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                                APPLICATION FOR BRANCH BANK 
                                      submitted to the 
                              ARKANSAS STATE BANK DEPARTMENT 
 
                                           By 
 
Corporate Title of Applicant                                                             Charter Number 
 
Street Address                                                                                                     
 
City                          County                         State                          Zip Code 
 
                                (hereinafter referred to as "Applicant") 
 
hereby applies to the State Bank Commissioner for written consent for the establishment and maintenance 
of a full service branch bank to be operated at the following location: 
 
Street Address 
 
City                          County                         State                          Zip Code 
 
Will a temporary facility be utilized until the permanent facility is completed? 
 Yes             No      
 
Will this branch location be operated under a different trade name than the corporate title of Applicant? 
 Yes             No      
 
If the answer is Yes, please provide the proposed trade name of the branch and complete the enclosed 
Application for Fictitious Name.  Please remain aware of the Interagency Statement on Branch Names, 
dated May 1, 1998, which details federal guidelines for depository institutions operating branches under 
different trade names. 
 
Name, title, address, and telephone number of person(s) to whom inquiries concerning this application 
may be directed: 
 
I hereby certify that the bank's board of directors has authorized the filing of this application and that to the 
best of my knowledge, it contains no misrepresentations or omissions of material facts. 
 
Signature of Authorized Officer                                         Date of Application 
 
Typed Name                           Title                              Telephone Number 
                                            
Branch Application – Standard              1                                                10/21

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                                          AUTHORITY 
 
A bank may establish one or more "full service branch" banks pursuant to the provisions of A.C.A. § 23-
48-703 and Arkansas State Bank Department Rules § 48-703.1. 
 
                                          FICTITIOUS NAME 
 
Pursuant to A.C.A. § 23-48-309 – Names of state banks and subsidiary trust companies; “No state bank or 
subsidiary trust company shall conduct any business in this state under a fictitious name unless it first files 
with  the Commissioner a form supplied or approved by  the Commissioner giving  the following 
information: 
 
 a) the fictitious name under which business is being or will be conducted by the applicant 
    corporation; 
     
 b) a brief statement of the character of business to be conducted under the fictitious name; and 
     
 c) the corporate name, state of incorporation, and location (address, city, county and state) of 
    the registered office in the state of the applicant corporation.” 
 
If it is Applicant’s intention to use a fictitious name, a separate “Application for Fictitious Name” must be 
completed. 
 
See Attachment – Application for Fictitious Name 
 
                                          PROCEDURES 
 
An application received by the State Bank Department (hereinafter "Department") will be reviewed 
for legality and receipt of all requested documentation prior to filing.  Applicant will be notified in 
writing of the filing of the application. 
 
In accordance with Arkansas State Bank Department Rule § 48-703.1: 
 
An Applicant desiring to establish a new branch bank that does not meet the guidelines as defined in 
Arkansas State Bank Department Rules § 48-701, must file a standard branch application. 
 
Fee:  Applicant shall submit to the Department a non-refundable filing fee of $500 for the establishment of 
a new branch office. 
 
Notice Published by Applicant: Notice of intent to file an application must appear in a newspaper of 
statewide circulation one (1) time per week for four (4) consecutive weeks prior to filing the application 
with the Commissioner.  The application may not be filed with the Commissioner less than thirty (30) days 
from  the date of the first publication, and not later than twenty (20)  days after the fourth and final 
publication.  A proof of publication must be submitted to the Commissioner. 
 
Temporary location  –  If a temporary  location is going  to  be utilized  until the permanent facility is 
completed, and the address is not the same as the permanent site, this information must also be included in 
the publication.  The address of the temporary location should be included in the publication. 
 
Federal publication requirements for a branch application provide that the notice shall be published once in 
a newspaper of general circulation in the community or communities in which the home office and the 
proposed branch are located.  Evidence of notice must accompany the application to the federal agency.  
The application should be submitted to the appropriate federal agency within time frames established by 
the agency. 
 
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Notice by Commissioner: In accordance with § 48-703.1(d), the Commissioner shall give notice of the
application to Arkansas state-chartered banks with a bank or a full service branch currently open and
operating within the market area of the proposed new branch.

In accordance with Arkansas State Bank Department Rule § 48-703.3:

Protest: A written protest to a full-service branch application may be filed with the Commissioner within
fifteen (15) days of the filing of the application. The protest shall be filed in accordance with A.C.A. § 23-
48-703(e).

Written Decision: Pursuant to A.C.A. § 23-48-703(g)(2), the Bank Commissioner's decision on a branch
bank application will be in the form of an order consisting of findings of fact and conclusions of law given
by the Commissioner within a reasonable time period following the expiration of the fifteen (15)
calendar day formal protest period.

Appeal of Decision: Pursuant to A.C.A. § 23-48-703(h), within thirty (30) days after the Commissioner
issues an order accepting or rejecting a full-service branch application, an Applicant or a party that filed a
protest to the full-service branch application may appeal the Commissioner’s order to the circuit court of
the county where the full-service branch will be established.

State Historic Preservation Information: For your benefit, the “Request for Cultural Resource
Assessment” form is included with this application. The form is not used by the Arkansas State Bank
Department, FDIC or Federal Reserve to process this application. However, the Arkansas State Historic
Preservation Officer may require the information included on the form to support a Section 106 review in
accordance with the National Historic Preservation Act. Please contact the Arkansas Historic Preservation
Program Section 106 manager at 501-324-9880 if you have any questions.

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SUPPORTING INFORMATION/DOCUMENTATION

Applicant must submit the following information and/or documentation in support of the application to
establish a full service branch. The Bank Department may also request, on a case-by-case basis, any
additional information as needed to process an application. Please number responses to correspond with
the following:

1) Submit an original or a certified copy, of a Board Resolution or minutes of the meeting of the Board
at which a motion was passed authorizing establishment of the proposed branch. The document
must have the bank’s corporate seal. The Board Resolution must specify an authorized expenditure
amount, which includes all fixed asset expenditures associated with establishment of the branch
office.

See Attachment - Resolution of the Board of Directors

2) Arkansas Bank Department Rules require publication in a newspaper of statewide circulation.
Notice of intent to file an application must appear in a newspaper of statewide circulation one (1)
time per week for four (4) consecutive weeks prior to filing the application with the Commissioner.
A proof of publication must be submitted to the Commissioner.

Federal publication requirements are addressed within the procedures section of this application. A
sample legal notice is attached.

See Attachment - Legal Notices

3) Provide a brief legal description of any property to be acquired, a physical description of any
structures to be acquired or constructed, and an itemized schedule of costs. Submit a copy of any
option-to-purchase agreement executed by the bank or its representative and a copy of the proposed
contract or estimate of costs to be incurred with the establishment of the proposed branch. If the
property already has been acquired, note the date of Commissioner Approval.

See Attachment - Fixed Asset Expenditure Worksheet

4) Provide a copy of the proposed lease(s) of any property or assets associated with establishment of the
proposed branch and any proposed temporary branch.

5) Discuss details concerning any involvement, directly or indirectly, by an insider (executive officers,
directors, or shareholders who directly or indirectly control five (5) percent or more of any class of
outstanding voting stock) of the bank or bank holding company (if applicable) or their immediate
family or related interests. Provide the following information regarding any financial arrangements
relating to fees, the acquisition of property, leasing of property, and construction contracts:

a) name of individual or related interest and relationship to Applicant; and
b) information to reflect that terms and conditions are not more favorable, for seller/lessor,
than would be available in a comparable transaction with an unrelated party (information
should include the fair market value or appraised value of any property, building,
fixtures, equipment, etc., to be acquired and comparative sales information). The
appraisal or evaluation submitted must be prepared by an independent party.

6) Address the following:

a) discuss why management proposes to establish the branch office; and
b) discuss how the proposed office complies with Applicant’s written strategic plan.

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7)  Provide the following:  
 
    a)    the date of the most recent Compliance/CRA examination 
    b)    identify the federal or state regulatory agency that performed the examination  
    c)    the CRA rating assigned; and 
    d)    a  copy of the  response letters and correspondence addressing corrective measures 
          implemented for institutions receiving a  less than “Satisfactory” rating. No additional 
          information is required for institutions receiving a “Satisfactory” or “Outstanding” CRA 
          rating.  
 
8)  Comment on any changes in services to be offered, the community to be served, or any other effect 
    the proposal may have on compliance with the Community Reinvestment Act. 
 
9)  Submit the following information: 
 
    a)    a projected budget and pro forma balance sheet of the bank for a three-year period from 
          the date the proposed branch is to be placed into operation 
    b)    a separate budget, income and expense categories listed separately, for the branch office 
          for a three-year period 
    c)    interest rate assumptions.  Also, identify the number of employees required to operate the 
          branch office and the positions to be maintained 
    d)    schedule of loans and deposits for the proposed branch for each of the three years.  Note 
          the amount of existing loans and deposits included in the projections; and 
    e)    the projected break-even point (deposit level).  If additional capital is anticipated, submit 
          the proposed capital plan. 
 
10) Discuss the impact of the proposed branch on the human environment, specifically, information on 
    compliance with local zoning laws, rules and regulations and the effect on traffic patterns. 
 
11) State the anticipated date the proposed branch would be open for business. 
 
12) Complete the attached Standard Branch Application worksheet. 
 
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                              APPLICATION FOR BRANCH BANK 
                                          submitted to the 
                              ARKANSAS STATE BANK DEPARTMENT  
                              STANDARD FILING WORKSHEET 
                                                 
Name of Bank:                                                                                     
 
Home office location:                                                                             
                              (address, city, county, state, zip) 
 
Name and title of person completing worksheet:                                                    
 
CAPITAL (as of the most recent month-end): 
 
 Perpetual Preferred Stock and Related Surplus:  1.                
 Common Stock:                                   2.                
 Surplus:                                        3.                
 Retained Earnings:                              4.                
 Accumulated Other Comprehensive Income:         5.                
 Other Equity Capital Components:                6.                 

 TOTAL EQUITY CAPITAL (sum of 1- 6)                                
 
 Allowance for Loan and Lease Losses:                              
 
 Intangible Assets: 
 Goodwill:                                                         
 Other Intangible Assets:                                          
 
PREMISES and FIXED ASSETS: 
 
Current total premises and fixed assets $                   (as of most recent month-end, include 
the amount of all projects outstanding and in process, previously approved by the Commissioner). 
 
Complete Fixed Asset Expenditure Worksheet - See Attached  

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                    RESOLUTION                OF THE BOARD OF DIRECTORS 
 
The Board of Directors of the Applicant Bank at a meeting duly called and held on                                           
                                                                                                             (Date) 
adopted the following Resolution:                                                                                  
 
WHEREAS, it is the sense of this meeting that application should be made on behalf of this bank to the  
 
State Bank Commissioner and to the                                                                                          
                                              (Federal Deposit Insurance Corporation/Federal Reserve) 
for written consent to establish a branch at 
                                                                                                                           
Street    Address                                                                                                          
                                                                                                                            
City      or Town                             County                                   State          Zip 
 
in accordance with provisions of State and Federal laws and banking rules and regulations 
 
NOW, THEREFORE,  IT IS RESOLVED,  that the President  or Vice President  and the  Cashier or  
 
Secretary of this bank are hereby authorized and directed to make application on behalf of this bank to the  
 
State Bank Commissioner and to the                                                                                         
                                                     (Federal Deposit Insurance Corporation/Federal Reserve) 
to establish a branch as indicated and to submit in connection therewith information on several factors 

enumerated in State and Federal statutes and to provide such assurances as may be required for the purpose 

of inducing the State Bank Commissioner and the Board of Directors of the                                                   
                                                                                                                            
                               (Federal Deposit Insurance Corporation/Federal Reserve) 
to grant written consent to the establishment of a branch.  The Board of Directors of the Applicant Bank 

hereby authorizes expenditures up to $                 for the establishment of the proposed office.  

Additional expenditures  above the approved amount must have  the prior approval of the Board of 

Directors. 

The above Resolution has not been rescinded or modified and has been duly entered in the minutes book 

of the Applicant Bank.  Application is made, hereby, 

Name and Location of Applicant Bank 
  
Signature of CEO, President or Vice President                                                 Date 
  
(Secretary)                                                                                   Date 
 
             Seal 
 
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                                    LEGAL NOTICE 
                               (for the Arkansas State Bank Department) 
 
 Notice is hereby given  that  (name and location of applicant)  intends to make  application to the 
 Arkansas State Bank Department for (subject matter of application, including the address, city, county, 
 and state). 
  
 Any person desiring to comment on this application to the Arkansas State Bank Department may do so 
 by filing his or her comments in writing to  the State Bank Commissioner at  the office of the 
 department, 1 Commerce Way, Suite 401, Little Rock, Arkansas 72202.  Written comments, including 
 any formal protests, concerning this application must be received in the Arkansas State Bank 
 Department no later than fifteen (15) days following the date of the actual filing of the application. 
  
 This notice is published pursuant to The Arkansas Banking Code of 1997, as amended. 
  
                                    LEGAL NOTICE 
                                    (for non-member banks) 
  
 Notice is hereby given that   (name and location of applicant) intends to make application to the Federal 
 Deposit Insurance Corporation and the Arkansas State Bank Department for (subject matter of application, 
 including the address, city, county, and state). 
  
 Any person wishing  to  comment on this application may  submit  his or  her comments  to  the Federal 
 Deposit Insurance Corporation  (FDIC) at         https://cra.fdic.gov   Alternatively, persons  may submit 
 comments in writing at 600 North Pearl Street, Suite 700, Dallas, Texas 75201, not later than (insert the 
 date fifteen (15) days after the publication date).  The non-confidential portions of the application are on 
 file at the Dallas  Area Regional  Office and are available for public inspection during regular business 
 hours.  Photocopies of the non-confidential portions of the application file will be made available upon 
 request. 
  
 Any person desiring to comment on this application to the Arkansas State Bank Department may do so by 
 filing his or her comments in writing to the State Bank Commissioner at the office of the department, 1 
 Commerce Way, Suite  401,  Little Rock, Arkansas 72202.  Written comments,  including any formal 
 protests, concerning this application must be received in the Arkansas State Bank Department no later than 
 fifteen (15) days following the date of actual filing of the application. 
  
 This  notice is published pursuant  to Part 303.7 of  the Rules and Regulations of the Federal Deposit 
 Insurance Corporation and The Arkansas Banking Code of 1997, as amended. 
  
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                                           LEGAL NOTICE 
                                 (for Federal Reserve member banks) 
 
NOTE:  Federal  Reserve member  banks are  required to  publish separate  legal notices for the 
     Federal Reserve and the State Bank Department 
 
 (Name of Bank, City, State) intends to apply to the Federal Reserve Board for permission to (establish 
a branch at Street Address, City State).  The Federal Reserve considers a number of factors in deciding 
whether to approve the application, including the record of performance of the applicant bank in 
helping to meet local credit needs. 
 
1
 You are invited to submit comments in writing on this application to the Federal Reserve Bank of St. 
Louis, P.O. Box 442, St. Louis, Missouri 63166-0442.  Comments can also be submitted electronically 
at comments.applications@stls.frb.org.  The comment period will not end before (date-must be no less 
than fifteen (15) days from date of notice).  The Board’s procedures for processing applications may be 
found at 12 C.F.R. Part 262.  Procedures for  processing protested  applications may be found  at 12 
C.F.R. 262.25. To  obtain a copy of the Federal Reserve Board’s procedures, or if you need more 
information about how  to submit your comments on the application, contact  Holly Rieser,  Senior 
Manager, 314-444-4713. The Federal Reserve  will consider your comments and any request for a 
public meeting or formal hearing on the application if they are received in writing by this Reserve Bank 
on or before the last day of the comment period.   
 
 1 Although these instructions are provided for your assistance, we strongly recommend you contact the Federal Reserve 
  Bank of St. Louis with any questions or for further guidance and latest updates. 
 
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                                 FIXED ASSET EXPENDITURES 
 
                              PERMANENT QUARTERS ANTICIPATED 
Give  brief physical description of  structures to be acquired or constructed, including square  footage, 
number of offices, number of teller windows, etc.  Also, include legal description of property. 
 
 Circle One                           Owned                       Leased  Total Cost 
 IF OWNED                                Land                             
                                         Building 
                                         Furniture and Equipment 
                                    TOTAL FIXED ASSET 
                                    EXPENDITURE 
 IF LEASED                               Leasehold Improvements           
                                         Furniture and Equipment 
                                    TOTAL FIXED ASSET 
                                    EXPENDITURE 
Additional comments: 

                              TEMPORARY QUARTERS ANTICIPATED 
 
Are temporary quarters anticipated: Yes             No  
If yes, complete the following: 
 
 STREET ADDRESS                     DIRECTION AND DISTANCE FROM PERMANENT QUARTERS 
                                 
                                                  MONTHLY RENTAL OR COST (SPECIFY) 
  
Give brief  physical description of  structures to  be acquired or constructed,  including  square footage, 
number of offices, number of teller windows, etc.  Also, include legal description of property. 
 
Branch Application – Standard                     10                                            10/21

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                      STATE HISTORIC PRESERVATION INFORMATION 
 
For use by State Historic Preservation Officer           Mail completed form to:  
 
Received:                                                State Historic Preservation Officer  
CH#:                                                     Arkansas Historic Preservation 
N/E:                                                     1100 North Street 
Survey:                                                  Little Rock, Arkansas 72201 
                                                         501-324-9880 
 
                    REQUEST FOR CULTURAL RESOURCE ASSESSMENT 
 
I.  Applicant                                          County of project                        

    Applicant’s address                                City                        Zip          

    Contact person                                     Telephone                                

    Contact person’s address, if different from applicant’s 

    Street/P.O. Box                                    City                        Zip          

    If applicant is not a federal agency, to which federal agency is applicant applying: 

    Federal Program:                                     Circle type of assistance sought: 

                                                              Grant Loan           Other 

    Signature of applicant or contact person requesting this assessment 

    Date 
 
II. 1.  Briefly describe this project: 
                                                                                                
        If program involves more than one project/activity, complete separate assessment for 
        each one. 
         
    2. Has the identical project been previously submitted for cultural resource assessment? 
                Yes   No 
 
    3. Project Location 
     
           a. Attach a county, city, or  USGS quad map  indicating the precise location of the 
                project and the acreage involved.  If  program  involves more than one 
                project/activity, one map, indicating all projects, is sufficient. 
            
           b. How many acres are in the project area?                         acres 
                                                       
Branch Application – Standard                         11                                        10/21

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c. If the project is outside city limits, give a quarter-by-quarter section, township, and
range description (not necessary if the project map contains the information).

4. To your knowledge has a cultural resources survey been conducted in the project area.
(If yes, attach survey report.) Yes No

5. a. Will the project involve an addition to or destruction, alteration, or renovation of any
structure? (If no, proceed to item 6) Yes No

b. Was affected structure built before World War II?
(If no, proceed to item 6) Yes No

c. Who owns the structure?

d. What was the approximate date of construction?

e. Attach snapshots of front and rear elevations; another snapshot should indicate the
location of any proposed addition/alteration.

f. Have plans and specifications for the renovation, alteration, or addition been
completed? Yes No

g. Attach plans. (Plans for a new structure to replace a demolished one should not be
attached.)

6. a. Will construction take place adjacent to any structure which is approximately fifty years old
or older? (If no, proceed to item 6) Yes No

b. Give address of structure(s), and, if known, owner’s name and telephone.

c. Give approximate construction date of structure(s).

d. Attach snapshot of structure(s) and on project map indicate its location in relation to the
project.

7. Has the ground at the project location been previously developed, graded, or disturbed (Other
than in connection with any structure described in item 5)? Yes No

(If yes, describe disturbed/developed portion (graded, farmed, etc.) and indicate on project
map.)

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8. a. Will this project necessitate the acquisition of fill material?
(If no, proceed to item 6) Yes No

b. Approximately how many cubic yards of material will be acquired: ________ cu. yd.

c. Has the site from which material will be acquired been selected? Yes No
(If no, proceed to item 9)

d. Indicate borrow area(s) on project map and GIVE APPROXIMATE ACREAGE of each
borrow site.

e. Has material been taken from the borrow area(s) for other projects? Yes No

9. a. Does this project involve road/street construction? Yes No
(If no, proceed to item 10)

b. Give special attention to item 6 AND indicate on project map each:
1. New right-of-way
2. New street/road construction
3. Street/road to be overlaid
4. Street/road to be widened

10. Will this project affect any property which is of apparent educational or scientific interest?
Yes No
(If yes, describe the interest (geological, biological, etc.))

11. Describe the present use and condition of the property?

12. If necessary, elaborate on the above questions, and/or include any additional information which
you think would be helpful in the review of this project.

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                               ARKANSAS STATE BANK DEPARTMENT 
                                                      
                              APPLICATION FOR FICTITIOUS NAME 
 
To:    Susannah T. Marshall 
       Bank Commissioner 
       Arkansas State Bank Department 
       1 Commerce Way, Suite 401 
       Little Rock, Arkansas 72202 
 
Pursuant to the provisions of The Arkansas Banking Code of 1997, the undersigned applicant hereby applies for 
the use of a fictitious name and submits herewith the following statements: 
 
    1. The name of the applicant and its date of qualification in Arkansas: 
       
    2. The home state of applicant: 
       
    3. The fictitious name under which business is being or will be conducted by the applicant 
       entity: 
       
    4. The location ( street address, city, county, state, and zip       ) of the office where the fictitious 
       name will be used: 
        
    5. The character of the business to be conducted under such fictitious name is: 
       
    6. The location  (street address, city, county,  state,  and zip          )  of the  registered office of 
       applicant in Arkansas is: 
        
Signature:                                                               Date:                                 
           Chairman  of the Board, CEO, President or other officers (If 
           directors have not  been selected, the incorporator may 
           execute.) 
Address:   
 
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INSTRUCTIONS

Prepare this form in duplicate and send to the Arkansas State Bank Department, Little Rock, Arkansas.

Publish legal notice of intention to file an application for use of a fictitious name (see example below)
one (1) time in a newspaper of statewide circulation. Such notice shall include the current corporate
name, the proposed fictitious name, and the location or locations where the proposed fictitious name
will be used. A copy of the legal notice must accompany the application.

Request a current check of both state and federal trademark or service-mark filings on the proposed
fictitious name. Evidence must accompany the application for use of a fictitious name verifying the
applicant has made a trademark or service-mark search and no trademark or service-mark exists for the
proposed fictitious name.

Once the application for use of a fictitious name is received by the State Bank Department, notice of
the filing of the application will be sent to all state-chartered banks by electronic transmission. Any
protestant will have seven (7) days from the date the Department notice was sent to file an official
protest to the application. An official protest must be provided to the Department in written form
delineating the reasons for the protest and must be accompanied by a filing fee of twenty-five dollars
($25). The Bank Commissioner will make the final determination on the use of a fictitious name.

If accepted, the duplicate bearing the file marks of the Commissioner will be returned to the state bank,
registered out-of-state bank or subsidiary trust company. A.C.A. § 23-48-309

Fee: $25.00

LEGAL NOTICE
(for the Arkansas State Bank Department)

Notice is hereby given that (Bank Name, Address, City, County), Arkansas has made application to the
Arkansas State Bank Department for the use of the fictitious name .
The proposed fictitious name will be used at the following branch or limited purpose office (whichever
is applicable), at the proposed location (address, city, county, state) .
Any person desiring to comment on this application to the Arkansas State Bank Department may do so
by filing his or her comments in writing to the Bank Commissioner at the office of the State Bank
Department, 1 Commerce Way, Suite 401, Little Rock, Arkansas, 72202.

Branch Application – Standard 15 10/21

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