Form SFN18857 "Application to Move Main Office or Facility ("branch")" - North Dakota

What Is Form SFN18857?

This is a legal form that was released by the North Dakota Department of Financial Institutions - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2021;
  • The latest edition provided by the North Dakota Department of Financial Institutions;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SFN18857 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Financial Institutions.

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Download Form SFN18857 "Application to Move Main Office or Facility ("branch")" - North Dakota

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APPLICATION TO MOVE MAIN OFFICE OR FACILITY ("BRANCH")
1200 Memorial Hwy
NORTH DAKOTA DEPARTMENT OF FINANCIAL INSTITUTIONS
Bismarck, ND 58504
BANKING AND TRUST COMPANIES DIVISION
Telephone (701) 328-9933
SFN 18857 (Rev. 7-2021)
Fax Number (701) 328-0290
North Dakota Century Code Section 6-03-13
Type of Relocation Contemplated (Check One)
Date
Move Main Office (Complete 1 & 2)
Move Branch Office Complete 1, 3, & 4)
1. PRESENT MAIN OFFICE
3. PRESENT BRANCH OFFICE
Name
Name
Address
Address
City
State
Zip Code
City
State
Zip Code
2. PROPOSED MAIN OFFICE
4. PROPOSED BRANCH OFFICE
New Name (if contemplated)
New Name (if contemplated)
Address
Address
City
State
Zip Code
City
State
Zip Code
Distance and Direction from Present Location
Distance and Direction from Main Office
Distance and Direction from Present Location
INFORMATION FOR THE APPLICANT
Schedules or inserts may be attached to this application whenever the space provided is insufficient.
Such attached
schedules or inserts are a part of this application and should be on paper the same size as this page. Applications are to be
securely bound.
The completed original application and nine copies are to be forwarded to the State Banking Board, 2000 Schafer
Street, Suite G, Bismarck, ND 58501-1204. A completed copy should be retained by the Bank.
Requests for clarification as to what information is necessary to complete this application should be directed to the
Department of Financial Institutions.
You may provide any information in addition to that requested in this application which, in your opinion, might aid in
the disposition of your proposal.
Complete responses to all questions in this application will expedite processing.
In preparing your application, keep in mind that the State Banking Board deems that public policy warrants making all
information submitted to it in connection with your application available for public review unless it is confidential in nature.
It is the responsibility of the applicant to identify the information submitted with the proposal which it deems CONFIDENTIAL
clearly and on separate pages. However, the determination of the questions of confidentiality and the discretion to release
information submitted to it which is exempt resides with the State Banking Board. Specific information you indicate to be
confidential may be made available for public review after consideration.
APPLICATION TO MOVE MAIN OFFICE OR FACILITY ("BRANCH")
1200 Memorial Hwy
NORTH DAKOTA DEPARTMENT OF FINANCIAL INSTITUTIONS
Bismarck, ND 58504
BANKING AND TRUST COMPANIES DIVISION
Telephone (701) 328-9933
SFN 18857 (Rev. 7-2021)
Fax Number (701) 328-0290
North Dakota Century Code Section 6-03-13
Type of Relocation Contemplated (Check One)
Date
Move Main Office (Complete 1 & 2)
Move Branch Office Complete 1, 3, & 4)
1. PRESENT MAIN OFFICE
3. PRESENT BRANCH OFFICE
Name
Name
Address
Address
City
State
Zip Code
City
State
Zip Code
2. PROPOSED MAIN OFFICE
4. PROPOSED BRANCH OFFICE
New Name (if contemplated)
New Name (if contemplated)
Address
Address
City
State
Zip Code
City
State
Zip Code
Distance and Direction from Present Location
Distance and Direction from Main Office
Distance and Direction from Present Location
INFORMATION FOR THE APPLICANT
Schedules or inserts may be attached to this application whenever the space provided is insufficient.
Such attached
schedules or inserts are a part of this application and should be on paper the same size as this page. Applications are to be
securely bound.
The completed original application and nine copies are to be forwarded to the State Banking Board, 2000 Schafer
Street, Suite G, Bismarck, ND 58501-1204. A completed copy should be retained by the Bank.
Requests for clarification as to what information is necessary to complete this application should be directed to the
Department of Financial Institutions.
You may provide any information in addition to that requested in this application which, in your opinion, might aid in
the disposition of your proposal.
Complete responses to all questions in this application will expedite processing.
In preparing your application, keep in mind that the State Banking Board deems that public policy warrants making all
information submitted to it in connection with your application available for public review unless it is confidential in nature.
It is the responsibility of the applicant to identify the information submitted with the proposal which it deems CONFIDENTIAL
clearly and on separate pages. However, the determination of the questions of confidentiality and the discretion to release
information submitted to it which is exempt resides with the State Banking Board. Specific information you indicate to be
confidential may be made available for public review after consideration.
SFN 18857 (7-2021) Page 2
RESOLUTION OF BOARD OF DIRECTORS OF APPLICANT BANK
The Board of Directors of the Applicant Bank at a meeting duly called and held on
adopted the
following resolution:
(Date)
"Whereas it is the sense of this meeting that application should be made on behalf of this bank to the State Banking
Board for written consent to move its main office or branch now being operated at:
Street Address
City or Town
State
to
Street Address
City or Town
State
in accordance with the provisions of the North Dakota Century Code;
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 Banking Board to move its main office
or branch now being operated at
Street Address
City or Town
State
to
Street Address
City or Town
State
and to submit in connection therewith information on the several factors enumerated in North Dakota Century Code for the
purpose of inducing the State Banking Board to grant approval to move the main office or the branch as indicated in this
resolution."
The above Resolution has not been rescinded or modified and has been duly entered in the minute book of the
Applicant Bank. Application is hereby made.
Name of Applicant Bank
Location of Applicant Bank
Signature of President or Vice-President
Date
X
Attest (Signature of Cashier or Secretary)
Date
X
(SEAL)
BANK REPRESENTATIVE RESPONSIBLE FOR RESPONDING TO QUESTIONS RELATING TO THIS APPLICATION
Name
Telephone Number
Title
SFN 18857 (7-2021) Page 3
POLICY CONSIDERATIONS IN CONNECTION WITH THE PROPOSAL
1. A bankruptcy clause should be included in leases. An example of such a clause follows:
"Notwithstanding any other provisions contained in this lease, in the event the Lessee is closed or taken over by the
banking authority of the State of North Dakota, or other bank supervisory authority, the Lessor may terminate the lease
only with the concurrence of such banking authority or other bank supervisory authority, and any such authority shall in
any event have the election either to continue or to terminate the lease: Provided, that in the event this lease is
terminated, the maximum claim of Lessor for damages or indemnity for injury resulting from the rejection or abandonment
of the unexpired term of the lease shall in no event be in an amount exceeding the rent reserved by the lease, without
acceleration, for the year next succeeding the date of the surrender of the premises to the Lessor, or the date for re-entry
of the Lessor, whichever first occurs, whether before or after the closing of the bank, plus an amount equal to the unpaid
rent accrued, without acceleration up to such date."
2. The bank, in establishing this new office, will develop external security procedures and install security devices in
compliance with Part 326 of the Federal Deposit Insurance Corporation's Rules and Regulations.
3. Any payment or arrangement to/with any bank-related party such as a director, officer, 5% or more shareholder or
their relatives or business interests must be fully detailed and supported.
4. A determination must be made as to whether the application involves a district, site, building, structure, or object which is
included in or eligible for inclusion in the National Register of Historic Places. Under certain circumstances, the applicant
may be requested to aid in the determination.
SFN 18857 (7-2021) Page 4
FIXED ASSET EXPENDITURES
Are temporary quarters anticipated?
No
Yes - Provide the following information:
Street Address
Direction and Distance from Permanent Quarters
Monthly Rental or Cost (Specify)
Brief Physical Description
Permanent Quarters are Anticipated as Follows:
Brief Physical Description
Are permanent quarters owned or leased?
Owned (Complete 1 below)
Leased (Complete 2 below)
1. OWNED
ITEM
TOTAL COST
Land
$
Building
Furniture and Equipment
TOTAL FIXED ASSET EXPENDITURE
$
0.00
2. LEASED
ITEM
TOTAL COST
Leasehold Improvement
$
Furniture and Equipment
TOTAL FIXED ASSET EXPENDITURE
$
0.00
List Basic Terms of Lease (term, renewal or purchase options, etc.)
List in detail any plans of the bank to finance the construction of the branch building or other fixed assets in connection with the subject proposal. (If
none, so state.)
DISPOSITION OF QUARTERS TO BE VACATED
If owned, indicate name(s) of prospective buyer(s) and estimated sale price.
If leased, provide details regarding termination of such lease and abandonment costs which will have to be absorbed on any leasehold improvements.
If insiders are involved, provide names, relationships, particulars of the transaction(s) and supporting documentation.
Discuss disposition of any other assets in connection with the proposal and resultant reduction in carrying value.
SFN 18857 (7-2021) Page 5
RELATIONSHIPS AND ASSOCIATIONS WITH THE BANK
Are any architects, real estate brokers, the sellers or lessors of land, buildings or equipment listed on page 4 otherwise directly or indirectly associated with
the applicant?
No
Yes - Complete the following table
ITEM
RELATIONSHIP OR ASSOCIATION WITH BANK
(Mark Appropriate Column)
NAME
(Specify Director, Officer, 5% Stockholder, or their relatives.
Designate any business interests of the aforementioned.)
LAND
BUILDING
EQUIPMENT
If fixed assets are to be purchased from a related party, evidence of the reasonableness of the cost(s) must be provided. Attach copies of bids, independent
appraisals and/or other supporting evidence.
If an insider is a party to any lease contract in connection with the application, explain the manner in which lease payments were determined and submit a
copy or draft copy of the lease.
FEES PAID IN CONNECTION WITH THE PROPOSAL
TYPE OF FEES PAID
RELATIONSHIP OR ASSOCIATION WITH BANK
NAME OF RECIPIENT
(Mark Appropriate Column)
AMOUNT
(Specify Director, Officer, 5% Stockholder, or their relatives.
Designate any business interests of the aforementioned.)
LEGAL
OTHER
CONSULTING
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