) Tone TELEPHONE/FAX AGREEMENT ON FILE ONE TIME ONLY TRANSACTION HOLD PLACED TEST KEY CALCULATED BY pl afferent wan tak n In by) TAKEN IN BY (PAN Non$) INITIALS MATINS BRANCH AUTHORIZED SIGNER (Print Nomo) BRANCH TELEPHONE NO. BRANCH AUTHORIZED SIGNATURE Mo/NR2196-0/02 EFTA00616621 01/24/20