Form FS Form 5902 FS Form 5902 COLLATERAL SECURITY RESOLUTION

OMB NO. 1530-0017

This Section for Official Use Only
Date (YYYY/MM/DD)_______ /____ /____
Financial Institution Name: _________________________________________
RTN:________________________________ 5902 ID: ____________________________

COLLATERAL SECURITY RESOLUTION
This is to certify, that at a meeting of the Board of Directors, Governing Body, or Loan Committee of
__________________________________________________________________________________________________________
(Name of financial institution)

held on _____ /____ /______, the following resolution was duly adopted:
(mm/dd/yyyy)

1. “Resolved, that the President, or any Vice President, or Cashier, of this financial institution is hereby authorized to
execute on behalf of this financial institution the ‘Collateral Pledge and Security Agreement’ (Agreement) between this
financial institution and the U.S. Department of the Treasury (Treasury), such execution to be under seal with the attestation
of an officer of this financial institution other than an officer executing the Agreement.”
2. “Resolved further, that any of such officers of this financial institution is authorized to execute in similar form on
behalf of this financial institution such agreements to supplement, amend, or modify the terms of the Agreement as may
from time to time be requested or approved by the Treasury or by a Federal Reserve Bank acting as Treasury’s fiscal agent.”
3. “Resolved further, that the ___________________________________________________________________________
(Designate one or more officers, as desired, by title)

___________________________________________________________________________________________________________

of this financial institution, and each of them severally, are hereby authorized and directed, from time to time, to deposit
collateral security at a place designated by the Treasury, or any Federal Reserve Bank acting as Treasury’s fiscal agent, in such
amounts, of such classes, and at such times as Treasury may require, pursuant to the terms and conditions of the Agreement
referred to above, to be held for the purposes set forth in, and subject to all the terms and conditions of such Agreement,
and that said officers are further authorized to withdraw any or all of the collateral so deposited, subject to prior approval of
Treasury or any Federal Reserve Bank acting as its fiscal agent, and further, to make substitutions and exchanges in the said
collateral at such times as they may deem necessary, subject to prior approval of Treasury or any Federal Reserve Bank
acting as its fiscal agent.”
The undersigned further certifies that said resolution is now in full force and effect without modification or rescission.
____________________________________
*Signature of Certifying Officer
____________________________________
*Name of Certifying Officer
____________________________________
*Title of Certifying Officer
*The officer certifying this resolution must have authority to do so and must not be designated under numbered paragraph 3 above.

FS Form 5902

Department of the Treasury | Bureau of the Fiscal Service

Revised May 2015
Previous editions of FMS Form 5902 are obsolete

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26106-1328.

FS Form 5902

Department of the Treasury | Bureau of the Fiscal Service

Revised May 2015
Previous editions of FMS Form 5902 are obsolete