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OATH

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FEDERAL RESERVE AGEWT OR DEPUTY FEDERAL RESERVE AGENT.
( O t h e r C l a s s "C" d i r e c t o r ' s may u s e t h i s
for:.;, w i t h r e f e r e n c e s t o F e d e r a l r e s e r v e
agent e l i m i n a t e d ) .
S t a t e of
S3

C i t y or County of

I , t h e u n d e r s i g n e d , h a v i n g been a p p o i n t e d a C l a s s
of t h e F e d e r a l R e s e r v e Bank of
e r a l R e s e r v e C i t y of
and i n D i s t r i c t No.

...

,

.,

T, I!

C

director

, l o c a t e d i n t h e Fed-

> S t a t e of

_,

, as d e t e r m i n e d i n a c c o r d a n c e w i t h t h e p r o -

v i s i o n s of t h e F e d e r a l Reserve A c t , and h a v i n g been d e s i g n a t e d a s (Deputy)
F e d e r a l R e s e r v e Agent by t h e F e d e r a l R e s e r v e Board, b e i n g a c i t i z e n of
t h e United S t a t e s and r e s i d e n t of t h e S t a t e of

,

do solemnly swear ( a f f i r m ) t h a t I w i l l , so f a r a s t h e duty d e v o l v e s upon
me, d i l i g e n t l y and h o n e s t l y a d m i n i s t e r t h e a f f a i r s of s a i d bank f a i r l y
and i m p a r t i a l l y and w i t h o u t d i s c r i m i n a t i o n i n f a v o r of o r a g a i n s t any
member bank o r b a n k s ; t h a t I w i l l n o t knowingly v i o l a t e , o r w i l l i n g l y
p e r m i t t o be v i o l a t e d any of t h e p r o v i s i o n s of t h e S t a t u t e s of t h e U n i t e d
S t a t e s u n d e r which t h i s bank h a s been o r g a n i z e d ; t h a t

I w i l l w e l l and

f a i t h f u l l y d i s c h a r g e t h e d u t i e s of t h e o f f i c e of (Deputy) F e d e r a l R e s e r v e
Agent on which I am a b o u t t o e n t e r ; t h a t I am n o t an o f f i c e r , d i r e c t o r ,
employee, o r s t o c k h o l d e r i n any . o f h e r bank; and t h a t I - t a k e t h i s o b l i g a t i o n f r e e l y w i t h o u t any m e n t a l r e s e r v a t i o n o r p u r p o s e of e v a s i o n .
S u b s c r i b e d and sworn ( a f f i r m e d ) t o b e f o r e t h e u n d e r s i g n e d , a
Notary P u b l i c i n and f o r t h e S t a t e and
day of




aforesaid, this

, 191 .

Notary P u b l i c .