CARD APPLICATION
FOR ATM AND DEBIT CARDS
PRIMARY ACCOUNT INFORMATION
SAN PATRICIO CONSTRUCTION INC
4820 S ESCALON BELLOTA RD
FARMINGTON, CA 95230
APPLICANT INFORMATION
Name: GLORIA ARANDA CULLEN Card Number: ************0543
Primary Address: 4820 S ESCALON BELLOTA RD Description: OBD
FARMINGTON, CA 95230 Date Issued: 04/27/2023
Primary Phone: (915)487-2325 Expiration Date: 04/30/2026
Phone Description: Cellular
Title/Capacity: Authorized Signer Date of Birth: 03/31/1957
Tax ID Number: XXX-XX-1684
Accessible Accounts
• Checking Account: #10108705 Card Limits
• POS_limit: $3,010.00
• Withdrawal_limit: $1,010.00
DEFINITIONS. The terms "you" and "your" refer to the Applicant, whether or not there are one or more Applicants named above, and the
terms "we" and "us" refer to the Bank named above.
ACKNOWLEDGMENT. You acknowledge that you have requested the card service(s) noted above. You further authorize us to obtain your
credit information, such as your credit report, at our option.
eSigned By:
Apr 27, 2023 12:25:21 PM PDT
GLORIA ARANDA CULLEN Date
Authorized Signer
Corporation Representative
SAN PATRICIO CONSTRUCTION INC
eSigned By:
Apr 27, 2023 12:25:21 PM PDT
GLORIA ARANDA CULLEN Date
Authorized Signer
© 2001-2022 Compliance Systems, LLC 3b8b1844-b39cac13 - 2022.333.0.2
Card Application - For ATM And Debit Cards DD8004 Page 1 of 2 www.compliancesystems.com
*BWY97777719471205431CADD8004042720231*
*1* *2022.333.0.2*
eOriginal Transaction ID: 2056752647 and Document ID 2056752713
NOTICE OF ATM SAFETY PRECAUTIONS
SAFETY PRECAUTIONS FOR ATM TERMINAL USAGE. Please keep in mind the following basic safety tips whenever you use an
ATM:
• Have your card ready to use when you reach the ATM. Have all of your forms ready before you get to the machine. Keep some
extra forms at home for this purpose.
• If you are new to ATM usage, use machines close to or inside a financial institution until you become comfortable and can
conduct your usage quickly.
• If using an ATM in an isolated area, take someone else with you if possible. Have them watch from the car as you conduct your
transaction.
• Do not use ATMs at night unless the area and machine are well-lighted. If the lights are out, go to a different location.
• If someone else is using the machine you want to use, stand back or stay in your car until the machine is free. Watch out for
suspicious people lurking around ATMs, especially during the times that few people are around.
• When using the machine, stand so you block anyone else's view from behind.
• If anything suspicious occurs when you are using a machine, cancel what you are doing and leave immediately. If going to your
car, lock your doors.
• Do not stand at the ATM counting cash. Check that you received the right amount later in a secure place, and reconcile it to your
receipt then.
• Keep your receipts and verify transactions on your account statement. Report errors immediately. Do not leave receipts at an
ATM location.
© 2001-2022 Compliance Systems, LLC 3b8b1844-b39cac13 - 2022.333.0.2
Card Application - For ATM And Debit Cards DD8004 Page 2 of 2 www.compliancesystems.com
*BWY97777719471205431CADD8004042720232*
*2* *2022.333.0.2*
eOriginal Transaction ID: 2056752647 and Document ID 2056752713
