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State Pledge Forms

The following is a list of forms required for financial institutions to execute when pledging securities or collateral instruments to secure State deposits, and instructions for filling them out. 


  • Instruction 1 - Instructions for filling out Pledge Agreement 

  • Instruction 2 - Instructions for pledging Letters of Credit from the Federal Home Loan Bank of Topeka. 

  • Instructions for pledging, releasing & substitution of collateral securities:

    a. Instruction 3 - Pledging through the Federal Reserve. 
    b. Instruction 4 - Pledging through a Safekeeping Bank.

  • Instruction 5 - Instructions for pledging, releasing and substitution of Surety Bonds through the Kansas Bankers Surety Company.


  • OST Form 95-005 - Pledge Agreement for Funds Held on Deposit. 
  • OST Form 95-006 - Certification of Adoption of [Directors' or Loan Committee's] Resolution. 
  • OST Form 95-007 - Collateral Securities Pledge Form - State. 
  • OST Form 95-008 - Certification of Removal and/or Appointment of Duly Authorized Bank Officers.
  • OST Form 95-009 - Collateral Instruments Pledge Form - State.
Last Modified on Sep 23, 2023
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