Financial Subsidiary Certification (Subsequent Notice)

Financial Subsidiary Certification (Subsequent Notice)

Date

Licensing Manager, District

Comptroller of the Currency

Address

City, State, ZIP Code

Re: Notice of Financial Subsidiary Certification for (insert name of bank), Bank Charter Number

Dear Licensing Manager:

(Insert name and location of bank), hereby files its “Financial Subsidiary Certification” pursuant to 12 CFR 5.39(b)(I)(1).

In accordance with these provisions, (insert name and address of bank) certifies that (insert name of bank) and each of its depository institution affiliates (insert or provide list of names and addresses of depository institution affiliates) is well capitalized and well managed, as defined by 12 CFR 5.39(d)(11) and (12), respectively.

I certify that the information contained in this filing has been examined carefully by me and is true, correct, and complete, and is current as of the date of this submission. I acknowledge that any misrepresentation or omission of a material fact may subject me to legal sanctions provided by 18 USC 1001.

If you have any questions, contact (name, address, city, state, ZIP Code) at (telephone number).

Sincerely,

—Signature—

Name and Title