Bank Branch Opening Request

BANK BRANCH OPENING REQUEST

Applicant Bank:     Approving Authority:

RECITALS

WHEREAS, Applicant Bank seeks authorization from Approving Authority to establish and operate a new banking branch at the location identified below for the purpose of providing banking services to the public and commercial customers; and

WHEREAS, Applicant Bank certifies that it will comply with all applicable statutes, regulations and applicable supervisory requirements and will implement the operational, compliance and security measures described in this request; and

WHEREAS, Approving Authority will consider this request subject to review, site inspection, and any conditions of approval specified by Approving Authority in writing.

BRANCH DETAILS

Retail Banking    Commercial Banking    ATM Only (No Teller)    Private Banking

Wealth Management    Loan Origination    Safe Deposit Boxes    Online Banking Support

Owned by Applicant    Leased    Other

SCOPE OF WORK

PAYMENT TERMS

Applicant shall pay the non-refundable application review fee and any additional fees assessed by Approving Authority as consideration for processing this request. Failure to timely remit required fees may result in administrative delay or denial.

TERM AND TERMINATION

This Request is effective upon receipt by Approving Authority and remains in effect for the period necessary to complete review and, if approved, to effect branch opening, unless earlier terminated as set forth below.

CONFIDENTIALITY

All non-public information submitted in connection with this Request is submitted for the limited purpose of regulatory review. Approving Authority will maintain confidentiality to the extent permitted by law. Applicant acknowledges that certain information may be subject to disclosure under applicable law and that Approving Authority may require redaction of material where necessary to protect legally privileged or confidential information.

GOVERNING LAW

This Request and any approval or conditions issued in connection herewith shall be governed by and construed in accordance with the laws of:

ENTIRE AGREEMENT

This Request, including any attachments and other documents expressly incorporated herein, constitutes the entire understanding between Applicant Bank and Approving Authority regarding the subject matter herein and supersedes all prior communications, representations and agreements, whether written or oral, related to this Request.

CERTIFICATIONS AND REPRESENTATIONS

Applicant certifies that the information contained in this Request is true, correct and complete to the best of its knowledge. Applicant agrees to promptly notify Approving Authority of any material changes to the information provided. Applicant acknowledges that submission of incorrect or misleading information may result in denial of the Request or revocation of any approval granted.

Applicant has implemented policies and controls reasonably designed to ensure compliance with applicable anti-money laundering, consumer protection, data security, and privacy laws, and will provide evidence of such policies upon request.

Applicant hereby authorizes Approving Authority to conduct such inquiries, verifications and inspections as Approving Authority deems necessary to evaluate this Request.

Applicant Certification: I certify that the foregoing statements are true and complete and that I am authorized to submit this Request on behalf of Applicant Bank.

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