Demand Deposit Marketplace DDM Program receiving Institution Opt-Out Form

THE PADUCAH BANK AND TRUST COMPANY

Demand Deposit Marketplace® (DDM®) Program Receiving Institution – Opt-Out Form

This Receiving Institution – Opt-Out Form (this “Opt-Out Form”) for the Demand Deposit Marketplace® (DDM®) Program (the “Program”) is signed and provided by you (named below) (“Customer” or “you”) to The Paducah Bank and Trust Company (“Your Institution”) to agree to the terms and conditions herein. Your Institution may rely on this Agency Appointment with respect to your participation in the Program.

By signing this Opt-Out Form, Customer hereby instruct Your Institution to exclude (i.e., opt-out of) the following Receiving Institutions from holding Program Deposits under the Program.  By signing below, Customer  acknowledge receipt of, and agree to, the Program Customer Terms and Conditions (“Customer T&Cs”), which are expressly incorporated herein.  Capitalized terms used in this Opt-Out Form have the same meaning given in the Customer T&Cs.  “Your Institution” means The Paducah Bank and Trust Company.
                                                        Check if separate sheet attached with additional names of excluded Receiving Institutions
                                                          This Opt-Out Form. This Opt-Out Form is effective once Your Institution receives a completed and signed Opt-Out Form from Customer and Your Institution has acknowledged acceptance of and had a reasonable time to act on this Opt-Out Form. You may submit additional Opt-Out Forms at any time in order to opt-out of additional Receiving Institutions. All Opt-Out Forms you submit will, together, form the list of Receiving Institutions that you have opted-out of from holding Program Deposits under the Program. If you wish to remove one of those Receiving Institutions from your list of opt-outs (so that Program Deposits can be placed at that Receiving Institution), please contact Your Institution.
                                                            • Customer Signature is a required field
                                                            • Date is a required field