Notification of Change in Corporate Title

Notification of Change of Corporate Title
Notice ID:
National Bank Identifying Information
Charter No:
Name of Bank:
Street Address:
City:
State:
ZIP:
Supervisory District:
Title Information
Current Corporate Title
New Corporate Title
Effective Date of
Change
[If different than the new full corporate title: The name the bank will use in advertising
and/or signage is ""]
Most national banks have their titles specified in their Articles of Association. If applicable,
do you certify that a majority of the voting shares approved amending the Articles of
Association and that the Amendment was drafted in accordance with the requirements of
12 USC 21a.
__ Yes
__ No
__ Not Applicable
Signature
Signature of Authorized Officer:
Typed Name:
Title:
Name of Bank:
Date:
BankNet Security verified that was a valid signer for as of .