State Depository Application/Agreement - Texas Comptroller of ...

Section V: Checklist
Before submitting your application to the Texas Comptroller, confirm that the appropriate sections are completed:
If requesting to hold state deposits fully insured by Deposit Insurance, complete Section II.
If requesting to hold state deposits in excess of Deposit Insurance, complete Section III.
Sign in the appropriate signature section(s).
Complete Section IV.
Enclose a current statement of condition (a daily call report, financial statement or the most recently published quarterly report).
Verify that the capital stock and surplus amounts on page 1, page 6 and your statement of condition are the same.
For help completing this form, refer to the State Depository Handbook, which can be found at www.window.state.tx.us/treasops/depository.
Mail completed application to:
Texas Comptroller of Public Accounts
Cash and Securities Management Division/Rm. 636
P.O. Box 12608
Austin, TX 78711-2608
Application prepared by:
Mr.
Ms.
Name
Title
Phone number:
Email address:
If you have any questions regarding this application/agreement, please contact the Cash and Securities Management
Division of the Comptroller of Public Accounts at 512-463-5906.
Depository information can be found at http://www.window.state.tx.us/treasops/depository.
Under Ch. 559, Government Code, you are entitled to review, request and correct information we have on file about you, with limited exceptions in accordance
with Ch. 552, Government Code. To request information for review or to request error correction, contact us at the address or number listed on this form.
For Comptroller Use Only:
Date approved: Bank code: Institution Type:
Section BD or LC Approved Custodian: Yes No
UP Compliance: Yes No TTSTC ECSM
AP-185-7 (Rev.3-13/10)
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