FORM OF STATUTORY JOINT ACCOUNT CONTRACT

    1.

    Name of financial institution:

    2.

    Nature of Account:

    Check______Savings Account;

    ______Commercial Account;

    ______Certificate of Deposit;

    ______Other Credits (describe):

    3.

    Name and address of person designated as A:

    4.

    Name and address of person designated as B:

    5.

    Who may withdraw funds during lifetime of A and B:

    Check______A;______B;______Either A or B;

    ______Signatures of both A and B.

    6.

    Who may revoke this contract by written notice to the financial institution:

    Check______A;______B;______Either A or B;

    ______Signatures of both A and B. In the event of

    revocation, the right to withdraw funds shall be determined by designation of ownership in item 7.

    7.

    Who owns the funds during the lifetime of A and B:

    Check______A;______B;______Equally by A and B;

    Other proportions (describe):______

    8.

    Who owns the funds and has the right to withdraw if A dies first:

    Check______B;______A's estate;______Equally by B and A's estate;

    Other proportions (describe):______.

    9.

    Who owns the funds and has the right to withdraw if B dies first:

    Check______A;______B's estate;______Equally by A and B's estate;

    Other proportions (describe):______.

    10.

    If A and B should die simultaneously without proof of who survives, which provision shall control:

    Check______Item 8 above;______Item 9 above.

    11.

    Signature of persons having right of withdrawal:______.

    12.

    Date of signature:______.