208 Elm Street, New Canaan, Cr 06940 Phone (203) 972-3830 Fax (203)968.7473 EFTA00283612 Aug 11 2014 11:00AM HP Fax NEW ACCOUNT INFORMATION * Banicvveit . DATE 08/07/2014 Check If applicable: n Temporary 0 Replacement Financial Institution Name And Address Ban Kve it ACCOUNT INFORMATION AMOUNT