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� WAW <br />FA R.( ER S <br />BANK&TRUST <br />MyFarmers Online Banking Application <br />Customer Name: VOLANDA HILL <br />CIF Number: HAA1730 <br />Email Address: HGHOSTF@YAHOO.COM <br />MyFanrers Online Banking ID Number: 714850039443 <br />I hereby accept the terms and conditions set forth by Farmers Bank & Trust concerning its MyFarmers OnGn.e <br />Banking Agreement and Disclosure Statement. <br />I authorize Farmers Bank & Trust to post payment transactions generated by personas computer from the: <br />Online Bill Payment Service to the account I Indicate on my MyFarmers account. [ understand that I am In full; <br />control of my account. If at any time I decide to discontinue service, I will" provide written notification to Farmers <br />Bank & Trust. My use of Online Bill Payment signifies that I have read and accepted all the terms and conditions <br />of Internet Bill Pay. <br />I understand that payments may take up to 5 to 10 days to reach the vendor and that they will be sent either <br />electronically or by check. Farmers Bank & Trust is not liable for any service fees or late charges [ev[ed against <br />me. I also understand that I am responsible. for any loss or penalty that I may due to incur insufficient funds or <br />other conditions that may prevent the withdrawal of funds from my account. <br />*You received 'Reg E' when you opened your account. If you would like another copy, please request one nQw, <br />** You received 'Reg DD' when you opened your account. If you would like another, copy, please request one <br />now. <br />} 2--S— <br />Customer <br />.S"'-.Customer Signature Date <br />