Final Notice Of Merger Or Consolidation Out Page 4

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OCC CERTIFICATION
I certify that the bank’s board of directors, shareholders or a designated official has
authorized the filing of this notice. I certify that the information contained in this notice has
been examined carefully and is true, correct, complete and current as of the date of this
submission.
I acknowledge that any misrepresentation or omission of a material fact with respect to this
notice, any attachments to it, and any other documents or information provided in connection
with this notice may be grounds for the OCC to require cessation of the proposed activity, and
may subject the undersigned to legal sanctions, including the criminal sanctions provided for in
Title 18 of the United States Code.
I acknowledge that the activities and communications by OCC employees in connection with the
filing do not constitute a contract, express or implied, or any other obligation binding upon the
OCC, the United States, any agency or entity of the United States, or any officer or employee of
the United States, and do not affect the ability of the OCC to exercise its supervisory, regulatory
and examination authorities under applicable law and regulations. I further acknowledge that the
foregoing may not be waived or modified by any employee or agent of the OCC or the United
States.
_______________________________________
President or other authorized officer
_______________________________________
Typed name
_______________________________________
Title
_______________________________________
Employer
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