FORM 12F.26 PLAIN LANGUAGE SIGNATURE CARD AND

FORM 12F.26 PLAIN LANGUAGE SIGNATURE CARD AND AUTHORIZATION FOR CORPORATE TRUST
AND PROFIT-SHARING ACCOUNTS—DESIGNATED NUMBER OF SIGNATURES REQUIRED FOR
WITHDRAWAL
Comment: The statement in the form where the depositor “agrees to be bound by the conditions and to the bylaws and regulations of the Bank and any amendments and additions” may be eliminated provided an individual
bank’s by laws do not make it a requirement. [Conditions of account omitted.]
SIGNATURE CARD AND AUTHORIZATION FORM FOR CORPORATE
TRUST ACCOUNTS AND PROFIT SHARING ACCOUNTS
No._______________________________________________
TITLE AND ADDRESS OF CORPORATE FUND:
Date ____________________________________________
AMOUNT OF CORPORATE FUND:
$_______________________________________________
____________________________________________________________________________________________________
SIGNATURES REQUIRED TO WITHDRAW FUNDS:____________________________________________________
TRUSTEES’ AGREEMENT WITH BANK: We agree to be bound by the conditions printed on the reverse side of this
card and to the by-laws and regulations of the Bank and any amendments and additions to them.
____________________________________________________________________________________________________
AUTHORIZED OR QUALIFIED TRUSTEES’ SIGNATURES:
NAME
SOCIAL SECURITY NUMBER
Kindly Complete Reverse Side