Clf-8700 National Credit Union Administration Central Liquidity F

OMB Control #: 3133-0155 Expiration Date: 4/30/2007

PART A - GENERAL INFORMATION

Items 1 thru 10 are designed for computer data entry. Please do not use more than the allotted number of characters. (The number in parenthesis after each

title block of each item is the total number of allowed characters including spaces for that item.)

1.		4.
	Credit Union Name (35)		Charter/Insurance Certificate Number (5)
2.		5.
	Street Address (35)		Contact Person (30)
3.		6.
	City (20) State (2) Zip Code (5)		Telephone Number (10)

8.

Insurance Status:

a.

¨ Federally Insured

b.

¨ State Program

c.

¨ Uninsured

9.
	Name of Share Insurance Program		NCUA Use Only

10. Local Depository Information
a.		d.
	Depository Name (35)		ABA Routing Number (9)
b.		e.
	Street Address (35)		Account Number (15)
c.
	City (20) State (2) Zip Code (5)

11. Computation of six month arithmetic average of paid-in and unimpaired capital and surplus of member credit unions shall be accomplished by the Facility using the method described in the instructions. The Facility will inform the applicant of its required stock subscription at the time the applicant is approved as an Agent member.

PART B - TYPE OF MEMBERSHIP DESIRED

• Direct Agent Membership

1. The above name corporate credit union hereby applies for direct Agent membership in the NCUA Central Liquidity Facility )the “Facility”).

2. We hereby subscribe to capital stock in an amount equal to one-half of one percent of the paid-in and unimpaired capital and surplus of all natural person credit unions which are members of this corporate credit union and are not Regular members of the Facility. The amount of this capital stock subscription is based upon an arithmetic average of the paid-in and unimpaired capital and surplus over the six months preceding the date of this application. Upon approval of this application, we will remit to the Facility funds equal to one-half of this initial stock subscription.

• Agent Group Membership

(1) The above name corporate credit union hereby applies for Agent membership in the Facility. As part of the below listed corporate credit union group:

Corporate Credit Union Group Name

(2) We hereby subscribe to capital stock in an amount equal to one-half of one percent of the paid-in and unimpaired capital and surplus of all natural person credit unions which are members of this corporate credit union and are not Regular members of the Facility. The amount of this capital stock subscription is based upon an arithmetic average of the paid-in and unimpaired capital and surplus over the six months preceding the date of this application. Upon approval of this application, we will remit to the Facility funds equal to one-half of this initial stock subscription.

Agent Group Representative Name

3. We have informed the above name Agent Group Representative of our intent to seek Agent membership as part of it and have furnished the group with a listing of all the natural person credit unions that are members of this corporate credit union.

4. We hereby subscribe to capital stock of the Facility in an amount equal to one-half of one percent of the paid-in and unimpaired capital and surplus of all natural person credit unions which are members of a corporate credit union belonging to the corporate credit union group and are not Regular members of the Facility or have access to the Facility through another Agent member. The amount of this capital stock subscription is based upon an arithmetic average of the paid-in and unimpaired capital and surplus over the six months preceding the date of this application. Upon approval of this application funds equal to one-half of this initial stock subscription shall be forwarded to the Facility by the agent group representative.

PART C - AGENT MEMBERSHIP AGREEMENTS AND SUPPORTING DOCUMENTS

1. The above named corporate credit union hereby applies for Agent membership in the Central Liquidity Facility (the “Facility”) as provided in Title III of the Federal Credit Union Act, and in consideration of the granting of Agent membership hereby agrees:

1. To comply with the requirements of Title III of the Federal Credit Union Act and any regulations and reporting requirements which are prescribed for Agent members by the NCUA Board pursuant thereto.

2. To permit such examinations as in the judgment of the NCUA Board may from time to time be deemed necessary.

3. To permit the NCUA Board or its designee to have access to any information or report with respect to any examination made by or for any public regulatory authority, including any commission, board, or authority having supervisory responsibility over this corporate credit union, and furnish such additional information with respect thereto as the NCUA Board may require.

4. To permit the NCUA Board or its designee to have access to all records and information concerning the affairs of this corporate credit union related to Facility activity and to furnish such information pertinent thereto that the Board may require.

5. To cause to be made, on an annual basis, a third party independent audit of corporate credit union’s books and records and provide the Facility with copies of such audit, if requested.

6. To maintain records related to Facility activity in conformance with requirements prescribed by the NCUA Board from time to time.

7. To hold in confidence all information furnished by the Facility and to disclose such information only when and to the extent authorized by the Facility.

8. To hold in confidence all information furnished to the corporate credit union or credit union group in its role as an Agent of the Facility by any state regulatory authority or share insurance agent and to disclose such information only when and to the extent authorized by the Facility.

2. The following required supporting documents are attached.

a. Copies of our financial and statistical reports for the most recent month-end, including but not limited to:

1. Balance Sheet (The number and dollar amount of shares and loans to member credit unions must be disclosed separately from the number and dollar amounts of shares and loans to natural person credit unions.)

2. Statement of Income and Expense

3. Delinquent loan report showing the number and dollar amount of delinquent loans by delinquent categories (2 months to less than 6 months, 6 months to less than 12 months, 12 months and over, or such other categories as may be required by the state regulatory authority.)

2. A listing of all those natural person credit unions that are members of this corporate credit union (or in the case of a credit union group, members of a corporate credit union belonging to the group), the charter/insurance number, the name and address of the natural person credit union.

3. A copy of our credit union's charter and bylaws (not required for Federal credit unions).

PART D - CERTIFICATIONS AND RESOLUTIONS

We, the undersigned, certify to the correctness of the information submitted. In support of this application we submit the Schedules described below:

Schedule No.

Title

(Signature) Chief Elected Official

(Print or Type Officers Name)

(Signature) Treasurer

(Print or Type Treasure's Name)

CERTIFICATIONS AND RESOLUTIONS

(Corporate Name of Credit Union)

(City) (State)

We certify that we are the duly elected and qualified president (chief elected official) and secretary of said credit union and that at a properly called regular or special meeting of its board of directors, at which a quorum was present, the following resolutions were passed and recorded in its minutes:

"Be it resolved that this credit union apply for Agent membership in the National Credit Union

Central Liquidity Facility as provided in Title III of the Federal Credit Union Act."

"Be it further resolved that the president (chief elected official) and treasurer be authorized and

directed to execute the APPLICATION AND AGREEMENTS FOR AGENT MEMBERSHIP

IN THE NCUA CENTRAL LIQUIDITY FACILITY and any other papers and documents

required in connection therewith and to pay all expenses and do all such things necessary or

proper to secure and continue such membership."

"Be it further resolved that the president/chairman or vice president/vice chairman and treasurer

or assistant treasurer (or their successors as authorized by resolution) are authorized to execute

notes and applications for advances from the National Credit Union Central Liquidity Facility

in such amounts as may be authorized from time to time by the board of directors of this credit union."

(Signature) Chief Elected Official

(Print or Type Officers Name)

(Signature) Secretary, Board of Directors

(Print or Type Secretary's Name)

CLF-8700

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