Waiver Sample Letter

							                                              DISCLOSURE OF CUSTODIAL CREDIT RISK


Financial Institution                                                                            State of Georgia Organization Name


Address                                                                                          FEI Number


City, State, Zip                                                                                 Please return this form to the Organization above, as follows:

                                                                                                 By Fax to Fax #:


                                                                                                 By Mail to
                                                                                                                            Address


                                                                                                                            City, State, Zip



Please provide the following information regarding our deposits in your institution's custody at June 30. This information is required for the preparation of the
State of Georgia Comprehensive Annual Financial Report.



I. DETAIL OF DEPOSITS:
                                                                                                       AMOUNT                         UNCOLLATERALIZED (Category 4)
                                                                                                  COLLATERALIZED                     AMOUNT
                                                                                                    (Categories 2 & 3)            EXEMPTED FROM                     WAIVER DOES
                                                                             AMOUNT OF             Provide description in       COLLATERALIZATION                    NOT APPLY
                                                                             DEPOSITORY              Part II, below, and          THROUGH STATE                        OR NO
                                                        BALANCE              INSURANCE              detail on worksheet          DEMAND DEPOSIT                     COLLATERAL
ACCOUNT OR CERTIFICATE NUMBER                           AT JUNE 30            (Category 1)               in Part III.                WAIVER                          PROVIDED




                                                             A                     B                          C                                D                          E

                                                   Should = B + C + D + E




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                                                    DISCLOSURE OF CUSTODIAL CREDIT RISK


II. DESCRIPTION OF COLLATERALIZED DEPOSITS:

1.      Collateralized with securities held by the
        Financial Institution's trust department or
        agent in the organization's name (Category 2)                          C1

2.      Collateralized with securities held by the
        Financial Institution, by its trust Financial
        Institution, by its trust department or agent,
        but not in the organization's name (Category                           C2
        3)



                                                         Should = C on first page



III. DETAIL OF COLLATERAL PROVIDED:

1. Securities held by the Financial Institution's trust department or agent in the Organization's name (Category 2)

                    Description of Security                     Par Value              Maturity Date      Market Value       By Whom Held   In Whose Name Held




                                                                                                       Must = or exceed C1


2. Securities held by the Financial Institution, by its trust department or agent, but not in the Organization's name (Category 3)

                    Description of Security                     Par Value              Maturity Date      Market Value       By Whom Held   In Whose Name Held




                                                                                                       Must = or exceed C2


Completed By (Financial Institution Contact):



Name                                                                                Date


Title


Telephone Number




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