Gold Business Services Package

(1)

(287)

Questions?

Available by phone 24 hours a day, 7 days a week:

1-800-CALL-WELLS

(1-800-225-5935) TTY: 1-800-877-4833

En español: 1-877-337-7454 Online: wellsfargo.com/biz Write: Wells Fargo Bank, N.A. (287)

P.O. Box 6995

Portland, OR 97228-6995

SWAFFORD LLC

1844 LONGWOOD LAKE MARY RD STE 1050

LONGWOOD FL 32750-4664

Your Business and Wells Fargo

Getting ready for tax season can be a challenge! Creating a checklist, and preparing in advance will set you up for a successful meeting with your tax preparer. Remember to bring your deposit routing and account number when preparing your taxes and you may be able to take advantage of using direct deposit for your tax refund into one of your Wells Fargo checking or savings accounts.

Account options

A check mark in the box indicates you have these convenient services with your account. Go to wellsfargo.com/biz or call the number above if you have questions or if you would like to add new services.

Business Online Banking ✓

Online Statements ✓

Business Bill Pay ✓

Business Spending Report ✓

Overdraft Protection

Your statement includes a "Monthly service fee summary" section that gives you the ability to proactively manage the monthly service fee on your account. This section provides you with the view of your checking or savings account monthly service fee, the

requirements to waive the monthly service fee, if applicable, and the current status for each requirement. You may view this information on your statement or in your secure online banking session by clicking "View Monthly Service Fee" on the left-hand navigation bar. If you'd like to schedule an account review or to learn about other accounts or services we offer, please contact Wells Fargo at 1-800-225-5935 or visit your local Wells Fargo store.

Activity summary

Beginning balance on 12/1 -$176.71 Deposits/Credits 127,820.57 Withdrawals/Debits - 124,891.70

Ending balance on 12/31 $2,752.16

Average ledger balance this period $13,843.93

Account number: 1383829072

SWAFFORD LLC

Florida account terms and conditions apply

For Direct Deposit and Automatic Payments use Routing Number (RTN): 063107513

For Wire Transfers use

Routing Number (RTN): 121000248

Sheet Seq = 0152959 Sheet 00001 of 00005

(2)

Transaction history

Check Deposits/ Withdrawals/ Ending daily

Date Number Description Credits Debits balance

12/2 Overdraft Fee for Item $825.24 11/29 Check # 01271 35.00 12/2 Overdraft Fee for Item $65.56 11/29 Principis US Payment

112713 2622209 Swafford LLC

35.00 12/2 Overdraft Fee for Item $49.00 11/29 Check # 01275 35.00 12/2 Check Crd Purchase 11/27 Johnstone Supply - 407-8490573 FL

474165xxxxxx6339 003331482106675 ?McC=5074

69.52 12/2 Recur Debit Crd Pmt11/28 Sunpass Operations 888-8655352 FL

474165xxxxxx6339 083332426270159 ?McC=9399

25.00 12/2 Check Crd Purchase 12/01 Answering Speciali 206-2741200 ID

474165xxxxxx6339 083335720018632 ?McC=7399

98.09 12/2 Check Crd Purchase 12/01 Vzwrlss*Prepaid PY 888-294-6804 CA

474165xxxxxx6339 383334765514001 ?McC=4814

30.00

12/2 2244 Check 2,305.41 -2,809.73 12/3 Check Reversal 2,305.41

12/3 NSF Return Item Fee for Item $2,305.41 12/02 Check # 02244 35.00 12/3 NSF Return Item Fee for Item $296.00 12/02 The Blue Book Inv

1994 120113 00523506 Swafford LLC

35.00 12/3 NSF Return Item Fee for Item $15.95 12/02 Bankcard Mtot Disc

131130 524771001888 464 Cool-Way

35.00 12/3 Overdraft Fee for Item $69.52 12/02 Check Crd Purchase 11/27

Johnstone Supply - 407-8490573 FL 474165xxxxxx6339 0033314821066

35.00

12/3 Overdraft Fee for Item $25.00 12/02 Recur Debit Crd Pmt11/28 Sunpass Operations 888-8655352 FL 474165xxxxxx6339 0833324262701

35.00

12/3 Overdraft Fee for Item $98.09 12/02 Check Crd Purchase 12/01 Answering Speciali 206-2741200 ID 474165xxxxxx6339 0833357200186

35.00

12/3 Overdraft Fee for Item $30.00 12/02 Check Crd Purchase 12/01 Vzwrlss*Prepaid PY 888-294-6804 CA 474165xxxxxx6339 3833347655140

35.00

12/3 Deposit 25,770.12

12/3 Check Crd Purchase 12/01 Cfa Accounting, IN 407-252-2526 FL 474165xxxxxx6339 163335598815787 ?McC=8931

225.00 12/3 BC/BS of Florida BC/BS Prem 327Zalh85774088 Swafford Larry D 541.00 12/3 Principis US Payment 120213 2624140 Swafford LLC 202.66

12/3 Principis US Payment 120213 2624137 Swafford LLC 65.56 23,986.58 12/4 NSF Return Item Fee for Item $325.13 12/03 Global Pay Global Stl

201312 878814102240 1 Cool Way

35.00 12/4 NSF Return Item Fee for Item $202.66 12/03 Principis US

Payment 120213 2624141 Swafford LLC

35.00 12/4 NSF Return Item Fee for Item $65.56 12/03 Principis US Payment

35.00 12/4 Overdraft Fee for Item $202.66 12/03 Principis US Payment

35.00 12/4 Overdraft Fee for Item $65.56 12/03 Principis US Payment

35.00 23,776.58

12/5 2244 Check 2,305.41

12/5 2245 Check 169.05

12/5 Principis US Payment 120313 2625198 Swafford LLC 202.66 12/5 Ftl Capital Part ACH 131205 9795 Cool Way 6,070.00

(3)

Transaction history (continued)

12/5 Global Pay Global Dep 201312 8788141022401 Swafford Inc 221.00 12/5 Recur Debit Crd Pmt12/04 Angies List 866-623-6088 IN

474165xxxxxx6339 283338357612640 ?McC=8699

250.00 12/5 Recur Debit Crd Pmt12/04 Fedex 446818626 800-4633339 TN

474165xxxxxx6339 283338502040870 ?McC=4215

18.68 12/5 POS Purchase - 12/05 Mach ID 000000 Staples Inc Casselberry FL

6339 00583339633265370 ?McC=5943

39.21 12/5 Progressive Empl Payroll 422000000000027 Cool-Way, Inc. 7,410.56 12/5 Capital One Online Pmt 333939919390070

8548961317Swaffordlarr

1,361.26

12/5 1278 Check 1,000.00

12/5 Principis US Payment 120413 2626029 Swafford LLC 202.66 12/5 Banner Life Prem Debit 131205 17180746034 Swafford LLC/Cool

Way

132.13 17,530.96 12/6 Global Pay Global Dep 201312 8788141022401 Swafford Inc 310.00

12/6 Check Crd Purchase 12/05 Servicetitan 8558990970 CA 474165xxxxxx6339 083339551960912 ?McC=5734

10.38 12/6 Check Crd Purchase 12/05 Seminole County Bo 407-6654335 FL

474165xxxxxx6339 003339595178328 ?McC=9399

474165xxxxxx6339 003339637537973 ?McC=9399

25.00 12/6 Check Crd Purchase 12/05 Goodman 236 Sanford FL

474165xxxxxx6339 303339716811433 ?McC=1711

650.76

12/6 2247 Check 3,930.30

12/6 2248 Check 3,383.24

12/6 Capital One Mobile Pmt 333939809096936 8021275766Swaffordlarr

1,277.53

12/6 1277 Check 1,250.00

12/6 The Blue Book Rdp Inv 19 120113 00523506 Swafford LLC 296.00 12/6 Principis US Payment 120213 2624141 Swafford LLC 202.66 12/6 Principis US Payment 120513 2626825 Swafford LLC 202.66 12/6 Principis US Payment 120213 2624138 Swafford LLC 65.56 12/6 Principis US Payment 120213 2624139 Swafford LLC 65.56

12/6 Intuit Payment S Intuitpmts 131205 5247710018884643 40.95 6,412.36

12/9 Quickbooks Banking 14.95

12/9 Direct Pay Monthly Base 10.00 12/9 Online Dep Detail & Images 3.00 12/9 Check Crd Purchase 12/06 Seminole Office So 407-8307950 FL

474165xxxxxx6339 003340591380209 ?McC=5111

525.00 12/9 Recur Debit Crd Pmt12/07 Vzwrlss*Prpay Auto 888-294-6804 CA

474165xxxxxx6339 583340509860247 ?McC=4814

474165xxxxxx6339 163341829865979 ?McC=9399

25.00 12/9 Recur Debit Crd Pmt12/08 Thenewflatrate 706-259-8892 GA

474165xxxxxx6339 083342398799771 ?McC=7392

619.33

12/9 2251 Check 4,922.37

12/9 Fleetcor Fdr Cash Conc Ji918 Cool Way Inc 2,777.07

12/9 2253 Check 398.16

12/9 Principis US Payment 120613 2627598 Swafford LLC 202.66

12/9 2254 Check 57.60 -3,172.78

12/10 Check Reversal 57.60 12/10 Preauthorized Debit Reversal 2,777.07 12/10 NSF Return Item Fee for Item $2,777.07 12/09 Fleetcor Fdr Cash

Conc Ji918 Cool Way Inc

35.00 12/10 NSF Return Item Fee for Item $57.60 12/09 Check # 02254 35.00 12/10 Overdraft Fee for Item $398.16 12/09 Check # 02253 35.00 12/10 Overdraft Fee for Item $202.66 12/09 Principis US Payment

35.00 12/10 Principis US Payment 120913 2628718 Swafford LLC 202.66 12/10 Principis US Payment 120913 2628719 Swafford LLC 202.66 12/10 Principis US Payment 120913 2628720 Swafford LLC 202.66

12/10 2250 Check 60.00 -1,146.09

(4)

12/11 Check Reversal 60.00 12/11 Preauthorized Debit Reversal 202.66 12/11 Preauthorized Debit Reversal 202.66 12/11 Preauthorized Debit Reversal 202.66 12/11 NSF Return Item Fee for Item $202.66 12/10 Principis US

35.00 12/11 NSF Return Item Fee for Item $60.00 12/10 Check # 02250 35.00 12/11 Recur Debit Crd Pmt12/10 Pitney Bowes* 800-228-1071 CT

474165xxxxxx6339 463342699499511 ?McC=7399

26.49

12/11 1284 Check 4,346.97

12/11 2249 Check 675.00

12/11 2252 Check 39.59 -5,908.82

12/12 Overdraft Fee for Item $26.49 12/11 Recur Debit Crd Pmt12/10 Pitney Bowes* 800-228-1071 CT 474165xxxxxx6339 4633426994995

35.00

12/12 Overdraft Fee for Item $4,346.97 12/11 Check # 01284 35.00 12/12 Overdraft Fee for Item $675.00 12/11 Check # 02249 35.00 12/12 Overdraft Fee for Item $202.66 12/11 Principis US Payment

35.00 12/12 Overdraft Fee for Item $39.59 12/11 Check # 02252 35.00 12/12 Global Pmts Inc EFT Eid 2358601 Cool Way 9,394.87

12/12 Progressive Empl Payroll 422000000000029 Cool-Way, Inc. 7,942.49 12/12 Fleetcor Fdr Cash Conc Ji918 Cool Way Inc 2,777.07

12/12 Principis US Payment 121113 2630661 Swafford LLC 202.66 -7,611.17 12/13 Preauthorized Debit Reversal 7,942.49

12/13 NSF Return Item Fee for Item $7,942.49 12/12 Progressive Empl Payroll 422000000000 029 Cool-Way, Inc.

35.00

12/13 Deposit 1,833.00

12/13 Check Crd Purchase 12/13 Real World Trainin 800-564-2688 TX 474165xxxxxx6339 583346495386507 ?McC=8244

24.95

12/13 2246 Check 4,500.00

12/13 Principis US Payment 120913 2628718 Swafford LLC 202.66 12/13 Principis US Payment 120913 2628719 Swafford LLC 202.66 12/13 Principis US Payment 120913 2628720 Swafford LLC 202.66

12/13 Principis US Payment 121213 2631455 Swafford LLC 202.66 -3,206.27 12/16 Check Reversal 4,500.00

12/16 NSF Return Item Fee for Item $4,500.00 12/13 Check # 02246 35.00 12/16 Recur Debit Crd Pmt12/12 Sunpass Operations 888-8655352 FL

474165xxxxxx6339 283346384321532 ?McC=9399

25.00 12/16 Recur Debit Crd Pmt12/14 Stamps.Com 855-608-2677 CA

474165xxxxxx6339 583348188864371 ?McC=7399

17.99

12/16 Principis US Payment 121313 2632232 Swafford LLC 202.66 1,013.08 12/17 Global Payments Global Dep 201312 8788141022401 Swafford

Inc

278.92

12/17 Principis US Payment 121613 2633347 Swafford LLC 202.66 12/17 Principis US Payment 121613 2633348 Swafford LLC 202.66

12/17 Principis US Payment 121613 2633349 Swafford LLC 202.66 684.02

12/18 Deposit 1,565.80

12/18 Recur Debit Crd Pmt12/16 Sunpass Operations 888-8655352 FL 474165xxxxxx6339 163351144678261 ?McC=9399

474165xxxxxx6339 163351365952441 ?McC=9399

25.00 12/18 Check Crd Purchase 12/17 Gemaire Dist 208 407-6480888 FL

474165xxxxxx6339 283351757055609 ?McC=5074

15.05

12/18 Principis US Payment 121713 2634466 Swafford LLC 202.66 1,982.11

(5)

Transaction history (continued)

12/19 Check Crd Purchase 12/17 Sunpass Operations 561-2189574 FL 474165xxxxxx6339 163351666891719 ?McC=9399

50.00 12/19 Recur Debit Crd Pmt12/18 Star Star Cool 305-247-3443 FL

474165xxxxxx6339 163352356100575 ?McC=7311

750.00 12/19 Recur Debit Crd Pmt12/18 J2 *Efax Plus Serv 323-817-3205 CA

474165xxxxxx6339 463352623141000 ?McC=5968

16.95 12/19 Check Crd Purchase 12/19 Footbridge Media L 888-818-7215 FL

474165xxxxxx6321 583352420477762 ?McC=7311

149.00

12/19 Principis US Payment 121813 2635346 Swafford LLC 202.66 39,963.50 12/20 Check Crd Purchase 12/19 Hudson Ink 334-262-1110 AL

474165xxxxxx6339 003353526407407 ?McC=5969

297.00

12/20 2255 Check 702.13

12/20 2261 Check 678.92 38,285.45

12/23 NSF Return Item Fee for Item $202.66 12/20 Principis US Payment 121913 2636135 Swafford LLC

35.00 12/23 Overdraft Fee for Item $678.92 12/20 Check # 02261 35.00 12/23 Deposit Made In A Branch/Store 22,888.31

12/23 Global Payments Global Dep 201312 8788141022401 Swafford Inc

595.00 12/23 Global Payments Global Dep 201312 8788141022401 Swafford

Inc

89.00 12/23 Wire Trans Svc Charge - Sequence: 131223173364 Srf#

0066513357913132 Trn#131223173364 Rfb#

30.00 12/23 Check Crd Purchase 12/20 Florida Marking PR 407-834-3000 FL

474165xxxxxx6339 283354488416626 ?McC=8999

197.43 12/23 Recur Debit Crd Pmt12/22 Fedex 448533629 800-4633339 TN

474165xxxxxx6339 283355542555780 ?McC=4215

32.74 12/23 Check Crd Purchase 12/22 Footbridge Media L 888-818-7215 FL

474165xxxxxx6321 583355417531082 ?McC=7311

225.00 12/23 Online Transfer to Swafford LLC Business Market Rate Savings

xxxxxx4325 Ref #Ibe8Dbj9Z9 on 12/23/13

1,650.00 12/23 POS Purchase - 12/23 Mach ID 000000 Don Panchos Kissimmee

FL 6339 00583357841755446 ?McC=5993

42.80 12/23 Withdrawal Made In A Branch/Store 500.00 12/23 Withdrawal Made In A Branch/Store 9,010.00 12/23 WT Fed#08698 Dubuque Bank & Tru /Ftr/Bnf=Dubuque Bank

Trust Dubuque IA Srf# 0066513357913132 Trn#131223173364 Rfb#

10,703.78

12/23 2256 Check 1,019.23

12/23 2262 Check 583.52

Inc

97.00 12/24 Check Crd Purchase 12/23 Servicetitan 8558990970 CA

474165xxxxxx6339 003357450474606 ?McC=5734

490.71 12/24 Check Crd Purchase 12/23 Auto Owners Insura 517-323-1200 MI

474165xxxxxx6339 583357711948831 ?McC=6300

3,913.91 12/24 POS Purchase - 12/24 Mach ID 000000 Cws Unlimited Inc

Kissimmee FL 6339 00383358702966737 ?McC=8099

70.00

12/24 2257 Check 1,082.20

12/24 2259 Check 1,079.76

12/24 2260 Check 525.07

12/24 Principis US Payment 122313 2637991 Swafford LLC 202.66 12/24 Principis US Payment 122313 2637992 Swafford LLC 202.66

Inc

474165xxxxxx6339 083357427616588 ?McC=9399

50.00 12/26 Recurring Transfer to Swafford LLC Business Market Rate Savings

Ref #Opeqvlb8Zf xxxxxx4325

150.00

(6)

12/26 Recur Debit Crd Pmt12/25 Fedex 448972619 800-4633339 TN 474165xxxxxx6339 003358713599573 ?McC=4215

26.06 12/26 Progressive Empl Payroll 422000000000025 Cool-Way, Inc. 6,326.20

12/26 1280 Check 1,250.00

12/26 Principis US Payment 122413 2639113 Swafford LLC 202.66 22,343.39 12/27 Check Crd Purchase 12/26 Baker Distributing Clearwater FL

474165xxxxxx6339 003360663522695 ?McC=5074

141.54 12/27 Recur Debit Crd Pmt12/26 Servicetitan 855-899-0970 CA

474165xxxxxx6339 083360778660075 ?McC=5734

24.33

12/27 2273 Check 1,020.34

12/27 Ally Ally Paymt 122613 02991917134003I Swafford Larry 584.09 20,573.09 12/30 Global Payments Global Dep 201312 8788141022401 Swafford

Inc

119.00 12/30 Check Crd Purchase 12/26 Sunpass Operations 561-2189574 FL

474165xxxxxx6339 003360666855529 ?McC=9399

4.25 12/30 Check Crd Purchase 12/26 Sunpass Operations 561-2189574 FL

474165xxxxxx6339 083360669644317 ?McC=9399

11.75 12/30 Check Crd Purchase 12/27 Google *Adws934221

[email protected] CA 474165xxxxxx6321 383361128120079 ?McC=7311 500.00 12/30 2265 Check 8,639.00 12/30 2271 Check 1,342.95 12/30 2280 Check 1,258.76 12/30 1282 Check 474.88

12/30 2272 Check 91.52 7,761.00

12/31 Check Crd Purchase 12/30 Johnstone Supply O Tampa FL 474165xxxxxx6339 083364752227383 ?McC=5074

216.14

12/31 2263 Check 2,305.41

12/31 2279 Check 1,424.26

12/31 2267 Check 306.84

12/31 2270 Check 75.36

12/31 2266 Check 56.85

12/31 2268 Check 16.00 2,752.16

Ending balance on 12/31 2,752.16

Totals $127,820.57 $124,891.70

The Ending Daily Balance does not reflect any pending withdrawals or holds on deposited funds that may have been outstanding on your account when your transactions posted. If you had insufficient available funds when a transaction posted, fees may have been assessed.

Summary of checks written (checks listed are also displayed in the preceding Transaction history)

Number Date Amount Number Date Amount Number Date Amount

1277 12/6 1,250.00 2246 12/13 4,500.00 2254 12/9 57.60 1278 12/5 1,000.00 2247 12/6 3,930.30 2255 12/20 702.13 1280 * 12/26 1,250.00 2248 12/6 3,383.24 2256 12/23 1,019.23 1282 * 12/30 474.88 2249 12/11 675.00 2257 12/24 1,082.20 1284 * 12/11 4,346.97 2250 12/10 60.00 2259 * 12/24 1,079.76 2244 * 12/5 2,305.41 2251 12/9 4,922.37 2260 12/24 525.07 2244 12/2 2,305.41 2252 12/11 39.59 2261 12/20 678.92 2245 12/5 169.05 2253 12/9 398.16 2262 12/23 583.52

(7)

Summary of checks written (continued)

Number Date Amount Number Date Amount Number Date Amount

2263 12/31 2,305.41 2268 12/31 16.00 2273 12/27 1,020.34 2265 * 12/30 8,639.00 2270 * 12/31 75.36 2279 * 12/31 1,424.26 2266 12/31 56.85 2271 12/30 1,342.95 2280 12/30 1,258.76 2267 12/31 306.84 2272 12/30 91.52

* Gap in check sequence.

Items returned unpaid

Date Description Amount

12/3 Non-Monetary Notation Transaction Reference # 00007560008325638285 2,305.41 12/3 The Blue Book Inv 1994 120113 00523506 Swafford LLC Reference # 021000027318688 296.00 12/3 Bankcard Mtot Disc 131130 524771001888464 Cool-Way Reference # 021000029407502 15.95 12/4 Global Pay Global Stl 201312 8788141022401 Cool Way Reference # 022000023037498 325.13 12/4 Principis US Payment 120213 2624141 Swafford LLC Reference # 065000091755086 202.66 12/4 Principis US Payment 120213 2624138 Swafford LLC Reference # 065000091755083 65.56 12/4 Principis US Payment 120213 2624139 Swafford LLC Reference # 065000091755084 65.56 12/10 Non-Monetary Notation Transaction Reference # 043000090729602 2,777.07 12/10 Non-Monetary Notation Transaction Reference # 00007624008126802157 57.60 12/11 Non-Monetary Notation Transaction Reference # 065000098619011 202.66 12/11 Non-Monetary Notation Transaction Reference # 065000098619012 202.66 12/11 Non-Monetary Notation Transaction Reference # 065000098619013 202.66 12/11 Non-Monetary Notation Transaction Reference # 00010004003282187186 60.00 12/13 Non-Monetary Notation Transaction Reference # 071108692260721 7,942.49 12/16 Non-Monetary Notation Transaction Reference # 00007560008720910813 4,500.00 12/23 Principis US Payment 121913 2636135 Swafford LLC Reference # 065000098965448 202.66

Monthly service fee summary

For a complete list of fees and detailed account information, please see the Wells Fargo Fee and Information Schedule and Account Agreement applicable to your account or talk to a banker. Go to wellsfargo.com/feefaq to find answers to common questions about the monthly service fee on your account.

Fee period 12/01/2013 - 12/31/2013 Standard monthly service fee $14.00 You paid $0.00

How to avoid the monthly service fee (complete 1 AND 2) Minimum required This fee period 1) Have any ONE of the following account requirements

· Average ledger balance $7,500.00 $13,844.00

3

✔

· Qualifying transaction from a linked Wells Fargo Business Payroll Services account 1 0

3

· Qualifying transaction from a linked Wells Fargo Merchant Services account 1 0

3

· Automatic transfer to an eligible Wells Fargo business savings account $150.00 $150.00

3

✔

· Linked Direct Pay Service through Wells Fargo Business Online 1 1

3

✔

· Combined balances in linked accounts, which may include $10,000.00

3

✔

- Average ledger balances in business checking, savings, and time accounts - Most recent statement balances of: business credit card, Wells Fargo Express

Equity® and BusinessLine® lines of credit, Wells Fargo BusinessLoan® term loan

- Average daily balances from previous month in business PrimeLine® line of

credit and Business PrimeLoanSM account, Wells Fargo Express Equity®, SBA, and

Equipment Express® loans

2) Complete the package requirements

· Have qualifying linked accounts or services in separate categories* 3

3

✔

*Includes Wells Fargo business accounts and services such as debit card, savings accounts, active Online Banking, credit card, loans and lines of credit.

C2/C2

(8)

Service charge description Units used included units excess units ($) charge ($)

Transactions 115 200 0 0.50 0.00

Total service charges $0.00

0

TIP

Did you know that you can review your safe deposit box information through Wells Fargo Business Online Banking? Sign on to business online banking at wellsfargo.com/biz and go to your account summary page to review details.

(9)

General statement policies for Wells Fargo Bank

■ Notice: Wells Fargo Bank, N.A. may furnish information about accounts

belonging to individuals, including sole proprietorships, to consumer reporting agencies. If this applies to you, you have the right to dispute the accuracy of information that we have reported by writing to us at: Overdraft Collections and Recovery, P.O. Box 5058, Portland, OR 97208-5058.

You must describe the specific information that is inaccurate or in dispute and the basis for any dispute with supporting documentation. In the case of information that relates to an identity theft, you will need to provide us with an identity theft report.

Account Balance Calculation Worksheet

1. Use the following worksheet to calculate your overall account balance. 2. Go through your register and mark each check, withdrawal, ATM

transaction, payment, deposit or other credit listed on your statement. Be sure that your register shows any interest paid into your account and any service charges, automatic payments or ATM transactions withdrawn from your account during this statement period.

3. Use the chart to the right to list any deposits, transfers to your account, outstanding checks, ATM withdrawals, ATM payments or any other withdrawals (including any from previous months) which are listed in your register but not shown on your statement.

ENTER

A. The ending balance

shown on your statement . . . .$

ADD

B. Any deposits listed in your $ register or transfers into $ your account which are not $ shown on your statement. + $ . . . .TOTAL$

CALCULATE THE SUBTOTAL

(Add Parts A and B)

. . . .TOTAL$

SUBTRACT

C. The total outstanding checks and

withdrawals from the chart above . . . - $

CALCULATE THE ENDING BALANCE

(Part A + Part B - Part C) This amount should be the same as the current balance shown in

your check register . . . .$

Number Items Outstanding Amount

Total amount $