Appointment of Agent

Appointment of Agent

A copy of the corporate resolution should also be attached.

“I, , Secretary for (insert title), consent and submit to the personal jurisdiction of any federal court of competent jurisdiction and/or any federal banking authority for any investigation or possible investigation, action, subpoena, examination, or proceedings by any federal depository authority or the United States Department of Justice relating to the administration or enforcement of any banking law or pursuant to any banking law, including, in particular, Section 8 of the Federal Deposit Insurance Act (FDIA).

The company designates (insert name), subject to approval of the appropriate federal depository regulatory agency, to accept service on my behalf, including service of any process, notice, order, or subpoena.

My designated agent’s address is (insert) and (his or her) business telephone number is (insert number). My designated agent is authorized to accept such service. The company will not change this designation without notice to and consent of the appropriate federal depository regulatory agency.”

Signature

Name and Position (type or print clearly)

Attachment