/2010
Mailing Address: 565 Texas St Primary Date of Birth: 08/03/1982
Pomona, CA 91768
Identification Type: Driver's License
Primary Identification: (CA) d1831415

Authorized Signers:
By signing this signature card, you are acknowledging your express consent to the terms and conditions in your applicable account agreement, including but not
limited to our policies on funds availability and our cellular phone contact policy, and you are acknowledging receipt of a copy of that account agreement. Joint
Accounts: This Account is jointly owned by the parties named hereon. Upon the death of any of them, ownership passes to the survivor(s). Joint tenancy
intended.

X_______________________________________________
Jose R Arizaga

Tax Identification Number Certification

Account Tax Identification Number: 568-73-3170 Date: 11/12/2010

Certification: Under penalties of perjury, I certify that:
(1) The number shown on this form is my 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 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 U.S. person (including a U.S. resident alien).
(4) I am exempt from reporting. To claim exemption you must check this box.
Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you
have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or
abandonment of secured property, consolation of debt, contributions to an individual retirement arrangement (IRA) and generally, payments other than interest and
dividend you are not required to sign the Certification, but you must provide your correct TIN.

The Internal Revenue Service does not require your consent to any provision of this document other than the certification required to avoid backup withholding.

Signature: Date :
( U.S. Person whose taxpayer identification number is entered above. )

For internal use only

Branch #: 4995 FOR BRANCH USE ONLY:

PLEASE SEND TO DIRECT BANK AT EPMNWS5B OR FAX TO 651-495-8222