AMERIS BANK Statement of Account P.O. Box 105075. Atlanta, GA 30348 RETURN SERVICE REQUESTED 1030186553 Page 1 Direct inquiries to: Customer Service 866-616-6020 HARVEY L_HOWELL LINDA CREWS ‘Ameris Bank DELORES LARISEY P.O. Box 105075 210 LEWIS ST Atlanta, GA 30348 WAYCROSS GA 31503-1440 40 Summary of Account Balance 4030186553 $16,968.03, ‘Access Checking ‘Account number 1030186553 Beginning balance $11,540.95 Low balance $9,523.91 40 Enclosures ‘Average balance $12,440.82 Total additions. $6,960.17 Total subtractions $-3.533.09 Number Date Amount Number Date Amount 1563 10-08 5.00 1651 10-22 5.00 1584 ° 10-26 5.00 1652 10-23 40.00 1585 10-12 5.00 1653 10-18 52.99 1594 * 10-08 5.00 1654 10-19 58.86 1613 * 10-29 5.00 1655 10-19 44.26 1617" 10-13 3.70 1656 10-19 75.00 1619" 10-07 5.00 1657 10-20 28.00 1623* 10-26 5.00 1658 10-22 5.00 1632* 10-12 5.00 1659 10-20 9.99 1633 10-13 5.00 1660 10-20 1271 1638 * 10-12 322.88 1661 10-22 25.00 1639 10-07 55.31 1664" 10-26 15.00 1640 10-14 98.00 1666" 10-29 5.00 1641 10-14 5.00 1668" 11-01 451.65 1642 10-13 10.00 1669 11-02 38.43 1643 10-12 20.00 1672" 11-02 4.42 1644 10-14 5.00 1676" 11-02 405.96 1647" 10-19 5.00 1680" 11-01 125.00 1648 10-14 63.52 * Skip in heck sequence 1650 * 10-19 5.00AMERIS BANK P.O. Box 105075, Atlanta, GA 30348 RETURN SERVICE REQUESTED HARVEY L_HOWELL LINDA CREWS DELORES LARISEY 210 LEWIS ST. WAYCROSS GA 31503-1440 Date 10-07 10:07 10-12 10-12 10-13 10-20 10-25 10-26 10-29 11-0 11-01 11-01 croton #Electronified Check ‘GEORGIA POWER GPC ARC 211006 1636 #Electronified Check (CHASE CREDIT CRD CHECK PYMT 211007 000000000001637 #Electronified Check [ATT Services CHECKPAYMT 211012 01645 #Electronified Check WALGREENS PURCHASE 211012 CITY=WAYC, ST=CA SER #1646 #Electronified Check (CAPITAL ONE ARC CHECK PYMT 211013 01649, Deposit Deposit #Electronified Check WALGREENS PURCHASE 211028 CITY=WAYC, ST=GA SER #=1085, #Preauthorized Credit ERS BENEFIT 211029 "39057 MR HARVEY L HOWELL #Electronified Check ‘BP Visa CHECK PYMT 211101 O1671 #Electronified Check WALGREENS PURCHASE 211101 CITY=WAYC, ST=CA SER #=1675. #Preauthorized Credit \VAGP TREAS 310 XXVA BENEF “09600 REF'48°VA COMPENSA TON “10101/21-10781/2 November 04, 2021 1030186553, Page 2 Direct inquiries to: Customer Service 866-616-6020 ‘Ameris Bank P.O. Box 105075 Atlanta, GA 30348 40 Addtions ‘Subtractions 120.15 =300.00 -29.66 “37.26 “675.45 395.68 5651.57 “24.09 1,142.15 101.58 “883 635.77AMERIS BANK P.O. Box 105075, Atlanta, GA 30348 RETURN SERVICE REQUESTED HARVEY L_HOWELL November 04, 2021 1030186553, Page 3 Direct inquiries to: Customer Service 866-616-6020 ‘Ameris Bank P.O. Box 105075 LINDA CREWS Atlanta, GA 30348 DELORES LARISEY 210 LEWIS ST. WAYCROSS GA 31503-1440 40 Date Description Asdtions ‘Subtractions 11-02 #Electronified Check ~126.24 WELLS FARGO CARD CHECKPAYMT 211102 01677 11-03 #Electronified Check -58.00 (GEORGIA POWER GPC ARC 211102 1679) 11-03 #Preauthorized Credit 1,135.00 ‘SSA TREAS 310 SOC SEC 241105 "= SSA HARVEY L HOWELL 11-03 #Preauthorized Wd 415 800-235-8943 HIP INSUR. 211108 "43575 HARVEY “HOWELL Daily balances Date ‘Amount Date Amount Date Amount 10-06 11,540.95 10-48 971203 10-29 16,528.52 10-07 17,06049 10-19 952391 11-01 16,477.23 10-08 11,05049 10-20 9868.89 © 11-02 15,905.18 10-12 10,630.69 10-22 970389 © 11-03, 16,968.03 10-13 993654 10-25 15,445.46 10-14 9176502 10-26 15,396.37 Total for Total this period year-to-date Total Overdraft Fees $0.00 $0.00 Total Retumed Item Fees $0.00 $0.00PAGE 4 of 10 Account Number ******6553 Date 11/04/2021 57568 agsD8 i wt MDA lnm | Qnvasinn = 10/20/2021 Deposits00 $395.68 sist st Smee — fm SOE ST eS geste ores oe sepa. EL nm ee EDawenssane mo/12/2021 565, 35-00 10/25/2021 _Deposit600_$5,6: Grenson Movosecen ses soirsut iosouacsssvoised 1594 $5.00 a 10/26/2021 1584 $5.00 10/29/2021 ners 85-00 7H A i‘Account Number __“***"*6553 Date_11/04/ Masta, pestle soaoaaessseois x? 10/13/2021 1617 $3.70 Sart $f Fist ot po a tn bP Qavenseane $a 2=2be on — js sw oe BerOAsee AOIDABESSINO EAH eopszoirsue insoiasssaeoaess 30/07/2021 10/13/2021 1633 $5.00 10/26/2021, -1623--$5-00 s3aape Fe we Ee. Srversenve Te:CERF shoarz012154 me Sipioneesce1703 laaty A Mlowell = Gosvtorrse iosoiacsssen hn 10/12/2021 1638 $520.88 Saeiee |Account Number _******6553 Date_ 11/04/2021 PAGE 6 of 10 bl oa cj ottat n ae Lede owe 18 soy Bete fad lla lacllbyiil s ace ez Pan Tat Ganens earn nny Klett w Serzecet——— frac, Alas? « 10/07/2021 1639 $55.31 ne 10/13/2021 i642 $10.00 lo pg _ a SFG i { Se OREDITAEET NAMED PAYEE, ad [SY ude BORSO ese ao Ssewencr ee aunts “ Mi=HeBl ag Crom a ng ay fei 760 BES Ait Gintly Cpe 00 OE Losey te Gaver tara anes earn A, we lary ot Hn i0/iz/202l 1643 $20.00 Mtl sere Ditie Tp mm 10/14/2021 1641 $5.00 Bo/ia/2oat 1644 85-00Account Number _******6553 Date no/is/2oe tea? io/ia/2ozt 1648 $63.52 41/04/2024 PAGE 7 of 10 Sr. Morlbsile nu Con i —— eee ——— Hity font’ iosoiaessavoiesh 10/22/2021 1651 95.00 0/22/2021 REHAB BUSINESS SERVI 60- MARYVILLE,TN ‘o2so00026 10/19/2021 1650 $5.00 Bg Lede. Heldoyy pte 1352.94 Zoot © >a Ovuleve oat 2 Hawt 10/18/2021 1653 $52.99Account Number _****"*6553 Date 11/04/2021 ____ PAGE 8 of 10 ee Lb-f5>2s, = 413 og00 : 7 Pr Qanesis anc i pe bide toe thane A meuhtsr sae Hatuay lous 70/20/2021 1657 $28.00 10/19/2021 1658 $58.66 aoe. SOAS Rg ronan Sp peu 8 ste0 phi es Gamers aan , ve ttnstaneespaae Blast. t Alot Mey A Mitt 10/22/2021 1658 $5.00 aber test 7° Meaty Mme | Mosszorrsee wososmesssroess 1072072021 1655 $9.59 Toris/eozt 1656. $75.00 sableselagieoe zoom |1 PAGE 9 of 10 Account Number _******6553_Date 11/04 ioe = See sexe Seagecs AOA game ey OBB ime mah acautly doawamatte ZoagP— 18 12.70 oer, pew 18 sve Mow ty ae. —— rae Quensmx @anenseanx wide ae rks WSR a paartle ‘onszorrsse _ soanveesasrauito crear aace Baasaniberieceie 30/30/2081 1660 812.71 0/29/2021 1666 $5.00 Moe Weds me, Samco 3661 $25.00 10/22/2021 11/01/2021 1668 $451.65 mys sy ay poe ee ————re @rvexssae Guctsove LOTSA “fostiourees a ns = 33/02/2021 1669 $36.43 35.00 To7a6/2021 1668 gon yoties _meveuon “meeacrine | Asseho cueAccount Number _******6553___ Date _ 11/04/2021 Ss hve oz toimiazses Haan bowel oeiO1rsue _1osdawessseO4n 11/01/2021 1680 $125.00 ! nt PAGE 10 of 10‘THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR BANK STATEMENT CHEOKS OUTSTANDING Met hom on Soman wor NUMBER $ ‘Your Chack Book Balance (atthe end afthe pared shown bys | § statement) Less Service Charge 5 [Not Chock Book Balance s ‘Berk Statement Balance (ast account shown in Balance Colurn) | § [ADD ~ Deposits Reosived by Bank aftr date ofthis iaterent | § TOTAL] § ‘SUBTRACT - Checks Outstanding $ [BALANCE - This gure shuld agree wth yourNet Check Book | § Balance ADVISE US PROMPTLY OF ANY DIFFERENCE. IF NO ERROR IS REPORTED WITHIN FOURTEEN DAYS, THE ACCOUNT WILL BE CONSIDERED CORRECT Have You: 1D Conecty entered the amount ofeach chock wthraualn your register? 1D Checked al aons and subtractions in you resistor? 1D Ensure a chcksiwtrawals have boon deducted frm your register balance? 1D Enmore al overeat raters in your regsior? 1 Entered al bank card and automate ansfer transactions in your gist? 17 Deduct a service charges from your register balance? 1D Carte the carect balance forward wen entering checkshuthdravalsiéeposts? Z Erured the amounts of your dposis entered in your register ae the same as those shown on this statement? Electronic Funds Transfer Ae Error Resolution Notice for Pelee Statrants Tisittmatenspples ts CONSUVERS ONLY. Incase oferesorqutns abu yourcctonc tense cl wb sale opera number ass een oc oth stares scn es youcer, Fut oust createwergcr® youn ee weal sb arf ec onan ci Werte Fon youre than day ce no Sertbe RST ser on wh blero rar apa. YOuMUS (ls ar nae daar ary) 2} dexsbe eer eats you fr rr show, ances as aya yan ou belts ry ne mre ior sd 2) se lr ra ch sec er Veneta you cog ac ae yep ves me tan 1 Bue ys Sunes ays a Check Capote ena ant 20 sess ays the tastes are aout) ater ve hear fon yout oh we nl ear cate aout ou kin re sal wl have sc one ge a tgs us iratin Your anavels cond aro scare fe 3 dys tr ofr cpael soda bs yu aed Rodan abled aca wn usta hao vas pone tor Resolution Procedures for you Personal Reserve Account or your Personal Crd Line “Tis oman as you att yur fh acu spnsbiies une fe Fat Ce lng ct his mat does ot gy tases coun, Th ples to CONSUMERS ONLY Iyautin thre sar err ony staner wes sa Ars Bak, Ais ean Carer PC, Box 1880, aia GASDHB Inyorletr, YOU MUST PROMI: 1] your naraced assurtrunter he arama ofthe spc one (3) essbo wit tlle wergan wy outer rise, ‘You mst ona usw 60 des ter heer angered a ou saonen, atest’ uses ds alr an asm payments sched. ou ntl payne on heart ou Sion rms tan pattern reel) Ya bf wo weg bes ay eo oe ae peri anit havin, ‘ier ca ou tr nr ak doo fing) wn 0 a org rr, we lye Paw ed rer We nl a el yo a ak cocoa he eran Zi 9 caste art, we muster erect he rer expla you vy we ose he Bl Scares, howe msg haber ort rc hss ean ane wo carat yl amount uctin opt yous snqurton at acu. chap in qusion may onan on out Setar ad womay aru che ent al rou Al, whl yous na have oye aout n qusn, au seesparsle Perera urbane an Ween ay ry rgd anc ape or oi, ‘er wa rit cr esa, ne oe swt hpe: we rade a rie: you vit avo pay te ana nisin cays chr ree at amour 2) 42 ondosine ture ns amstatyouwihaotopay he aneurin ques. aerg wh epee Mise as Weslsndyaaumetet bean ae ayes Wo ny be ety eng o soa eat ok aso. aurea nerfs beers er en Wears Bats se py fusasn. ocr oe laactiho abo trys gen yor Worn selene wwe oft oss ees od ve atlas opt wen ee set ‘ctnlSewean He Staton lle eso urate ay be haha anata uo ee ya UN seae yeu a dats hb nds rest yuhave pursed wh you crt ar, arch es goad sree plemwth mecha, yma have the oho "bay feremanrg arcur ueone puchse Tose Rs gale Peleg muse fee ‘1 Thepuchase rusthae ben maf yourhone Sta or winn “Omi of yourcarar alg atts, ard purchase pica musthowe bon moran $50. Ne: Nola ot ‘nate rasa you fuctue wa asd co aetsenat we mal uc fe oun Pe conpany besa yo tego sess) 2, Youruttor und yar cdo rn tose Pcaees made wth cas aonnoes ama ATerihe cect reser estar ezaut ona aly, 3. Yau nstit eave tly pda e prose etn eter ove ae met and yu rss we purchase, cit sung a ets ark Aarts Loan Cen, PO, Box 1860 Ata, GA 048. ewe inept, cane opp Fw depaed neuro sre chore Mar wench 2 eeu, ne Wi ou Gecko AP fl, fs ouowesnaeutan youd repay. weinay pte dele PLEASE REPORT ANY ERRORS PROMPTLY, AMERIS. BANK