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        AP-223
        (Rev.1-17/3)          State of Texas
                                                                                                                                  PRINT FORM      CLEAR FIELDS

Bank Nexus Questionnaire
   for Savings and Loans, State Banks, Federal Banks, Savings Banks and Foreign Country Banks
                                                                                                                                                                        ACID
                                                                                                                    Texas taxpayer number

                                                                                                                    File number

                                                                                                                    You have certain rights                                 under Chapters 552 and 559,
                                                                                                                    Government Code, to review, request and correct
                                                                                                                    information we have on file about you. Contact us at the
                                                                                                                    address or phone number listed on this form. 
1. Entity name                                                                                                      2. Federal employer identification number (FEIN)

3. Mailing address (if different than above address)

   City                                                                       State                                    ZIP code

4. Contact person                                                                      5. Contact phone (Area code and number)

6.  Bank entity type

        State bank (FO)                                           Federal bank (FJ)                                               Federal savings and loan (FN)
        State savings bank (FH)                                   Federal savings bank (FK)                                       Foreign country bank (FR)
        State savings and loan (FA)
                                                                                                                                            month day               year
7.  In what state or country was this entity formed?                                                                   Formation date

8.  If this entity is registered with the Texas Secretary of State, please provide the file number.

9.  Please provide the entity's North American Industry Classification System (NAICS) code.
    (NAICS codes are available at www.census.gov/epcd/www/naics.html.)

10. Please list any tax permits or licenses issued to this entity by the Texas Comptroller.
    Type of permit or license                                                                                          Taxpayer number for permit or license

    If included in a combined group Texas Franchise Tax Report, 
    provide the reporting entity's Texas taxpayer number
11. Please describe this entity's business activities:

12. Please check the items pertaining to this entity in Texas during the last seven years.                                                        Start Date
                                                                                                                                            month day               year
        Place of business
         (maintaining a place of business, manufacturing plant, office, warehouse or retail outlet, owned or leased)
        Performance of a contract
         (with own employees, local labor or contractors)
        Delivering
         (items sold and delivered into Texas in company vehicles)
        Warranty work
         (with own employees or third party)
        Real property in Texas
         (hold, acquire, lease or dispose of)
        Personal property
         (hold, acquire, lease, install, erect, modify, maintain, repair or dispose of personal property used or located in Texas)
        General partner
         (in a general or limited partnership that is doing business in Texas)
        Shows
         (staging of or participation in shows, theatrical performances, sporting events or other events in Texas)
                                                                  (continued on back)



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Form AP-223 (Back)(Rev.1-17/3)

12. Please check the items pertaining to this entity in Texas during the last seven years.  (continued)                          Start Date
                                                                                                                           month day             year
     Inventory
      (including consigned goods)
     Loan production activities
      (solicit sales/loan contracts, gather data, make credit checks  or other 
       financial activities in Texas with own employees, independent contractors or agents)
     Solicitation
      (promote sales/service using employees, independent contractors, agents or other representatives)
     Employees/independent representatives
      (including temporary employees, contractors, agents)

     Processing, manufacturing, storing goods

     Sell and license software in Texas
     Processing and shipment
      (send materials to Texas manufacturer, processor, repairer or printer to be 
       processed, stored in completed form, awaiting orders for shipment)
     Advertising
      (enter Texas to purchase, place or display advertising for the benefit of another)
     Provide a service
      (through employees, independent contractors, agents or other representatives)
     Federal enclave
      (doing business in Texas even if the area is leased, owned or controlled by the federal government)
     Holding company
      (maintain place of business, manage, direct and/or perform services for subsidiaries or related entities)
     Transportation
      (carry passengers or property where the pickup and delivery is in Texas; have Texas facilities, employees or 
       other representatives for storage, delivery, shipping of goods; servicing, maintaining, repairing vehicles or 
       other equipment; coordinating/directing the transportation of passengers or property)
     Franchisors
      (contracts where a franchisee is granted the right to engage in business under a marketing 
       plan/system substantially prescribed by the franchisor or if franchisee's business is substantially 
       associated with the franchisor's brand, service mark or other commercial symbol)

13. Please provide a full description of the entity's activities in Texas. If the entity no longer has 
    nexus in Texas, enter the end date of the entity's activities in Texas and provide the reason 
    why this entity does not have Texas franchise tax responsibility.

    _______________________________________________________________________________________________ 
     
                                                                                                                           Nexus end date
    _______________________________________________________________________________________________                        month day             year
     
    _______________________________________________________________________________________________ 
     
I declare that the information in this document and any attachment is true and correct to the best of my knowledge 
and belief.
Print preparer's name                                     Title                                                      Phone (Area code and number)

                                                                                                 Date

Please return this completed questionnaire to: Texas Comptroller of Public Accounts
                                                          P.O. Box 149348
                                                          Austin, TX  78714-9348

For Assistance: Information about franchise tax is available online at www.comptroller.texas.gov/taxes/franchise/. For taxpayer assistance, call 
1-800-252-1381 or 512-463-4600.






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