To the Director of the Department of Financial Institutions:

We, the undersigned, as proposed incorporators and subscribing shareholders, being natural persons and citizens of the United States of America, make application for permission to organize a    (state bank or trust company)    under the title of . . . . . . to be located in . . . . . . , County of . . . . . . . , State of Washington, with capital stock of

$ . . . . . , surplus of $ . . . . . , and undivided profits of $ . . . . .

We submit herewith the proposed articles of incorporation for examination together with all such data, information, schedules, maps and supporting documentation specified by statute and regulations as necessary and required to conduct the statutory investigation.

We enclose Cashier's Check for $2,000 to apply upon the statutory cost of investigation. If the cost of the investigation to be made exceeds $2,000, we agree to pay such excess in accordance with WAC 208-512-040.

We designate . . . . . . . . , whose address is . . . . . . . . , as correspondent of records to receive all instructions and correspondence in connection with this application.

subscribed at . . . . . . . . , Washington, this . . . . day of . . . . . . . . , 19 . . .