The acceptance shall be in the following form: We, the undersigned, having been duly elected as directors of _____________________________ Association, do hereby accept the office of director, for a term as indicated opposite our signatures. Name of Director Address Term Signature (Please Type)

1. 1. _____________ ________ ________ __________________
2. 2. _____________ ________ ________ __________________
3. 3. _____________ ________ ________ __________________
4. 4. _____________ ________ ________ __________________
5. 5. _____________ ________ ________ __________________

Authority: T.C.A. §45-1303. Administrative History: Original Rule certified June 10, 1974.