INTERIM BANK CHARTER APPLICATION
Any individual or entity desiring confidential treatment of specific portions of the application shall specifically identify the information for which they request confidentiality, separately bind it, and label it "Confidential." The individual or entity shall follow the same procedure for a request for confidential treatment for the subsequent filing of supplemental information to the application. Inquiries concerning the preparation and filing of this or any other application with the department should be directed to the Montana Division of Banking and Financial Institutions, P.O. Box 200546, Helena, MT 59620-0546.
We, the undersigned Board of Directors of the proposed interim bank, do solemnly swear or affirm that the statement and representations made herein are true and correct to the best of our knowledge and belief, and that the personal data and financial statements submitted with this application are true and correct and that this application is made in good faith, with the purpose and intent that the affairs and business of the proposed interim bank shall be honestly conducted upon good and sound business principles.
NAME | ADDRESS | DATE |
State of _____________________________________
County of _____________________________________
Signed and sworn to before me this _______day of __________________,
By _____________________________________
______________________________________
Notary Public for the State of Montana
_________________________________
Printed Name
Residing at _____________________, Montana
My commission expires ___________________
EXHIBITS
In order for the interim bank application to be considered complete, the following exhibits must be furnished:
If the proposed principal shareholders, directors, and executive officers are not currently serving as principal shareholders, directors, or executive officers of an insured depository institution, attach an Interagency Biographical and Financial Report for each person not currently so serving. The Interagency Biographical and Financial Report is available at the Division of Banking and Financial Institutions, P.O. Box 200546, Helena, Montana 59620-0546, or on the division web site located at www.banking.mt.gov [File Link Not Available].
Mont. Admin. r. 2.60.903
32-1-218, MCA; IMP, 32-1-109, 32-1-218, MCA;