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Get Perfection Of Dissenting Shareholder Rights For Appraisal By The Occ - Occ Treas

Of Request: Consummation Date: Shareholder Name: Date of Shareholders Meeting: Number of Shares Shareholder Held: Select one type of transaction: 12 USC 214a (Value is as of date of shareholder meeting.) 12 USC 215 (Value is as of the effective date of the consolidation.) 12 USC 215a (Value is as of the effective date of the merger.) 12 USC 215a-2 (Apply 215a; Value is as of the effective date o.

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