SOWELS DAVID DBA 3N LAND AND BUILDING FUND REIT INC

Date Tax 6pened: 09/25/2014 Term: 12Months ID:546-52-2427 Number: 121524 CERTIFICATE OF DEPOSIT COPY AND CERTIFICATE OF DEPOSIT SIGNATURE CARD Account Number: 708161393 Dollar Amount of Deposit: Two Hundred Five Thousand Dollars And No Cents S 205,000.00 This Time Deposit is Issued to: Issuer: FIRST NORTHERN BANK OF DIXON F ROBERT A SA FI ER REVOCABLE TRUST UTD: 7/31/1985 1455 OLIVER ROAD SUITE 150 775 E BLITHEDALE AVE#383 FAIRFIELD CA 94534, M ILL VALLEY, CA 94941-1554 J Not Negotiable-Not Transferable -Additional terms are below. By Additional Terms and Disclosures This form contains the terms for your time deposit. It is also the Minimum Balance Requirement: You must make a minimum deposit to Truth-in-Savings disclosure for those depositors entitled to one. There are additional terms and disclosures on page two of this form, some of open this account of S 100,000.00 which explain or expand on those below. You should keep one copy of this form. ® You must maintain this minimum balance on a daily basis to earn the Maturity Date: This account matures 09/25/2015 annual percentage yield disclosed. (See below for renewal information.) Withdrawals of Interest: Interest ❑ accrued ® credited during a Rate Information: The interest rate for this account is .3% term can be withdrawn: with an annual percentage yield of .30%. This rate will be Prior to maturity and during the grace period paid until the maturity date specified above. Interest begins to accrue on Early Withdrawal Penalty: If we consent to a request for a withdrawal the business day you deposit any noncash item(for example, a check). that is otherwise not permitted you may have to pay a penalty. The Interest will be compounded Monthly penalty will be an amount equal to: one month's Interest will be credited Monthly interest on the amount withdrawn. ® The annual percentage yield assumes that interest remains on deposit Renewal Policy: until maturity. A withdrawal of interest will reduce earnings. ❑ Single Maturity: If checked, this account will not automatically ❑ If you close your account before interest is credited, you will not renew. Interest ❑ will ❑ will not accrue after maturity. receive the accrued interest. ® Automatic Renewal: If checked, this account will automatically The NUMBER OF ENDORSEMENTS needed for withdrawal or any renew on the maturity date. other purpose is: ONE Interest ❑ will ® will not accrue after final maturity. ACCOUNT OWNERSHIP: You have requested BACKUP WITHHOLDING CERTIFICATIONS and intend the type of account marked below. TIN: 546-52-2427 ❑ Individual ❑ Joint Account ® Taxpayer I.D. Number - The Taxpayer ❑ Exempt Recipients - I am an exempt ❑ Joint-Husband and Wife(with right of survivorship) Identification Number shown above (TIN) is recipient under the Internal Revenue Service ❑ Community Property -Husband and Wife my correct taxpayer identification number. Regulations. ❑ Tenancy in Common ® Backup Withholding - I am not subject SIGNATURE - I certify under penalties of ® Trust: Separate Agreement Dated to backup withholding either because I have perjury and thate statements chaecked in nerthi not been notified that I am subject to backup p son ❑ withholding as a result of a failure to report (including a U.S. resident alien). jXl CD not required to withdraw funds all interest or dividends, or the Internal Revenue Service has notified me that I am no X ❑ Totten Trust or ❑ Pay on Death longer subject to backup withholding. DATE Designation as defined in this agreement (Beneficiaries' names and addresses) Benefcy Name:DOB:Rel Code: MMN: SIGNATURES: I AGREE TO THE TERMS STATED ON PACE ONE AND PAGE TWO. X X L X /�,� ® C1993 Bankers Systems,Inc.,St.Goud,MN Form CDAA-LAZ-CA(2) sit v2oo5 READ PAGE TWO FOR ADDITIONAL TERMS (page 1 of 2)