Business Debit Card Form

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Business Debit Card APPL ICAT ION

Business Name: Tax ID:

Customer Type: Other: County and State of Business:

Business Address: City: State: Zip:

Business Phone: Business Fax:

Business E-mail: Business Website:

Checking Account:

NAME OF CARDHOLDERS

Name:

Name:

Name:

Name:

Name:

Name:

Name:

Name:

Signatures: By Signing below, you are requesting The Paducah Bank Business Debit Card and associated services. You agree to the terms and conditions of The Paducah Bank Business Debit Card Agreement, including any fees and charges. You further agree that the information contained in this Application is accurate. You authorize us to verify your creditworthiness and employment histor y as an individual, through any necessary means. Including having a consumer credit reporting agency run a consumer credit report on you.

Signature & Title: Date:

Signature & Title: Date:

Signature & Title: Date:

Signature & Title: Date:

FOR INSTITUTION USE

q Approved q Declined

By:

Date:

Separate Authorization on File q Yes q No

Number of Cards Received:

Additional Information:

BUSINESS DEBIT CARD BANKING RESOLUTION OF

Company or Organization Name:

Whereas, it is in the best interests of (company) to enter into a contract for debit card access to the Company’s account(s) at Paducah Bank.

Therefore, it is resolved that (Specify authorized officer) of the Company is authorized and empowered on behalf of the Company to enter into a contract for debit card access with Paducah Bank. (Specify authorized officer again) is authorized to execute on behalf of the Company the contract entitled Business Debit Card Agreement, and/or to execute on behalf of the Company any such other agreement as may be agreed upon by (Specify authorized officer again) and Paducah Bank for debit card access to the Company’s account(s) at such institution, and the Company shall be bound thereby.

The undersigned Officers do hereby certify that the Company is organized and existing under and by virtue of the law of the State of Kentucky. Furthermore, the undersigned Officers do hereby certify that this Resolution was adopted in accordance with the Company’s Bylaws at a meeting of the members of the Company, duly and regularly called on (date), at which a quorum was present and voting.

(All officers must sign. Pages needed for additional signatures shall be attached)

Officer:

Officer:

Officer:

Officer:

Officer:

Officer:

I certify that at a meeting of the members of the Company, duly and regularly called and held on (date), at which a quorum was present and voting, the foregoing Resolution was adopted in accordance with the Company’s Bylaws. I further certify that the signatures of the foregoing Officers are authentic and real in all respects. In testimony whereof, I have hereunto set my hand and attest that I have read all the provisions of this Resolution, and I personally and on behalf of the Company certify that all statements and representations made in this Resolution are true and correct.

Certified and Attested by (Secretary):

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