SAMPLE PERSON Address City, State ZIP Phone 61-299/622 CITIZENS STATE BANK P O BOX 800 VERNON, AL 35592 0000 04/29/2025 A062202998A 0000000000C 0000
SAMPLE COMPANY Address City, State ZIP Phone CITIZENS STATE BANK P O BOX 800 VERNON, AL 35592 61-299/622 0000 04/29/2025 C0000C A062202998A 0000000000C