Personal Statement Savings

September 26, 2024 Page 1 of 7

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We accept all relay calls, including 711
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Write: NBT Bank, N.A.

P.O. Box 551617
Norwich, NY, 13815

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Statement period activity summary Account Number: 8100626706

Beginning balance on 08/25 $2,722.38 TIMOTHY GROSS

Deposits/Additions 12,980.27 Florida account terms and conditions apply
Withdrawals/Subtractions - 13,117.96
For Direct Deposit use
Ending balance on 09/26 $2,584.69
Routing Number (RTN): 021303618

(38)
Sheet Seq = 0092632
Sheet 00001 of 00004
September 26, 2024 Page 2 of 7

Overdraft Protection
This account is not currently covered by Overdraft Protection. If you would like more information regarding Overdraft Protection and eligibility requirements
please call the number listed on your statement or visit your NBT Bank branch.

Transaction history

Check Deposits/ Withdrawals/ Ending daily

Date Number Description Additions Subtractions balance
08/27 Online Transfer From Gross T Way2Save Savings xxxxxx0683 5,000.00
Ref #Ib0Lfx8Vry on 08/25/24
08/27 Online Transfer From Gross T Way2Save Savings xxxxxx0683 5,000.00
Ref #Ib0Lgdttpn on 08/27/24
08/27 Purchase authorized on 08/23 Century Theatres 4 Tucson AZ 15.49
S383328141920978 Card 1672
08/27 Purchase authorized on 08/23 Century Theatres 4 Tucson AZ 13.31
S303328155019732 Card 1672
08/27 Money Transfer authorized on 08/24 Cash App*John Van 40.00
800-9691940 CA S303328473036846 Card 1672
08/27 Purchase authorized on 08/24 DD Doordash Chipot 20.79
855-973-1040 CA S463328765683280 Card 1672
08/27 Purchase authorized on 08/24 Love's #0460 Insid Benson AZ 7.21
S463329053346091 Card 1672
08/27 Purchase authorized on 08/25 Love's #0460 Insid Benson AZ 4.68
S463329475394110 Card 1672
08/27 Purchase authorized on 08/25 Royal Kia Sales 520-696-2800 AZ 300.00
S303329584416537 Card 1672
08/27 Purchase authorized on 08/25 Denny's #8677 El Paso TX 20.82
P000000786048977 Card 1672
08/27 Money Transfer authorized on 08/26 Cash App*Timothy Gross 10.00
8774174551 CA S303330809676392 Card 1672
08/27 Online Transfer to Gross T Ref #Ib0Lgdnfsd Way2Save Savings 5,000.00 7,290.08
1234
08/28 Purchase authorized on 08/26 Arby's 475 Sweetwater TX 11.57
S303330608595082 Card 1672
08/28 Purchase authorized on 08/26 DD Doordash Bullee 855-973-1040 26.05
CA S303330777632810 Card 1672
08/28 Money Transfer authorized on 08/27 Cash App*John Van 40.00 7,212.46
800-9691940 CA S383331529158481 Card 1672
08/29 Provisional Credit for Claim-Ref #2311270025316 10.86
08/29 Provisional Credit for Claim-Ref #2311270025316 1.08
08/29 Purchase authorized on 08/27 DD Doordash Little 855-973-1040 23.76
CA S463331767766552 Card 1672
08/29 Purchase authorized on 08/27 DD Doordash Sonicd 8.75
855-973-1040 CA S583331770988165 Card 1672
08/29 Recurring Payment authorized on 08/27 Apple.Com/Bill 1.08
866-712-7753 CA S463332057488446 Card 1672
08/29 Recurring Payment authorized on 08/27 Apple.Com/Bill 10.86
866-712-7753 CA S583332057546669 Card 1672
08/29 Purchase authorized on 08/28 Love's #0242 Insid San Antonio TX 2.39 7,177.56
S463333060167240 Card 8368
08/29 Purchase authorized on 08/28 Carl's Jr 242 San Antonio TX 7.03
S383333047897786 Card 8368
08/29 Purchase authorized on 08/29 Love's #0242 Insid San Antonio TX 2.59
S583333394829022 Card 8368
08/29 Purchase authorized on 08/29 Oasis Market Place Baytown TX 13.50
S463333707972365 Card 8368
08/29 Purchase authorized on 08/29 Oasis Market Place Baytown TX 7.03
S383333710563017 Card 8368
08/29 Purchase authorized on 08/29 Love's #0264 Insid Luling TX 2.91
S463333822214308 Card 8368
September 26, 2024 Page 3 of 7

Transaction history (continued)

Check Deposits/ Withdrawals/ Ending daily

Date Number Description Additions Subtractions balance
08/29 Purchase authorized on 08/29 Love's #0264 Insid Luling TX 6.70
S383333824903265 Card 8368
08/29 Purchase authorized on 08/29 Love's #0264 Insid Luling TX 2.91
S383334041798229 Card 8368
08/29 Purchase authorized on 08/29 Love's #0264 Inside Luling TX 9.29
P303334449637416 Card 8368
08/29 Purchase authorized on 08/29 Love's #0700 Inside Sonora TX 9.84
P463334635730079 Card 8368
08/29 Purchase authorized on 08/29 Love's #0256 Inside Van Horn TX 10.25 7,105.51
P583335002260767 Card 8368
09/01 Purchase authorized on 08/30 Love's #0542 Insid Fort Stockton 5.12
TX S583334775616429 Card 8368
09/01 Purchase authorized on 08/29 Love's #0256 Insid Van Horn TX 3.19
S583335009580560 Card 8368
09/01 Purchase authorized on 09/01 Flying J #724 Anthony TX 13.50 7,083.70
P583335733321665 Card 8368
09/04 Purchase authorized on 09/01 Love's #0256 Insid Van Horn TX 2.58
S583335424453328 Card 8368
09/04 Purchase authorized on 09/01 Love's #0256 Insid Van Horn TX 4.80
S463335479223133 Card 8368
09/04 Purchase authorized on 09/01 Wienerschnitzel 77 El Paso TX 13.30
S463335633285954 Card 8368
09/04 Purchase authorized on 09/01 Kfc D212121 Benson AZ 14.45
S583336028737514 Card 8368
09/04 Purchase authorized on 09/01 Kfc D212121 Benson AZ 6.35
S303336037793018 Card 8368
09/04 Purchase authorized on 09/02 Love's #0460 Insid Benson AZ 7.49
S303336456884626 Card 8368
09/04 Money Transfer authorized on 09/02 Cash App*John Van 200.00
800-9691940 CA S303336839355635 Card 8368
09/04 Purchase authorized on 09/02 Uber Eats Help.Uber.Com CA 30.50
S583337009751711 Card 8368
09/04 Money Transfer authorized on 09/02 Cash App*Timothy Gross 20.00
8774174551 CA S583337166700102 Card 8368
09/04 Money Transfer authorized on 09/03 Cash App*Timothy Gross 500.00
8774174551 CA S303337584744726 Card 8368
09/04 Money Transfer authorized on 09/03 Cash App*Timothy Gross 5.00
8774174551 CA S303337600496508 Card 8368
09/04 Withdrawal Made In A Branch/Store 5,000.00
09/04 Purchase authorized on 09/04 Frys-Food-Drg #1 7050 E. Tucson 11.78 1,267.45
AZ P383338722514706 Card 8368
09/05 Purchase authorized on 09/05 Wal-Mart Super Center Tucson AZ 227.31
P000000972848654 Card 8368
09/05 Purchase authorized on 09/05 Wal-Mart Super Center Tucson AZ 47.65
P000000670924507 Card 8368
09/05 American Family Phone Pay 231204 0000000281411Ch Richard 195.55 796.94
Mehlman
09/06 Zelle From Mills Jacqueline on 09/06 Ref # Pp0Rrxthvs 30.04
09/06 Purchase authorized on 09/04 Dairy Queen #15104 Tucson AZ 12.79
S303339037729304 Card 8368
09/06 Money Transfer authorized on 09/04 Cash App*Timothy Gross 505.00
8774174551 CA S583339199868849 Card 8368
09/06 Money Transfer authorized on 09/04 Cash App*Timothy Gross 10.00
8774174551 CA S463339200127024 Card 8368
09/06 Money Transfer authorized on 09/04 Cash App*Timothy Gross 10.00
8774174551 CA S463339201025172 Card 8368
09/06 Purchase authorized on 09/05 McDonald's F23366 Tucson AZ 5.42
S463339758976534 Card 8368
09/06 Purchase authorized on 09/06 Wal-Mart #5799 Tucson AZ 6.00 277.77
P000000285363000 Card 8368
09/07 Purchase authorized on 09/05 El Guero 22ND St. 520-8079620 AZ 22.01 255.76
S303340026432342 Card 8368

Sheet Seq = 0092633

Sheet 00002 of 00004
September 26, 2024 Page 4 of 7

Transaction history (continued)

Check Deposits/ Withdrawals/ Ending daily

Date Number Description Additions Subtractions balance
09/08 Purchase Return authorized on 09/06 WM Supercenter #57 35.82
Tucson AZ S463340560418934 Card 8368
09/08 Danny Herman Tru Direct Dep 231208 925430189982Azo 461.06
Mehlman, Richard Alan
09/08 Purchase authorized on 09/06 2567 Great Clips A Tucson AZ 24.00
S383340585358403 Card 8368
09/08 Money Transfer authorized on 09/07 Cash App*Timothy Gross 100.00 628.64
8774174551 CA S583342139190870 Card 8368
09/11 Zelle From Nathan M Young on 09/11 Ref # Jpm99A6Ddkjn 40.00
09/11 Purchase authorized on 09/07 Tucson Airport Aut Tucson AZ 77.00
S383341606136350 Card 8368
09/11 Purchase authorized on 09/07 Jack IN The Box 11 Tucson AZ 9.53
S303341654974011 Card 8368
09/11 Purchase authorized on 09/08 McDonald's F12965 Tucson AZ 10.20
S303342563368608 Card 8368
09/11 Purchase authorized on 09/08 Chipotle 2118 Tucson AZ 19.84
S383342762472597 Card 8368
09/11 Purchase authorized on 09/08 3838 El Pollo Loco Tucson AZ 8.70
S583343101808196 Card 8368
09/11 Purchase authorized on 09/09 3838 El Pollo Loco Tucson AZ 5.44
S463344005893758 Card 8368
09/11 Purchase authorized on 09/10 Park Tucson Tucson AZ 0.50 537.43
S463344682014199 Card 8368
09/12 Doordash, Inc. Doordash, St-E1W9I9P8A0I4 Timothy Gross 122.40
09/12 Money Transfer authorized on 09/11 Cash App*Logan Hol 125.00 534.83
8774174551 CA S463345615903061 Card 8368
09/13 Edeposit IN Branch 09/11/24 04:23:32 Pm 5535 E 22ND St Tucson 56.24
AZ 8368
09/13 Purchase authorized on 09/11 3838 El Pollo Loco Tucson AZ 8.70
S583345765936872 Card 8368
09/13 Purchase authorized on 09/11 Fascinations 5 Tucson AZ 10.86 571.51
S583346021101512 Card 8368
09/13 Purchase authorized on 09/12 DD *Doordash Peiwe 18.14 553.37
WWW.Doordash. CA S583346800755253 Card 8368
09/15 Money Transfer authorized on 09/14 Cash App*Timothy Gross 60.00 493.37
8774174551 CA S303349049924351 Card 8368
09/18 Purchase authorized on 09/16 Taco Bell #031727 Tucson AZ 8.34 485.03
S383351002477112 Card 8368
09/19 Doordash, Inc. Doordash, St-S8N9O8W0O2Q3 Timothy Gross 34.75 519.78
09/20 Online Transfer From Gross T Way2Save Savings xxxxxx0683 2,000.00
Ref #Ib0Lpdyw23 on 09/20/24
09/20 Purchase authorized on 09/18 Tucson Airport Aut Tucson AZ 5.00
S383352570403891 Card 8368
09/20 Purchase authorized on 09/18 Tst* Nothing Bundt Tuscon AZ 24.00
S583352592940664 Card 8368
09/20 Purchase authorized on 09/18 Jack IN The Box 11 Tucson AZ 10.67 2,480.11
S463353109699512 Card 8368
09/21 Purchase authorized on 09/19 Taco Bell #031727 Tucson AZ 13.89 2,466.22
S303353767703076 Card 8368
09/22 Edeposit IN Branch 09/22/24 03:40:41 Pm 5535 E 22ND St Tucson 168.94
AZ 8368
09/22 Purchase authorized on 09/21 Brother S Noodles Tucson AZ 36.48 2,598.68
S583355843438355 Card 8368
September 26, 2024 Page 5 of 7

Transaction history (continued)

Check Deposits/ Withdrawals/ Ending daily

Date Number Description Additions Subtractions balance
09/26 Doordash, Inc. Doordash, St-F2U8P8I8E6L9 Timothy Gross 19.08
09/26 Purchase authorized on 09/24 DD Doordash Europe 33.07 2,584.69
855-973-1040 CA S303357793359494 Card 8368

Ending balance on 09/26 2,584.69

Totals $12,980.27 $13,117.96

The Ending Daily Balance does not reflect any pending withdrawals or holds on deposited funds that may have been outstanding on your account when your
transactions posted. If you had insufficient available funds when a transaction posted, fees may have been assessed.

Monthly service fee summary

For a complete list of fees and detailed account information, see the disclosures applicable to your account or talk to a banker. Go to nbtbank.com/feefaq for
a link to these documents, and answers to common monthly service fee questions.

Fee period 08/25/2024 - 09/26/2024 Standard monthly service fee $10.00 You paid $0.00

How to avoid the monthly service fee Minimum required This fee period
Have any ONE of the following each fee period
· Minimum daily balance $500.00 $255.76
· Total amount of qualifying electronic deposits $500.00 $637.29 ✓
· Age of primary account owner 17 - 24
· Account is linked to a NBT Bank Campus ATM Card or Campus Debit Card 1 0
RC/RC

IMPORTANT ACCOUNT INFORMATION

NEW YORK CITY CUSTOMERS ONLY -- Pursuant to New York City regulations, we request that you contact us at 1-800-NBT-BANK
(1-800-628-2265) to share your language preference.

Tax Season Reminder: NBT Bank delivers tax documents - either by mail or online depending on your delivery preference - no later
than January 31 or by the IRS deadline of February 15 for brokerage accounts. Depending on the U.S. Postal delivery service, you
should expect to receive your tax documents no later than the end of February. You can update your tax document delivery
®
preferences by visiting NBT Bank Online .

The Internal Revenue Service (IRS) requires NBT Bank to report information regarding the amount of interest, dividend or
miscellaneous income earned as well as gross proceeds from sales by providing you with various IRS Forms 1099 based on the different
types of transactions that occurred in your account during the calendar tax year. For example, if you have interest in the amount of $10
or more during that timeframe, you will receive a Form 1099-INT from NBT Bank.

For more information, visit NBT Bank Tax Center at https://www.nbtbank.com/tax-center/.

Other NBT Bank Benefits

Help take control of your finances with a NBT Bank personal loan.

Sheet Seq = 0092634

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September 26, 2024 Page 6 of 7

Whether it's managing debt, making a large purchase, improving your home, or paying for unexpected expenses, a personal loan may
be able to help. See personalized rates and payments in minutes with no impact to your credit score.
Get started at NBT Bank.com/personalloan.
September 26, 2024 Page 7 of 7

Worksheet to balance your account Important Information You Should Know

Follow the steps below to reconcile your statement balance with your To dispute or report inaccuracies in information we have furnished to a
account register balance. Be sure that your register shows any interest Consumer Reporting Agency about your accounts:
paid into your account and any service charges, automatic payments or NBT Bank, N.A. may furnish information about deposit accounts to
ATM transactions withdrawn from your account during this statement Early Warning Services. You have the right to dispute the accuracy of
period. information that we have furnished to a consumer reporting agency by
A Enter the ending balance on this statement. $ writing to us at Overdraft Collection and Recovery, P.O. Box 351,
Norwich, NY, 13815. Include with the dispute the following information as
B List outstanding deposits and other available: Full name (First, Middle, Last), Complete address, The account
credits to your account that do not appear on number or other information to identify the account being disputed, Last
this statement. Enter the total in the column four digits of your social security number, Date of Birth. Please describe the
to the right. specific information that is inaccurate or in dispute and the basis for the
dispute along with supporting documentation. If you believe the
Description Amount information furnished is the result of identity theft, please provide us with
an identity theft report.
If your account has a negative balance:
Please note that an account overdraft that is not resolved 60 days from the
date the account first became overdrawn will result in closure and charge
off of your account. In this event, it is important that you make
arrangements to redirect recurring deposits and payments to another
Total $ + $ account. The closure will be reported to Early Warning Services. We reserve
the right to close and/or charge-off your account at an earlier date, as
C Add A and B to calculate the subtotal. = $ permitted by law. The laws of some states require us to inform you that this
communication is an attempt to collect a debt and that any information
D List outstanding checks, withdrawals, and obtained will be used for that purpose.
other debits to your account that do not appear In case of errors or questions about your electronic transfers:
on this statement. Enter the total in the column Telephone us at the number printed on the front of this statement or write
to the right. us at NBT Bank, P.O. Box 351, Norwich, NY, 13815 as soon as
you can, if you think your statement or receipt is wrong or if you need more
Number/Description Amount information about a transfer on the statement or receipt. We must hear
from you no later than 60 days after we sent you the FIRST statement on
which the error or problem appeared.
1. Tell us your name and account number (if any).
2. Describe the error or the transfer you are unsure about, and explain as
clearly as you can why you believe it is an error or why you need more
information.
3. Tell us the dollar amount of the suspected error.
We will investigate your complaint and will correct any error promptly. If
we take more than 10 business days to do this, we will credit your account
for the amount you think is in error, so that you will have the use of the
money during the time it takes us to complete our investigation.
In case of errors or questions about other transactions (that are not
electronic transfers):
Promptly review your account statement within 30 days after we made it
available to you, and notify us of any errors.
To download and print an Account Balance Calculation Worksheet (PDF) to
help you balance your checking or savings account, enter
www.nbtbank.com/balancemyaccount in your browser on either your
computer or mobile device.

Total $ - $

E Subtract D from C to calculate the

adjusted ending balance. This amount should be
the same as the current balance shown in your
register. = $ ©2024 NBT Bank, N.A. All rights reserved.Member FDIC.NMLSR ID 399801

Sheet Seq = 0092635

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