[Financial Institution Letterhead]
Date
Customer Contact Center
P.O. Box 219416
Kansas City, MO 64121-9416
Re: Appointment of Agent Firm for Electronic Applications (E-Apps)® Filings
To Whom It May Concern:
On behalf of __________________________________________ (financial institution legal name), I hereby designate _______________________________________ (agent firm legal name) as a third-party agent firm, and authorize the use of E-Apps to submit regulatory filings on behalf of our organization. I certify that I am an E-Apps Authorizer for the above-named financial institution.
If you have questions regarding any of the information provided, please feel free to contact me at ________________________ (phone number) or ___________________ (e-mail address).
Very truly yours,
______________________________________ ___________________
Signature of E-Apps Authorizer (Date)
_________________________________________________________________
(Print Name and Title)
***********************************************************************************
State of _______________________________)
County of _____________________________)
Subscribed and sworn to before me on ________________________, 20____,
(Date of Signature)
by ____________________________________________________________.
(Certifying Official’s Printed Name)
_______________________________________________________________
Notary Public
(Notary Seal)