VENDOR FORMS PROTECTED BY COPYRIGHT

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1 VENDOR FORMS PROTECTED BY COPYRIGHT As a reminder, most forms produced by vendors are covered by copyright. This includes forms produced by Financial Institution Products Corporation (FIPCO). Reproduction of a form protected by copyright, by any means or method, is a violation of law unless the form producer holding the copyright provides express permission for the form to be reproduced. In order to maintain the protections copyright affords, violations are pursued by the form producer and can be quite costly to the person or entity committing the violation. Thus, users of forms must not reproduce forms by any means unless permitted to do so by the producer of the form.

2 Updated 12/6/2017 Financial Institution Products Corporation WBA Hard Copy and Electronic Forms STATUS SHEET AND HARD COPY ORDER FORM Hard Copy forms must be ordered in multiples of 20* *must be of the same form - cannot combine forms Please order by qty of forms needed, not packages Forms packaged in 100 s unless otherwise noted KEY 4 Indicates the form is currently in revision. Not available electronically (availability subject to change) See last page for hard copy class pricing To order hard copy forms by fax or , complete the information below and make your selections on the proceeding pages. FAX: fipcosales@fipco.com COMPANY NAME CUSTOMER # WBA MEMBER? n YES n NO CONTACT NAME PHONE # FAX # STREET ADDRESS CITY STATE ZIP More ordering options: Order Hard Copy forms online: fipcosales@fipco.com phone: License Electronic forms by contacting our Forms Department: fipcoforms@fipco.com phone: , ext. 236 WBA FORMS ARE SOLD ON AN AS IS BASIS. SELLER MAKES NO REPRESENTATIONS, WARRANTIES, OR GUARANTEES, EXPRESS, IMPLIED, OR STATUTORY, INCLUDING WITHOUT LIMITATION ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR INTENDED USE FOR ANY PARTICULAR PURPOSE.

3 (Forms are listed numerically by WBA # and grouped according to type.) updated 12/6/2017 WISCONSIN CONSUMER LENDING FORMS E (11001) WBA (TL) 1 7/13 Federal Truth In Lending Loan Disclosures C (11881) WBA (TL) 2 8/15 Acquirer's Notice Regarding Mortgage Loan C (11882) WBA (TL) 2-HE 8/15 Acquirer's Notice Regarding Home Equity Line of Credit Mortgage Loan D (11230) WBA (TL) 3A 12/96 Notice of right to cancel (for security interest in consumer s principal dwelling under closed end credit) D (11215) WBA (TL) 3B 6/97 Notice of right to cancel (for security interest in consumer s principal dwelling under open-end credit plan) D (11011) WBA (TL) 4 cons 1/79 Deferral - 4 part D (11312) WBA (TL) 4S 6/99 Simple interest deferral E (11010) WBA 4 12/14 Assignment of Life Insurance Policy As Collateral C (11012) WBA 4A 1968 Release of Assignment of Life Insurance Policies D (11014) WBA 6 11/76 Assignment of wages E (11031) WBA 127 5/13 Financial statement - individual MODEL WBA 127 ADD 2/04 Intent to Apply for Joint Credit F (11034) WBA 130 8/14 General credit application & financial statement 4 C (11035) WBA 130A 3/07 Information requested for government monitoring purposes E (11257) WBA 130S 5/14 Short form credit application E (11899) WBA 130S Guarantor 9/14 Application of Guarantor PA (11908) WBA 130Q 5/16 Appendix Checklist G (11037) WBA 131 9/13 Credit sale application & financial statement C (11040) WBA 135 3/06 Verification for financial statement MODEL (11874) WBA 141 9/07 Covered Borrower Identification Stmnt MODEL (11875) WBA 142 9/07 Consumer Credit Disclosures Under the National Defense Authorization Act 4 C (11042) WBA /16 Continuing guaranty (unlimited) C (11043) WBA /16 Guaranty of specific transaction C (11044) WBA /16 Continuing guaranty (limited) D (11284) WBA /03 Spousal consent D (11349) WBA 154A 12/03 Spousal consent to UCC filing D (11285) WBA 155 9/14 Marital purpose statement C (11045) WBA 156 cons 8/98 Explanation of co-signer obligation (do not use for open-end accounts) C (11112) WBA 156A 8/98 Explanation of personal obligation (use only for open-end accounts) D (11046) WBA 158 7/99 Notice of collateral pledge of deposit account or investment A (11048) WBA Irrevocable bond power A (11049) WBA 186 2/07 Irrevocable stock power D (11053) WBA 190 2/08 Collateral info on life insurance policy E (11321) WBA 190P 9/05 Insurance Verification F (11065) WBA 238 bus/con 8/13 Real estate security E (11883) WBA 252 3/10 Statement of Fees and Charges D (11129) WBA 410 cons 6/13 Consumer chattel security D (11136) WBA 420 busn 6/03 Consumer & business to deliver collateral E (11138) WBA 421 cons 5/13 Consumer collateral pledge agrmt. E (11303) WBA 421 SA cons 5/13 Securities account security E (11302) WBA 421 SACA 12/03 Securities account control E (11317) 421 SACA Ex A 12/03 Exhibit A to Securities Acct Control Agmt 4 E (11313) WBA 421 SCA-Acct. 12/03 Securities control bus & con 4 E (11316) 421 SCA- Acct. Ex A 12/03 Securities Control Agreement/Exhibit A C (11315) 421 SCA- Issuer 12/03 Securities control bus & con D (11139) WBA 422 busn 4/01 Consumer & business receipt for temporary release of collateral B (11140) WBA (UCC) 423 4/07 Collateral register E (11217) WBA 428ALR 1/05 Assignment of leases and rents H (11146) WBA 430S cons 5/13 Simple interest consumer installment sale and security For detailed information regarding the #11149 and #11898 visit: (11149) WBA 431S cons 2/12 FEES PREFILLED Motor Vehicle Cons. Simple Interest Installment Sale & Security Agreement (11898) WBA 431S(B) cons 2/12 FEES NOT PREFILLED Motor Vehicle Cons. Simple Interest Installment Sale & Security Agreement H (11335) 431S Bus & Ind 1/16 Motor Vehicle Simple Interest Credit Sale & Security Agreement H (11912) 431S Individ. TIL not WCA 3/16 Motor Vehicle Simple Interest Credit Sale & Security Agreement D (11151) WBA 432A 8/99 Homeowners certificate D (11153) WBA 432N cons 5/77 Notice of cancellation G (11154) WBA 433 cons 6/08 Consumer installment sales G (11188) WBA 433S cons 6/08 Consumer simple interest installment sale unsecured B (11275) WBA 434 7/86 Customer s right to substitute property or liability insurance B (11276) WBA 435 7/86 Customer s right to cancel This form requires an itemization of the Gross Capitalized Cost be included (WATDASI Form No. 13A): H (11224) WBA 436 cons 11/16 Motor vehicle lease C (11239) WBA 436A 8/98 Lease Purchase Agreement C (11323) WBA 450A 2/01 Disclosure Regarding Sales of Insurance 4 G (11314) WBA 457 3/14 Home equity credit H (11175) WBA 458 1/15 Mortgage note C (11176) WBA (UCC) 460 1/07 Fixture disclaimer C (11178) WBA 470 cons 4/07 Notice of right to cure default C (11833) WBA 470 MV cons 11/08 Notice of right to cure default and of Creditor s Right to Repossession of Motor Vehicle C (11834) WBA 471 cons 1/09 Notice to Borrower Prior to Repossession of Motor Vehicle C (11179) WBA 474 cons 4/07 Notice of surrender of collateral C (11911) WBA MAPR 12/15 MAPR Disclosure COMMERCIAL FORMS A (11013) WBA (TL) 5 7/99 Truth-in-lending declaration of business purpose E (11010) WBA 4 12/14 Assignment of Life Insurance Policy As Collateral C (11012) WBA 4A 1968 Release of Assignment of Life Insurance Policies E (11017) WBA 75 7/10 Depository declaration C (11318) WBA 84B 11/07 Declaration of Trust Ownership by Successor Trustee C (11241) WBA (L/C) 100 3/14 Application for standby letter of credit C (11829) WBA (L/C) 100A 11/13 Application for Amendment to Standby letter of credit E (11242) WBA (L/C) 101 3/14 Application for irrevocable documentary letter of credit C (11243) WBA (L/C) 102 4/07 Irrevocable documentary letter of credit C (11244) WBA (L/C) 103 4/07 Irrevocable standby letter of credit C (11831) WBA (L/C) 103A 4/07 Amendment to Irrevocable Standby letter of credit C (11830) WBA (L/C) 103 LTR 9/06 Acceptance or Refusal Form C (11245) WBA (L/C) /06 Letter of credit D (11030) WBA 126 5/77 Financial statement - corporation E (11031) WBA 127 5/13 Financial statement - individual MODEL WBA 127 ADD 2/04 Intent to Apply for Joint Credit D (11032) WBA 128 4/01 Financial statement - partnership F (11034) WBA 130 8/14 General credit application and financial statement E (11257) WBA 130S 5/14 Short form credit application E (11899) WBA 130S Guarantor 9/14 Application of Guarantor C (11040) WBA 135 3/06 Verification for financial statement C (11336) WBA 140 8/03 Customer Identification & Verification Record/Documentary Verification 4 C (11914) WBA 140A busn 2/17 General Instructions - Certification of Beneficial Owner(s) 4 C (11913) WBA 140B busn 4/17 Certification of Beneficial Owner(s) E (11041) WBA 150 busn 8/06 Debt subordination 4 C (11042) WBA /16 Continuing guaranty (unlimited) C (11350) WBA 151B 11/16 Busn. Continuing guaranty (Unlimited) C (11043) WBA /16 Guaranty of specific transaction C (11351) WBA 152B 5/16 Busn. Guaranty of Specific Transaction C (11044) WBA /16 Continuing guaranty (limited) C (11352) WBA 153B 11/16 Busn. Continuing guaranty (limited) D (11284) WBA /03 Spousal consent D (11349) WBA 154A 12/03 Spousal consent to UCC filing D (11285) WBA 155 9/14 Marital purpose statement D (11046) WBA 158 7/99 Notice of collateral pledge of deposit account or investment C (11047) WBA 184 9/14 Certificate of authorized signatures for borrowing purposes A (11048) WBA Irrevocable bond power A (11049) WBA 186 2/07 Irrevocable stock power C (11050) WBA 187 3/15 Corporate resolution for borrowing and Pledging assets E (11174) WBA 187LLC 3/15 Limited liability company borrowing E (11051) WBA 188 3/15 Organization borrowing resolution C (11052) WBA 189 3/15 Partnership borrowing D (11053) WBA 190 2/08 Collateral information on life Ins. policy E (11321) WBA 190P 9/05 Insurance Verification C (11343) WBA 232 3/04 Release of Assignment of Lease & Rents - by Lender C (11063) WBA 233 7/04 Satisfaction of real estate mortgage by lender F (11065) WBA 238 bus/con 8/13 Real estate security s C (11114) WBA Financial statement spread sheet E (11194) WBA 400 5/08 Documentation checklist for commercial loan closing & follow-up F (11016) WBA 402A (ECOA) 4/13 Credit denial with reasons D (11039) WBA 402B 4/13 Credit denial notice of rights F (11002) WBA 402C 4/13 Credit denial w/o reasons F (11128) WBA 410 busn 2/16 Chattel security D (11136) WBA 420 bus/con 6/03 Consumer & business to deliver collateral G (11137) WBA 421 busn 5/13 Business collateral pledge E (11311) WBA 421 SA busn 5/13 Securities account security PA (11322) WBA 421 DACA 5/08 Deposit account control & General Terms E (11302) WBA 421 SACA 12/03 Securities account control E (11317) 421 SACA Ex A 12/03 Exhibit A to Securities Acct Control Agmt 4 E (11313) WBA 421 SCA-Acct. 12/03 Securities control bus & con E (11316) 421 SCA-Acct. Ex A 12/03 Securities Control Agreement Ex A WBA FORMS ARE SOLD ON AN AS IS BASIS. SELLER MAKES NO REPRESENTATIONS, WARRANTIES, OR GUARANTEES, EXPRESS, IMPLIED, OR STATUTORY, INCLUDING WITHOUT LIMITATION ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR INTENDED USE FOR ANY PARTICULAR PURPOSE.

4 C (11315) 421 SCA- Issuer 12/03 Securities control bus & con D (11139) WBA 422 bus/con 4/01 Consumer & business receipt for temporary release of collateral B (11140) WBA (UCC) 423 4/07 Collateral register C (11113) WBA 425 4/16 Assignment of mortgage by lender 4 F (11142) WBA /16 Real estate mortgage F (11429) WBA 428B 12/16 Real Estate mortgage C (11353) WBA 428N 8/04 Notice of mortgage E (11217) WBA 428ALR 1/05 Assignment of leases and rents 4 F (11222) WBA 428G 12/16 Real estate mortgage to secure grnty H (11147) WBA 431 busn 6/02 Business motor vehicle installment sale and security H (11335) 431S Bus & Ind 1/16 Motor Vehicle Simple Interest Credit Sale & Security Agreement G (11225) WBA 436 busn 8/98 Motor vehicle lease C (11239) WBA 436A 8/98 Lease purchase Agreement D (11156) WBA 441 busn 5/89 Debtor s certificate 4 H (11157) WBA 444 busn 2/16 Selective business security 4 F (11319) WBA 445 busn 5/13 Patent Security Agreement 4 H (11159) WBA 447 busn 2/16 General business security 4 PA (11709) WBA 448RT 3/15 Revolving & Term Credit Agreement 4 PA (11867) WBA 448CL bus 5/16 Construction Loan Agreement C (11869) WBA 448CLN bus 3/15 Construction Loan Promissory Note H (11906) WBA 448 Unsecured 7/14 Business Credit Agrmnt (Unsecured) F (11160) WBA 449 busn 2/13 Loan participation certificate and agmn C (11190) WBA 450 MLDI 9/16 Request for mortgage life and disability insurance G (11221) WBA 451 busn 3/15 Business note C (11176) WBA UCC 460 1/07 Fixture disclaimer C (11177) WBA 461 4/92 Security interest subordination agrmnt MODEL (11528) PDF /01 Special Form of Assignment for U.S. Registered Definitive Securities (OMB No ) REAL ESTATE FORMS Booklets sold in multiples of 50 (11508) CFPB CHARM BOOKLET 1/2014 Consumer Handbook on Adjustable Rate Mortgages (11516) NEW CFPB Your Home Loan Tool Booklet Start Using 10/3/2015 (11527) CFPB HELOC Booklet 1/2014 Home Equity Lines of Credit - What You Should Know About Order these booklets online at: C (11881) WBA (TL) 2 8/15 Acquirer's Notice Regarding Mortgage Loan C (11882) WBA (TL) 2-HE 8/15 Acquirer's Notice Regarding Home Equity Line of Credit Mortgage Loan D (11230) WBA (TL) 3A 12/96 Notice of right to cancel (for security interest in consumer s principal dwelling under closed end credit) D (11215) WBA (TL) 3B 6/97 Notice of right to cancel (for security interest in consumers principal dwelling under open-end credit plan) D (11312) WBA (TL) 4S 6/99 Simple Interest Deferral Agreement C (11318) WBA 84B 11/07 Declaration of Trust Ownership by Successor Trustee 4 C (11035) WBA 130A 3/07 Information requested for government monitoring purposes F (11518) WBA 130HL-FNMA 3/13 Uniform Residential Loan Application 1003/FHLMC 65 E (11174) WBA 187LLC 3/15 Limited Liability Company Borrowing Agreement E (11051) WBA 188 3/15 Organization Borrowing Resolution E (11321) WBA 190P 9/05 Insurance Verification C (11062) WBA 231 6/99 Partial release of real estate mortgage C (11343) WBA 232 3/04 Release of Assignment of Lease & Rents by Lender C (11063) WBA 233 7/04 Satisfaction of real estate mortgage by lender E (11320) WBA 237 9/13 Assignment of land contract F (11065) WBA 238 bus/con 8/13 Real estate security C (11228) WBA (RESPA) 240 1/97 Affiliated business arrangement Agreement C (11132) WBA (RESPA) 240D 12/08 Servicing Disclosure Statement Notice to First Lien Mortgage Loan Applicants C (11134) WBA (RESPA) 240E 1/14 Notice of Servicing Transfer (for loans with no optional insurance) C (11907) RESPA) 240E-Ins. 1/14 Notice of Servicing Transfer C (11212) WBA (RESPA) 240F 6/95 Initial escrow account disclosure statement C (11229) WBA 243 1/16 Notice to borrower of property in special flood hazard area E (11883) WBA 252 3/10 Statement of Fees and Charges C (11113) WBA 425 4/16 Assignment of mortgage 4 D (11273) WBA 426 8/99 Agreement for subordination of future advances E (11141) WBA 427 1/79 R.E. mortgage checklist/processing sheet 4 F (11142) WBA /16 R.E. mortgage F (11429) WBA 428B 12/16 R.E. mortgage C (11353) WBA 428N 8/04 Notice of mortgage E (11217) WBA 428ALR 1/05 Assignment of leases and rents C (11289) WBA 428C 1/07 Condominium rider 4 F (11222) WBA 428G 12/16 Real Estate Mortgage to Secure Guaranty updated 12/6/2017 E (11143) WBA /13 R.E. mortgage subordination D (11153) WBA 432N cons 5/77 Notice of cancellation C (11323) WBA 450A 2/01 Disclosure Regarding Sales of Insurance C (11190) WBA 450 MLDI 9/16 Request for mortgage life and disability insurance 4 G (11314) WBA 457 3/14 Home equity credit H (11175) WBA 458 1/15 Mortgage note C (11911) WBA MAPR 12/15 MAPR Disclosure C (11601) (PMI) 501 6/99 PMI Disclosure at closing (new fixed rate mortgage) C (11605) (PMI) 505 6/99 PMI Disclosure at closing (new adjustable rate mortgage) C (11607) (PMI) 507 6/99 PMI annual disclosure C (11610) (PMI) 510 6/99 Grounds for not canceling PMI C (11611) (PMI) 511 6/99 Grounds for not terminating PMI C (11612) (PMI) 512 6/99 Notice of cancellation/termination PMI C (11613) (PMI) 513 6/99 Lender paid PMI disclosure C (11614) (PMI) 514 6/99 Lender paid PMI notice C (11615) (PMI) 515 6/99 Cancellation date for PMI (adjustable rate mortgage) F (11401) WCC /93 Disbursement E (11402) WCC /93 General contractor s disbursement control affidavit E (11403) WCC /93 General contractor s draw request D (11404) WCC /93 Owner s authorization of draw D (11405) WCC /94 Change order MODEL WBA 1003 FACT 3/06 FACT Act Addendum to Uniform residential loan application SAFE DEPOSIT BOX FORMS D (11073) WBA 270 (25) 9/09 Natural person safe deposit box lease (5 x 8-2 part) B (11183) WBA 270 (24) 9/09 Natural person safe deposit box lease (4 x 6-2 part) 4 D (11074) WBA 271(25) 9/09 Fiduciary safe deposit box lease (5 x 8-2 part) 4 B (11184) WBA 271 (24) 9/09 Fiduciary safe deposit box lease (4 x 6-2 part) B (11075) WBA 272 (25) 9/09 Organization or partnership safe deposit box lease (5 x 8-2 part) B (11185) WBA 272 (24) 9/09 Organization or partnership safe deposit box lease (4 x 6-2 part) F (11077) WBA 274 9/94 Safe deposit declaration D (11078) WBA 275 8/94 Certificate of authorized persons & signature for safe deposit box (8 1/2 x 11-3 part) B (11186) WBA 275 (34) 8/94 Certificate of authorized persons & signature for safe deposit box (4 x 6-3 part) D (11079) WBA 278 4/14 Designation of agent by natural person lessee(s) for safe deposit box B (11281) WBA 278 (34) 7/13 Designation of agent by natural person lessee(s) for safe deposit box (4 x 6-3 part) B (11282) WBA 278 (35) 7/13 Designation of agent by natural person lessee(s) for safe deposit box (5 x 8-3 part) D (11080) WBA 279 4/14 Single access designation of agent by natural person lessee(s) for safe deposit box A (11081) WBA /78 Natural persons safe deposit entry record A (11082) WBA /78 Organization/partnership/fiduciaries safe deposit entry record (11083) WBA /78 Safe deposit access ticket A (11084) WBA /78 Signature cross index A (11085) WBA /78 Rent record for safe deposit box A (11086) WBA 287 9/03 Notice of safe deposit box rent due C (11087) WBA 288 6/95 Termination of lease and notice of intent to forcibly open safe deposit box for non-payment of rent D (11088) WBA 289 7/95 Record of examination of safe deposit box contents D (11089) WBA 290 6/95 Document receipt C (11090) WBA /11 Affidavit for safe deposit box key found and destroyed C (11091) WBA 293 6/95 Affidavit for safe deposit box key found and NOT destroyed C (11092) WBA 294 6/95 Affidavit of contents of safe deposit box opened by bank A (11093) WBA /78 Safe deposit box history & numerical cross index to lessee D (11094) WBA 296 6/95 Receipt & release for property removal after death D (11095) WBA /91 Safekeeping D (11170) WBA 297A 4/94 Safekeeping D (11337) WBA 298 2/07 Natural Person Self Storage Box Lease 4 x 6 2-part C (11837) WBA 298/99 N1 6/06 Notice of Opportunity to Redeem C (11838) WBA 298/99 N2 6/06 2nd Notice of Opportunity to Redeem B (11338) WBA 299 2/07 Organization or Partnership Self Storage Box Lease 6 x 8 2-part MUNICIPAL FORMS 4 F (11024) WBA 100 3/02 Resolution designating public depository - municipal accounts 4 B (11025) WBA 101 (33) 3/02 Public depository acct. signature card - municipal accounts - 3 x 5 4 B (11026) WBA 101 (34) 3/02 Public depository acct. signature card - municipal accounts - 4 x 6

5 F (11027) WBA 102 3/02 Resolution designating public depository - misc. public accounts B (11028) WBA 103 (33) 3/02 Public depository acct. signature card - misc. public accounts - 3 x 5 B (11029) WBA 103 (34) 3/02 Public depository acct. signature card - misc. public accounts - 4 x 6 C (11248) WBA 104 8/11 Public deposits security C (11249) WBA 104A 7/00 Collateral register and notice E (11252) WBA 105 7/00 Public deposits control C (11255) WBA 106 9/11 Notice of substitution of collateral C (11256) WBA 107 3/02 Amended resolution designating public depository D (11283) WBA 109 4/87 Application to participate in Wisconsin bank deposit program - short term A (11297) WBA 112 4/88 Fixed-rate term CD PA (11054) WBA 194 8/06 Resolution for temp. borrowing by school district PA (11055) WBA 199 8/06 Resolution for temp. municipal borrowing 4 PA (11056) WBA 200 8/06 City borrowing on notes maturing up to 10 years PA (11057) WBA 201 8/06 Sanitary district borrowing on notes maturing up to 10 years 4 PA (11058) WBA 202 8/06 School district borrowing on notes maturing up to 10 years 4 PA (11059) WBA 203 8/06 Village borrowing on notes maturing up to 10 years 4 PA (11060) WBA 204 8/06 Town borrowing on notes maturing up to 10 years 4 PA (11061) WBA 205 8/06 County borrowing on notes maturing up to 10 years 4 PA (11325) WBA 220 8/06 City borrowing on notes maturing within 10 years-term credit 4 PA (11326) WBA 221 8/06 Sanitary district borrowing on notes maturing within 10 years-term credit 4 PA (11327) WBA 222 8/06 School district borrowing on notes maturing within 10 years-term credit 4 PA (11328) WBA 223 8/06 Village borrowing on notes maturing within 10 years-term credit 4 PA (11329) WBA 224 8/06 Town borrowing on notes maturing within 10 years-term credit 4 PA (11330) WBA 225 8/06 County borrowing on notes maturing within 10 years-term credit AGRICULTURAL FORMS D (11312) WBA (TL) 4S 6/99 Simple Interest Deferral Agreement A (11209) WBA (TL) 6 12/92 Declaration of agricultural purpose E (11033) WBA 129 7/14 Financial statement - rural C (11296) WBA 129A 12/88 Supporting schedule for AG financial E (11294) WBA /77 Farm earnings statement F (11208) WBA 134 5/81 Agricultural cash flow analysis E (11321) WBA 190P 9/05 Insurance verification C (11190) WBA 450MLDI 9/16 Request for mortgage life and disability insurance 4 G (11197) WBA /14 Farm security D (11277) WBA 711A 12/96 Farm products notice D (11099) WBA 711B 10/07 List of authorized buyers D (11210) WBA 712 8/06 Notice of assignment of farm products G (11202) WBA 713 5/01 Farm auction note and security agrmnt H (11290) WBA 730S 5/01 Agricultural simple interest installment sale and security G (11198) WBA 753 5/01 Agricultural installment note & chattel security G (11201) WBA 754 5/01 Agricultural simple interest installment note and chattel security FCRA FORMS C (11699) WBA (FCRA) 1 9/04 Reporting Negative Information to Credit Bureaus C (11700) WBA (FCRA) 2 9/04 Notice to Home Loan Applicant D (11288) WBA (FCRA) 604(B)(2) 8/97 Disclosure regarding use of consumer report for employment purposes C (11007) WBA (FCRA) IN 4/71 Record of Incoming Credit Inquiry F (11291) WBA (FCRA) 1-615(a) 8/11 Notice of Adverse Action in Noncredit Transaction Based on Cons Report F (11008) WBA (FCRA)(ECOA) /13 Credit request denial or approval F (11182) WBA (FCRA)(ECOA) 616 4/13 Credit denial w/ Reason MODEL FORMS MODEL WBA 127 ADD 2/04 Intent to Apply for Joint Credit MODEL (11874) WBA 141 9/07 Covered Borrower Identification Stmnt MODEL (11875) WBA 142 9/07 Consumer Credit Disclosures Under the National Defense Authorization Act MODEL WBA (FCRA) 604(b)(3) 8/97 Notice of use of Consumer Report for Employment Purposes MODEL WBA (FCRA) 1-606(a)(1) 8/97 Disclosure Regarding an Investigative Consumer Report MODEL WBA (FCRA) 2-606(b) 7/97 Disclosure of Nature and Scope of Investigative Report MODEL WBA (FCRA) 1-615(b) 8/97 Disclosure of Nature of Information from a Third Party other than a CRA MODEL WBA 1003 FACT 3/06 FACT Act Addendum to Uniform residential loan application MODEL (11528) PDF /01 Special Form of Assignment for U.S. Registered Definitive Securities (OMB No ) updated 12/6/17 DEPOSIT & OPERATIONS FORMS C (11714) WBA ATMAPPAB 8/06 Business ATM/Debit Card Application D (11130) WBA 2 12/91 Preauthorized payment B (11131) WBA 3 2/10 Revocation of preauthorized payments E (11017) WBA 75 7/10 Depository Declaration C (11187) WBA Administrator s or executor s agrmnt F (11133) WBA 84 4/14 Declaration of trustee designating depository E (11163) WBA 84A 8/14 Declaration of trustee borrowing authority C (11318) WBA 84B 11/07 Declaration of trust ownership by successor trustee A (11021) WBA 91 (13) 6/15 Organization account designation (3 x 5; single part) B (11096) WBA 91 (33) 6/15 Organization account designation (3 x 5; 3-part) B (11023) WBA 93 12/96 Stop payment order 4 F (11024) WBA 100 3/02 Resolution designating public depository and authorizing withdrawal of county, city, village or school district moneys 4 B (11025) WBA 101 (33) 3/02 Public depository account signature card - municipal accounts - 3 x 5 4 B (11026) WBA 101 (34) 3/02 Public depository account signature card - municipal accounts - 4 x 6 F (11027) WBA 102 3/02 Resolution designating public depository - for misc. public accounts B (11028) WBA 103 (33) 3/02 Public depository account signature card - misc. public accounts - 3 x 5 B (11029) WBA 103 (34) 3/02 Public depository account signature card - misc. public accounts - 4 x 6 C (11248) WBA 104 8/11 Public deposits security C (11249) WBA 104A 7/00 Collateral register E (11252) WBA 105 7/00 Public deposits control C (11255) WBA 106 9/11 Notice of substitution of collateral C (11256) WBA 107 3/02 Amended resolution designating public depository D (11283) WBA 109 4/87 Application to participate in Wisconsin Bank Deposit A (11297) WBA 112 4/88 Fixed-rate term CD D (11095) WBA /91 Safekeeping D (11170) WBA 297A 4/94 Safekeeping C (11839) WBA 300 8/06 Affidavit & Agreement of Unauthorized Remotely Created Check D (11097) WBA 309 9/91 Bond of indemnity for lost documents D (11226) WBA 310 1/97 Declaration of loss C (11497) WBA 311 8/04 Substitute Check Expedited Claim C (11711) WBA 312 4/16 Overdraft Transfer D (11098) WBA 350 4/06 Application for employment C (11207) WBA 350A 3/14 Voluntary Self Identification - Applicants C (11795) WBA 350B 3/14 Voluntary Self Identification - Employee C (11910) WBA 350C 3/14 Voluntary Self Identification of Disability C (11108) WBA /05 Night Depository Agreement C (11525) WBA 364A 3/94 Daily Record of Night Depository C (11354) WBA 380A 9/10 Acknowledgement of signature A (11115) WBA 380 (13) 3/15 Account designation signature card (3 x 5; single part) B (11117) WBA 380 (33) 3/15 Account designation signature card (3 x 5; 3 part) B (11119) WBA 381 (13) 4/14 Agent (power of attorney) designation signature card - 3 x 5 single part B (11120) WBA 381 (14) 4/14 Agent (power of attorney) designation signature card - 4 x 6 single part B (11121) WBA 381 (33) 4/14 Agent (power of attorney) designation signature card (3 x 5; 3 part) B (11122) WBA 381 (34) 4/14 Agent (power of attorney) designation signature card - 4 x 6 3 part 4 C (11123) WBA 382 (1) 8/15 P.O.D. beneficiary designation 1-part 4 D (11124) WBA 382 (3) 8/15 P.O.D. beneficiary designation - 3 part E (11125) WBA 383 (1) 3/07 Claim form for P.O.D. account - 1-part E (11126) WBA 383 (3) 3/07 Claim form for P.O.D. account - 3 part CUSTOM (11101) WBA /16 Deposit account rules Note: This is a standard set of rules customized for each financial institution. Call FIPCO for the questionnaire which will allow us to print these rules to your specifications. D (11127) WBA /87 Authorization & for depositing aid to dependent children E (11430) WBA 385A 1/13 Internal Automatic Funds Transfer Authorization Agreement 4 F (11102) WBA 386 9/11 Wire transfer C (11431) WBA 386A 1/05 Wire transfer Request Form 4 F (11135) WBA 387 and 387A 12/10 Repurchase 4 A (11909) WBA 387MuniAdv 2/14 Municipal Entity Disclosures 4 A (11199) WBA 387B 8/09 Repurchase confirmation notice C (11892) WBA 389 8/10 Agent s Certification As to the Validity of Power of Attorney for Finances and Property and Agent s Authority C (11432) WBA 390 6/15 Designation of Successor Custodian Under Wisconsin Uniform Transfers to Minors Act B (11304) WBA 391 C-13 8/88 Exception hold notice B (11305) WBA 391 C-13A 8/88 Reasonable cause hold notice B (11191) WBA 391 C-13B 1/10 Notice of hold B (11193) WBA 391 C-13C 1/10 Notice of hold B (11306) WBA 392 C-14 8/88 Case by case hold notice C (11690) WBA 393 8/04 Important Information about your Checking Account C (11692) WBA 395 8/04 Expedited Recredit Claim, Provisional Refund Notice C (11693) WBA 396 8/04 Expedited Recredit Claim, Denial Notice

6 HARD COPY FORMS PRICING CLASSES C (11696) WBA 397 8/04 Expedited Recredit Claim, Reversal Notice C (11691) WBA 398 8/04 Expedited Recredit Claim, Valid Claim Refund Notice C (11697) WBA 399 8/04 Notice of Incomplete Substitute Check Expedited Claim updated 12/6/17 Forms less than 11 long WBA Mem. $ Non-Mem. $ Stock #11083 WBA each.22 each C (11498) WBA 401 1/05 Authorization for Electronic Funds Transfer Services C (11323) WBA 450A 2/01 Disclosure Regarding Sales Ins. agrmnt FNMA/FHLMC FORMS F (11518) WBA 130HL-FNMA 3/13 Uniform Residential Loan Application 1003/FHLMC 65 MODEL WBA 1003 FACT 3/06 FACT Act Addendum to Uniform residential loan application MISCELLANEOUS FORMS D (11807) State Bar of Wisconsin 12/94 Waiver of Construction Lien SAFETY PAPER & SIGNATURE CARD STOCK Sold in multiples of 100 FL x 5 signature card stock for laser printers FL x 6 signature card stock for laser printers FL /2 x 11 blue safety paper for laser generated certificates of deposit FL /2 x 11 green safety paper for laser generated certificates of deposit FL x 5 signature card stock (pink) FL x 6 signature card stock (pink) FL /2 x 11 Buff (canary) safety paper for laser generated certificates of deposit Order safety paper and card stock online at: THUMBPRINT SIGNATURE SUPPLIES S106 Black Ink Pads (Minimum of 10) S107 Counter Displays S108 Decals S109 Statement Stuffers (Minimum of 500) Order thumbprint signature supplies online at: DIRECTORY FD100 Wisconsin Financial Institution s Directory Order Wisconsin Financial Institution s Directory online at: COIN & CURRENCY SUPPLIES Preformed coin wrappers, currency straps, coin wrappers and more Order your Coin & Currency Supplies online at CUSTOM PRODUCTS (CALL EXT 260 FOR THE PRODUCTS BELOW) Cash Tickets (Single Ply, Duplicate, Fold-Over) Checks (Cashier s, BMO & PMO, Expense, Custom) Teller Supplies (Receipts, Savings Deposits, etc.) GL Debits & Credits Other Products also available Class A - Single part.53 each.66 each Class B - MULTI-part.70 each.88 each 8 ½ x 11 (1 or 2-sided) Class C Single Part.67 each.84 each Class D - MULTI-part.94 each 1.17 each 8 ½" x 14 (1 or 2-sided) Class E Single part.86 each 1.08 each Class F MULTI-part 1.14 each 1.42 each Over 14 inches and less than 18 inches long Class G 2.28 each 2.85 each 18 inches and longer Class H 2.60 each 3.25 each Municipal forms packets and other packets CLASS PA 3.25 each 4.06 each Stock #11149 WBA 431-S 1.51 each 1.89 each Stock #11898 WBA 431-S(B) 1.51 each 1.89 each