Shareholders' Waiver of Notice of Shareholders' Meeting

Shareholders’ Waiver of Notice of Shareholders’ Meeting and
Written Consent of Business Combination
We, the undersigned shareholder(s) of __________________, do hereby waive the
requirement of notice of the shareholder meeting called to consider a merger
(consolidation) of the bank with _________________. Additionally, we approve and
consent to the merger (consolidation).
______________________________
(Name of Shareholder)
By_________________________
Title________________________

______________________________
(Signature)