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bank Forms & Applications



Application Fee Schedule (PDF)
Effective April 1, 2010
 
 
 
New Charter Applications (DOC)
Use this document when applying for a state charter
 
New Charter Applications - Interagency (DOC)
Use this document when applying for a state charter utilizing the interagency charter and federal insurance deposit application
 
Guidelines Regarding Savings Bank Reorganizations into Mutual Holding Company (DOC)
Use this form to notify the Department of changes to an institution’s articles
 
Bank Articles of Amendment (DOC)
Use this form to notify the Department of changes to an institution’s articles
 
Bank Branch Consolidation (DOC)
Use this form to request permission to consolidate branches
 
Bank Branch Discontinuance Procedures (DOC)
Use this form to request permission to close a branch
 
Bank Branch in Foreign Country (DOC)
Use this form to request permission to establish a branch outside the United States
 
Use this form to request permission to establish a mobile branch
 
Bank Branch Purchase & Assumption (DOC)
Use this form to request permission to purchase a branch owned by another bank
 
Bank Branch Relocation (DOC)
Use this form to request permission to move a branch
 
Bank De Novo Branch (DOC)
Use this form to request permission to open a new branch
 
Bank Holding Company Reorganization (DOC)
Guidelines and forms to request permission to establish a bank holding company
 
Bank Merger or Consolidation (DOC)
Use this form to request permission to merge or consolidate banks
 
Bank Parity and Subsidiary  (DOC)
Bank parity and subsidiary notice
 
Biographical Report (DOC)
This form needs to be completed if submitting a Section 112, Section 112 Tender Offer, or Section 212 application
 
Bylaws Sample (PDF)
Use this document for guidance when writing bylaws for a bank, bank and trust company, savings bank or non-depository trust company
 
Use this form to request permission to convert from a commercial bank to savings bank
 
Conversion National to State Bank (DOC)
Use this form to request permission to convert from a national to a state bank
 
Conversion Federal Savings Association to Savings Bank (DOC)
Use this form to request permission to convert from a Federal Savings Association to a Savings Bank
 
Financial Report (DOC)
This form needs to be completed if submitting a Section 112, Section 112 Tender Offer, or Section 212 application
 
 
Holding Company Acquisition-Merger Instructions (DOC)
Instructions for filing simultaneous applications for acquisition of a holding company/merger of affiliate banks
 
Holding Company Acquisition Instructions (PDF)
Instructions for filing an applications for a holding company acquisition
 
Limited Purpose Banking Office Request   (PDF)
For the purpose of establishing a Limited Purpose Banking Office
 
Mutual and Stock Conversion to a Savings Bank (DOC)
Sample documents to convert from a mutual savings bank to a stock savings bank
 
Open a Trust Office (DOC)
Use this form to establish a trust office for a state-chartered institution
 
 
Service of Process - Section 1403  (DOC)
This form serves as the appointment of the Pennsylvania Secretary of Banking and Securities as attorney for service of process
 
Section 112 Tender Offer (DOC)
Use this form to request permission to make a tender offer for 10% or more of the outstanding shares of a bank, bank and trust company, trust company or national bank
 
Section 112 (DOC)
Use this form to request permission to purchase or acquire 10% or more of the outstanding shares of a bank, bank and trust company, trust company or national bank
 
Trust Department Application (Trust Powers; (DOC))
Use this form to apply for various trust powers for an institution
 
Director/Trustee - Board Elected (PDF)
Oath form to be used in the event the Board of Directors/Trustees elects a Director/Trustee
 
Directors/Trustees and Officers - Shareholder Elected (PDF)
Oath and Roster forms to be used for the election of Directors/Trustees and Officers at an annual or special meeting of shareholders.