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Regu/ation B Notice of /ntent to App/y foi Joint Credit <br />Lender App/icant <br />Heritage Bank Kenneth L. Layher Date 12•01•2011 <br />PO Bax 487 521 Z S Burwick Rd A�� <br />110 E 9th Street Wood River, NE 68883 Number 3300814 <br />Wood River, NE 68883 <br />201109i�.N <br />We intend to apply for joint credit. <br />By signing below, we acknowledge the intention to apply for joint credit on today's date. <br />X <br />Kenneth L. Layher <br />X <br />X <br />X <br />��� Regulation B Notice of Intent to Apply for Joint Credit <br />OO 2004 Bankers Systems, Inc., SY. Cloud, MN Form REG&INTENT 5/13/2004 (page 1 of 1 J <br />