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Commercial Banking Forms

NOTICE: Fee change effective June 1, 2006
The Nebraska State Patrols Criminal Identification Division (CID) began charging $15 per request for criminal history records on June 1, 2006, in order to cover the cost of storage and maintenance of the records. The previous charge, $10, had been in effect for more than twenty years. This change increases to $15 from $10 the amount which must be submitted with Director and Executive Officer License Applications, and Delayed Deposit Services License and Branch Applications. If you have any questions about the fee increase, please feel free to contact the Department. You may also contact CID directly at (402) 479-4971.

Our applications are in pdf format. You must have Adobe Reader® to access these forms. It is recommended that you have the most recent version of Reader, which is available free from the Adobe website at: http://www.adobe.com/products/acrobat/readstep2.html


Branch Purchase and Assumption
Cross Industry Acquisitions
Mergers
Phantom Bank Charter/Mergers
Interagency Merger Form

Word or pdf
New Bank Charter (complete all forms)
New Charter Instructions and Checklist pdf
Interagency Charter and Federal Deposit Insurance Application Word or pdf
Nebraska Supplement to the Interagency Charter Application Editable pdf
Business Plan Guidelines pdf
Call Report Financial Projections pdf
Interagency Biographical and Financial Report pdf
Nebraska Supplement to the Interagency Biographical and Financial Report Editable pdf
National Historic Preservation Act Form and Instructions

pdf
Relocate Main Office
Main Office Relocation Application Editable pdf
The following may also need to be completed:
National Historic Preservation Act Form and Instructions

pdf
Convert to a State Charter
National Bank:
Instructions pdf
Conversion Application

Editable pdf
Federal Savings Association:
Instructions pdf
Conversion Application

Editable pdf
Change of Control
Change of Control Instructions pdf
Change of Control Form Word or pdf
Interagency Biographical and Financial Report Word or pdf
Department Supplement to the Interagency Biographical and Financial Report Editable pdf
Change of Control by Gift, Inheritance or Collection of Debt

Editable pdf
New Branch, Branch Relocation and LPO Forms
New, Relocate or Discontinue a Loan Production Office Editable pdf
New, Relocate or Discontinue a Branch Editable pdf
Branch application may also require the following:
Department Supplement to the Uniform Branch Application Editable pdf
National Historic Preservation Act Form and Instructions

pdf
Trust Department
FDIC Application for Consent to Exercise Trust Powers Word or pdf
Department Supplement to FDIC Trust Powers Application Editable pdf
In-State BTO/RTO Application and/or Notice Editable pdf
Out-of-state BTO/RTO Application and/or Notice

Editable pdf
Approvals and Licenses
Approval to Conduct Audit or Directors' Exam Editable pdf
Executive Officer License Editable pdf
Application for Approval of Director Editable pdf
Following should accompany New Director Application
Director's Handbook

pdf
Other Banking Forms
Attestation of Audit Standards (sample) pdf
Bank Holding Company Registration Editable pdf
Capital Stock Decrease Editable pdf
Capital Stock Increase Editable pdf
Statement of Intention to Make Personal Loans Editable pdf
Suspicious Activity Report (SAR)
Tips for Preparing a SAR

Editable pdf
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