Common use of Transactions Structured to Circumvent this Certification Clause in Contracts

Transactions Structured to Circumvent this Certification. Neither the identity nor form of the Prospective Purchaser, nor any aspect of the contemplated transaction, has been created or altered with the intent, in whole or in part, to allow an individual or entity who otherwise would be ineligible to purchase assets from the FDIC to benefit directly or indirectly from the proposed transaction. PROSPECTIVE PURCHASER INFORMATION Name of Prospective Purchaser Tax ID Number or SSN Individual Other (Specify) Partnership Corporation Trust Physical Street Address (For Overnight Delivery) City State or Province Country Postal Code Contact Person and Title Telephone Number ( ) Fax Number ( ) E-Mail Address

Transactions Structured to Circumvent this Certification. Neither the identity nor form of the Prospective Purchaser, nor any aspect of the contemplated transaction, has been created or altered with the intent, in whole or in part, to allow an individual or entity who otherwise would be ineligible to purchase assets from the FDIC to benefit directly or indirectly from the proposed transaction. PROSPECTIVE PURCHASER INFORMATION Name of Prospective Purchaser Tax ID Number or SSN Individual Other (Specify) Partnership Corporation Trust Physical Street Address (For Overnight Delivery) City State or Province Country Postal Code Contact Person and Title Telephone Number ( ) Fax Number ( ) E-Mail AddressAddress ( )

Transactions Structured to Circumvent this Certification. Neither the identity nor form of the Prospective Purchaser, nor any aspect of the contemplated transaction, has been created or altered with the intent, in whole or in part, to allow an individual or entity who otherwise would be ineligible to purchase assets from the FDIC to benefit directly or indirectly from the proposed transaction. PROSPECTIVE PURCHASER INFORMATION INFORMATION‌ Name of Prospective Purchaser Tax ID Number or SSN Individual Partnership Corporation Trust Other (Specify) Partnership Corporation Trust Physical Street Address (For Overnight Delivery) City State or Province Country Postal Code Contact Person and Title Telephone Number ( ) Fax Number ( ) E-Mail AddressAddress ( )

Transactions Structured to Circumvent this Certification. Neither the identity nor form of the Prospective Purchaser, nor any aspect of the contemplated transaction, has been created or altered with the intent, in whole or in part, to allow an individual or entity who otherwise would be ineligible to purchase assets from the FDIC to benefit directly or indirectly from the proposed transaction. SAMPLE PROSPECTIVE PURCHASER INFORMATION Name of Prospective Purchaser Tax ID Number or SSN Individual Other (Specify) Partnership Corporation Trust Physical Street Address (For Overnight Delivery) City State or Province Country Postal Code Contact Person and Title Telephone Number ( ) Fax Number ( ) E-Mail AddressAddress ( )

Transactions Structured to Circumvent this Certification. Neither the identity nor form of the Prospective Purchaser, nor any aspect of the contemplated transaction, has been created or altered with the intent, in whole or in part, to allow an individual or entity who otherwise would be ineligible to purchase assets from the FDIC to benefit directly or indirectly from the proposed transaction. SAMPLE PROSPECTIVE PURCHASER INFORMATION Name of Prospective Purchaser Tax ID Number or SSN Individual Other (Specify) Partnership Corporation Trust Physical Street Address (For Overnight Delivery) City State or Province Country Postal Code Contact Person and Title Telephone Number ( ) Fax Number ( ) E-Mail Address