REQUEST FOR CHECK CARD
WAIVER OFACCOUNT SIGNING AUTHORITY
(BUSINESS)
Business Client Name:
Account Number:
The undersigned, acting on behalf of the Client named above, hereby requests that City National Bank (CNB) issue a CNB Business Check Card for the referenced account to the following person(s):
Name: / Phone Number: / ()- / Date of Birth:Home Address: / City, State, Zip:
SSNor Primary ID # : / Expiration Date*: / Issue Date*:
Issuing Entity*: / Issuing Location*:
Name: / Phone Number: / ()- / Date of Birth:
Home Address: / City, State, Zip:
SSN or Primary ID # : / Expiration Date*: / Issue Date*:
Issuing Entity*: / Issuing Location*:
(To add clients, press the <Alt + A> keys. To delete clients, place your cursor in the row and press <Alt + D> keys.)
*Required only if Primary ID # is used.
The undersigned, and each of them, has read and understands the terms and conditions for Electronic Fund Transfer services applicable to the Business Check Card as stated in the CNBAccount Agreement and Disclosuresand theBusiness Electronic Fund Transfer Agreement and Disclosure and shall provide the terms and conditions to each person to whom a Business Check Card is issued hereunder. The undersigned understands that the Business Check Card is a debit card, that transactions originated by means of the Business Check Card will be charged directly to the referenced account and that the Business Check Card may also be used to perform transactions at CNB and certain other automated teller machines. The undersigned acknowledges and agrees that transactions performed and charged to the account by means of the Business Check Card using either the personal identification number (PIN) associated with the Business Check Card or the signature of the assigned owner of the card are deemed authorized NOTWITHSTANDING THE SIGNING AUTHORITY IDENTIFIED IN THE DEPOSIT AGREEMENT.
The undersigned waives on behalf of the Client any and all signing restrictions associated with the referenced account for transactions originated by means of the Business Check Card and associated PINor authorized signature.
This request and waiver shall remain in effect with respect to each Business Check Card issued hereunder from the date hereof until the Client shall notify CNB to cancel a Business Check Card issued hereunder or shall notify CNB as stated in the Business Electronic Fund Transfer Agreement and Disclosure that a Business Check Card or PIN issued hereunder is lost or stolen.
The undersigned each represent and warrant that the Client has taken all actions required to authorize the undersigned on behalf of Client to execute and deliver this Request and Waiver, and that when signed by the undersigned, this Request and Waiver is the valid and binding act of the Client.
Signed / Print Name / Date(To add a row, press the <Alt + Q> keys. To delete a row, place your cursor in the row and press <Alt + W > keys.)
To: City National Bank
I certify that I am the of the above-named . The foregoing document was properly executed by acting within the scope of their authority and is the authorized act of the and binding upon it.
Signed / Print Name / Date(To add a row, press the <Alt + Z> keys. To delete a row, place your cursor in the row and press <Alt + X > keys.)
ID 18054E (Rev 05/2016)(071)