PRIVACY OPT OUT FOR DISCLOSURE INFORMATION
If you prefer that we not disclose nonpublic personal information about you to nonaffiliated third parties, you may opt out of those disclosures; that is, you may direct us not to make those disclosures (other than disclosures permitted by law). If you wish to opt out of disclosures to nonaffiliated third parties (other than disclosures permitted by law) you may do so by checking the applicable boxes below, signing, dating on the lines indicated, cutting off this portion of the brochure as indicated, and mailing this document back to us at P.O. Box 1097, Walhalla, S.C. 29691.
By checking the boxes and signing and dating the lines below, you direct us not to disclosure information about you or any other party to this account. Any one of the parties to this account may sign and return this notice to us to indicate this preference.
I prefer that you not disclose information (except as permitted by law) to:
[ ] Community First Bancorporation, the holding company which owns Community First Bank, or related affiliates.
Name: ______________________________________
Account Number: _______________________________
Signature: _____________________________________
Date: _________________
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