National Commodities Corp., Inc.
Customer Signature Form


Customer Agreement
Signature form for National Commodities Corp., Inc. Customer Agreement pages 6 through 8.Customer(s) hereby acknowledge reading and understanding the provisions of the Customer Agreement and agree to abide by those provisions.

Customer Signature _________________________ Date______________

Customer Signature _________________________ Date______________

If this is a joint account it shall be with/without (strike one) rights of survivorship.
Partnership and Trust accounts agree to furnish National Commodities Corp., Inc. with a copy of the Partnership Agreement or Trust Agreement.

Consent To Jurisdiction
Signature form for "Consent to Jurisdiction" on page 8.

Customer Signature _________________________ Date______________

Customer Signature _________________________ Date______________

Form W-9
(Rev July 1984)
Dept of the Treasury
Internal Revenue Service

Payer's Request for Taxpayer
Identification Number
and Certification

Give This Form
To the Payer,Middleman, Broker,or Barter Exchange
_________________________________________________________________________________________________
Name as shown on account (if joint account, list first and circle the name of the person or entity whose number you enter in Part 1 below.)

_________________________________________________________________________________________________
Address
_________________________________________________________________________________________________
City, Stateand Zip Code
_________________________________________________________________________________________________
List account number(s) here
_________________________________________________________________________________________________

Part 1 Taxpayer Identification Number - For All Accounts

Enter your taxpayer identification number in the appropriate box.For most individuals, this is your social security number. If you donot have a number, see: How to Obtain a TIN.

Note: If the account is in more than one name, see the chart on page 2 for guidelines on which number to give the payer

Social Security Number
________________
Social Security Number
________________

Part II For Payees Exempt From Backup Withholding
(See instructions)
 
Certification. Under penalties of perjury, I certify that:
1. The number shown on this form is my correct Taxpayer Identification Number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding either because I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the IRS has notified me that I am no longer subject to backup withholding.
Certification Instructions: You must cross our item (2) above if you have been notified by IRS that you are subject to backup withholding because of under reporting interest or dividends on your tax return. However, if after being notified by IRS that you were subject to backup withholding you received another notification from IRS that you are no longer subject to backup withholding, do not cross out item (2). (Also see Certification under Specific Instructions.)

Please sign here: Signature__________________________ Date _________________


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