Resolution No. 815-23 Signer's on Checking Account

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TRUIST SIGNATURE CARD (FLORIDA) NAME AND ADDRESS OF DEPOSITOR CITY OF ZEPHYRHILLS 5335 8TH STREET ZEPHYRH ILLS, FL 33542 ACCOUNT NUMBER 0569000000124 Opened/Updated By OWNERSHIP DESIGNATION COUNTY ACCOUNT OPENING DATE REVISED CARD DATE /11/2023 Approved By E.TORRES/D43740 Branch Location Type of ID Second Type of ID Issued By_ ID Number Issued By ID Number IDENTIFICATION Expiration Date Expiration Date Employer Address as listed on ID Cell Phone Number (Home Phone Number (_) Work Phone Numbsr (_) IDENTIFICATION Type of ID Second Type of ID Employer Address as listed on ID Issued By _ ID Number Issued By ID Number Expiration Date Date of Birth Expiration Date Cell Phons Number (_) Home Phone Number ( _) Work Phone Number ( _ ) Check Appropriate Box for Depositor Individual/Sole Proprietor/single-memberLLC Q C Corporation Q SCorporafton ^^Partnership [-] rrus(/Es(ate || Limited Liability Company Enter (he lax classification (C=C corporation, S s S corporation, P = Partnership) || Note: Check the apprprlaie box In line above for the tax c/assiffcafaon of the slngle-member owner. Do not check LLC if the LLC Is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC Is another LLC that is not disregarded from the owner for U.S. federal lax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box tor the tax classification of Its owner. [.] Other (See Instructions.) COUNTY Exemptions: See Instructions Exempt Payee code (If any) Q Exemption from FATCA reporting code (If any) \ ~~ ] N/A (applies to accounts maintained outside the U.S.) Certification - Under penalities of perjury, I, as authorized agent of the Depositor certify that: 1. The Depositor's correct taxpayer identification number is printed below (or the Depositor is waiting for a number to be issued), and 2. The Depositor is not subject to backup withholding because: (a) the Depositor is exempt from backup withholding, or (b) the Depositor has not been notified by the Internal Revenue Service (IPS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified the Depositor that it is no longer subject to backup withholding, and 3. The Depositor Is a U.S. citizen or other U.S. person (defined in the instructions); and 4. The F/> TC/t codesCs; entered on this form (if any) indicating that the Depositor is exempt from FA TCA reporting is correct CertHJcation Instructions. You must cross out item 2 above if the Depositor has been notified by the IRS that the Depositor Is currently subject to back withholding because the Depositor has failed to report all Interest and dividends on (he Depositor's tax return. Form W-9 Instructions. Instructions to the Form W-9, including definitions, are available upon request. Complete as applicable - only one beneficiary permitted if an entity. Name of Beneficiary: SSN/EIN: Address of Beneficiary: ID: Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: BUSINESS AC NTS By my/our signature below, IWe certify that: (1) l/We have received the "Commercial Bank Services Agreement" and the "Business Deposit Accounts Fee Schedule" and on behalf of the Depositor agree to the terms of each document; and (2) Ifl/Ve give consent to verify my/our credit references. Please sign beside the Printed Name(s) only. If signature line does not have a Printed Name, then a signature is not required on that line. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications in the box above which are required to avoid backup withholding. 596000455 TIN of Depositor CITY OF ZEPHYRHILLS Printed Name of Depositor Print .Name/Title: f^- 5/8/2023 Melonie Bahr Monson, Mayor TIN of Signer Melonie Bahr Monson Printed Name of Signer 5/8/2023 DATE 8005XX_BB (2no)