By signing this form in the presence of a licensed notary at your banking institution, you acknowledge that you did apply for an account with Discover Financial Services and any information you provide will be used for verification of that account. Print your name and beginning and ending bank balance amounts for the past 3 months: Card Member Signature: _ Anion Strickland Date:_11_/ 12 / 2023. Best Contact Telephone Number__2407399207_ Name: KAIDEN STRICKLAND, Month (e.g: May 2018) ig Balance: Ending Balance: U.S. and Non U.S. Citizen residing in the United States of America: ATTN: Bank Representative: Please select the type of government issued photo ID presented by our mutual customer and provide notary seal in the area below. If residing in California, please provide a Signature Guarantee. U.S. Driver's License or State ID Number: 000534853 State of issuance: __KS Exp Date: 11_/ 29/2028 DOB: _11_/ 29 / 2004 Visa [Passport Number: _ Country ofissuance:_ U.S, Citizen residing or traveling oversea: ATTN: U.S. Embassy Representati provide notary seal in the area below. ease select the type of government issued photo ID presented by our mutual customer and U.S. Driver's License or State ID Numb State of Issuance: Exp Date:_/__/__DoB:__/__j___ Visa / Passport Number: _ Eup Date:__J _/_pow:_/__j__ ‘Active Military residing overseas: Country ofissuance:_ ATTN: liltary Legal Office Representative: Please complete the below and provide notary seal. Name as it appears on the Military ID: Military ID Card Number; issue Dates) Exp Date:__/__/__008:_/__j__ Notarizing Officer/Signature Guarantor to complete the below: Name of Notarizing Officer/Signature Guarantor: _JULIE HAL! Notary Commission/Identification Number 39299482868, Name of Business Establishment: BETAANALYTIC LLC Street Address:_245 NE 30 RD City, State, & Zip: _GREAT BEND Direct Business Phone Line: _ 2013062767 Signature Notarizing Officer: = Place Notary Stamp/Signature Guaranteed Stamp Here and/or attach any applicable document: