SAMPLE FEDERAL CREDIT UNION
611 ANYWHERE A VENUE
ANYTOWN, USA 39401-6428
(666) 555-7333

MARCH 22, 2000
FAX TO: (777) 555-8222

Regional Director
Region __
National Credit Union Administration
1775 Duke Street, Suite 4206
Alexandria, VA 22314-3437

RE: Low Income Designation

      The officials of "SAMPLE" Federal Credit Union would like to request a Low-Income
Designation. More than 50% of our credit union members reside in zip codes with a median
household income below NCUA's low-income standard. The following information is attached for
your review:

** Computer print-out of the current membership by Zip Code
** The U.S. Census Bureau data listing the median household
     income for each Zip Code - please note that we secured this
     information through the Internet Site for the U.S. Census Bureau -
     Database #C90STF3B- Table (matrix) #P80A
** A summary of Findings showing the total number of members,
     the total number of members in the low income zip codes and
     the percentage of members in low income zip codes compared
     to the total number of members.

If you require additional information, please call me at (666) 555-7333 (Office) or at my
Home (666) 544-7555.

Thank you for your consideration in this matter.

With kind regards,


John H. Doe
President

cc: Examiner
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