New Account Information ows 1220/2023 Cheek f applicable: (]Temporary []Replacement ‘Ameris Bank 300 South Main St. Moultrie, GA 31768 200 ‘Account Information reat Fors 33,366 62 Pant securttunoe 1030997520 Tieeixcore Martha G Williamson socarttin: 253-68-6367 James Stephen Greene 3698 Tallokas Rd Moule GA 31788-1314 meson Joint with ROS reactions Advantage Checking eran ctnee peessty2 [jst apseni omen onde. [] ores Rocio Garcia Business Entity Information eo, Seeiie a nate fay beam eras ame rmintimorre The OM em ie mss tngne inact roe [) cmon orc] erm) Bown) sc ification Number Certification ‘Under pena of perjury, ery that Seruoe (Rs ‘Exempt payee code, if any: Exemption rom FATCA reporting code, if any Tipe number shown oh this form sy corect taxpayer ientifeation number (or | am waling for a number tobe issued to me), and 2 [arate cea wanrtng seca ee! om tcc wig, 00) Mane es ee ea 1.5 am see ts oackup winfoung 384 recut of faite fo report al nierest or vigends, oF (6) ho IRS has tied re that! amino lenge auiec To backup whhoding (Notce: you are subject o backup withnoldng, cross out his ne), and Tama US. otizen ar oher US. person (defined n he W-9 insttuctons), and ‘The FATCA code(s) entered on ti fer ian nccating that Iam exempt ftom FATCA reporting is core, ‘Taxpayer dentiieation Number; 263-68-6367 Dect BL UT nent 1272012023 ‘Sarat Martha G Williamson ose Owner ‘Additional Terms. any you Wermay alsa ack to see IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT. To halp the government fight the funding of teorism and ae etn achvtes, Reger w reqares al financial nstisions fo obi, vey, and record informeton that tits each roe re sans for yous When you open an account, we vel aak for you ams, address, date of ith, and other information that wal atow us to urérvers loenge o ther ientying documents, person ho opens an rowded i he inattufon ie rue ana accurate iis fe consumer acco Gesinated by fe accu ove), Dy Seeeleoe econ of ne Funds Avatobity Paley or. whon appa ACKNOWLEDGMENT. By signng ts documers, the undersigned acknowledge tat te Acted undorstane and parce fo be bound bythe tems of the Account Agreement fo that account ype, The undorsgned cer he undersigned acknowledge ‘oe ofthe appropiate Account Agreement or retype af accu opened anda cpy on eas ryan Pay se thet apatcabe, of tis inetauson’s Truk In Savings, Funds Avalabilty Policy, ‘Sibsutue cheek Paley Dsclosure, ian auhorzed signer (whic inches an ‘ave opened the ype of account desgraies above, id ave oe ‘hat av orate ‘suse powousprowced Tne underagrod aso acknowedge eee estore fund Varser, Overdraft Services Consent Fm, anda he ‘agert or convenne sige as dened by appieabie sae law Deng ragtclow oyna me agetigto tha desgraion (isis canara acute psoas fog copy oft ttc’ racy Fotcy and abet asroun’dcioses, ve ‘Sccour is ened the name ofthe business erty, al signers acknonfedge 4 eee ree a of he business nity fo the extent naiated ina Vay axtevted busiess resolution Al signers authorize tis ntti to make inquined fom any consumer reporing agency, ncuding a Check protection sence, connection vith Ws aocourt that they are acing on bona ofthe tusiness enti. and they have he NUMBER OF SQHATURES REQUIRED. 1 Tacoma nines Clasrersessine co te Owner [lrvmorzeisineroy tue Owner peer eree eereeracenee 42/20/2023 x. _ : Martha G Williamson oJ ‘James Stephen Greene ol Latross ser ony tH (Dlastrsnt Sony x x - “Sg Snir ee OPTS BAT TET PoEACCOUNT NUMBER: 1030997520 (SwneriSioner Al wwe mo ADRESS Or Slate Drivers Licens Martha G Williamson wormee 950752267 ‘oleetey DMV 3608 Tallokas Ra Oimrsteten Georgia Moultrie, GA 31788-1314 Voimeoee QS/27/0018 | caer” Owner Voememmn 03/24/2024 | Eroeetane nase: ote Social Security Card | H8R Block (Retired) tone: 353686267 roves: SSA Toumurotscaer USA Fone 72%6367 Sense wom o3iza/neas a yoren 226-801-0428 ee Seman ee chee Mogig@awindstream net rm” (226) 891-0428 Sree oe ET ieceen omeranaca oe RES ome Slate Devers Licens ames Stephen Greene me eee Sensty BAY 5796 Communty Ln noes ce Hosehton, GA 30548-4049 Dimeow GS gzO19 osceesy Owner teemee a7 i004 Hearth poled one er ee ty Card “Jackson Gounty School System Stine Sessa Dlaasty Se Stnmtiawe BSA reionner 70544 = Eicon 12e7/1973 — Peon men TPO-S8S 2147 coe ene [tea Etaiecw’ — Sgreene9704@gmai.com Canoe" 770) s3.2147 pra e ee Omran Ave nc cone ire cee Sener ers E] comcymume ]ovetesen Po = ems ce oom aiommer ‘ora Seen ep eae) eee) VaistonFoloate ‘Additional Services Requested sti Danian oS RFA mE DENOTE oy 5 {Refer to designation of bene fon ‘Sian Carpiers Sno NHN FEW ALEVE PoP