CA DFI FORM 507C

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CERTIFICATION Attached is the Call Report for (Name of Bank) at the close of business on consisting of: , 20 Certification Fiduciary Statement (to be filled out by a Bank with Trust Power) Schedule S (year end report of Bank's Subsidiary(ies) Copy of the FFIEC Report The undersigned (Name and Title) and (Name and Title) of the above named bank certify under penalty of perjury that the foregoing reports are true and correct to the best of our knowledge and belief. Executed on at (California) (Signature) (Signature) Name and phone number of person who prepared report. NAME PHONE NUMBER ( )

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