This Bank Acknowledgment and Agreement is between a lender and a borrower who grants lender a security interest in bank accounts for a loan. This agreement sets out the name of the lender, date of credit or loan agreement and name of the borrower. It also sets out the accounts which are held by lender as security. It is imperative that this type of agreement be set forth in writing. A written Bank Acknowledgment and Agreement will prove useful in the event there are disagreements or misunderstandings regarding the security.

This Bank Acknowledgment and Agreement contains:

• Parties: Sets out the names of lender and borrower and date of the credit agreement;
• Security Interest: Bank information (i.e. account and bank routing numbers) and that the account is used as collateral security;
• Signature: This acknowledgment must be signed by the borrower's bank or financial institution.

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This attorney-prepared packet contains:

1. General Instructions
2. Bank Acknowledgment and Agreement

State Law Compliance: This form complies with the laws of all states