ARKANSAS STATE TREASURY
DESIGNATION OF AUTHORIZED REPRESENTATIVES
WHEREAS, _________________ is a [national] [state chartered] banking association with its principal office
at__________________________; and
WHEREAS________________________ wishes to serve as a designated depository for Arkansas State
Treasury funds; and
NOW, THEREFORE, as authorized by Certificate of Corporate Resolutions as a part of the Security
Agreement for Funds Held in Deposit between the Treasurer of the State of Arkansas and ________________, I,
______________________________, hereby designate the representatives listed below or attached as duly authorized to
transact business with the Treasurer of the State of Arkansas.
NAME: _________________________________________
TITLE: _________________________________________
SIGNATURE: _________________________________________
NAME: _________________________________________
TITLE: _________________________________________
SIGNATURE: _________________________________________
NAME: _________________________________________
TITLE: _________________________________________
SIGNATURE: _________________________________________
NAME: _________________________________________
TITLE: _________________________________________
SIGNATURE: _________________________________________
BY:
Signature
Title
Date
ATTEST:
__________________________________________