SECURITIES AND EXCHANGE COMMISSION
                              WASHINGTON, DC 20549


                                    FORM 10-Q


[ X ]     QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
          EXCHANGE ACT of 1934 FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 30, 1999

[   ]     TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
          EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM ______ TO ______


Commission file number:  0-12820
                         -------


                        AMERICAN NATIONAL BANKSHARES INC.
- --------------------------------------------------------------------------------
             (Exact name of registrant as specified in its charter)


            Virginia                                        54-1284688
- ------------------------------------                ----------------------------
  (State or other jurisdiction of                        (I.R.S. Employer
   incorporation or organization)                         Identification No.)


            628 Main Street
- --------------------------------------------------------------------------------
            Danville, Virginia                             24541
- --------------------------------------------------------------------------------
  (Address of principal executive offices)               (Zip Code)


                                 (804) 792-5111
- --------------------------------------------------------------------------------
              (Registrant's telephone number, including area code)


Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the  preceding 12 months (or for such  shorter  period that the  registrant  was
required  to file  such  reports),  and  (2) has  been  subject  to such  filing
requirements for the past 90 days.
Yes   X   No       .
    -----    -----

The number of shares outstanding of the issuer's common stock as of November 10,
1999 was 6,103,466.

                        AMERICAN NATIONAL BANKSHARES INC.



                                      INDEX


Part I.    Financial Information                                        Page No.

  Item 1.  Financial Statements (Unaudited)

             Consolidated Balance Sheets as of September 30, 1999
               and December 31, 1998........................................3

             Consolidated Statements of Income for the three months
               ended September 30, 1999 and 1998............................4

             Consolidated Statements of Income for the nine months
               ended September 30, 1999 and 1998............................5

             Consolidated Statements of Cash Flows for the nine months
               ended September 30, 1999 and 1998............................6

             Notes to Consolidated Financial Statements.....................7-10

  Item 2.  Management's Discussion and Analysis of the Financial Condition
             and Results of Operations.....................................11-18


Part II.   Other Information...............................................19

SIGNATURES ................................................................19

EXHIBIT -  10.1 Agreement between American National Bank and Trust Company
                and James H. Johnson, Jr. dated July 31, 1999

EXHIBIT -  10.2 Agreement between American National Bank and Trust Company
                and Earnest C. Jordan dated July 26, 1999

EXHIBIT -  27 Financial Data Schedule


                                         Consolidated Balance Sheets
                               American National Bankshares Inc. and Subsidiary
                                                (In Thousands)
                                                  (Unaudited)
- --------------------------------------------------------------------------------------------------------

                                                                                September 30   December 31
                                                                                    1999          1998
                                                                                ------------   -----------
                                                                                         
ASSETS
Cash and due from banks.........................................................$ 12,435       $ 14,072
Interest-bearing deposits in other banks........................................  13,895            706

Investment securities:
  Securities available for sale (at market value)............................... 113,517        105,536
  Securities held to maturity (market value of $43,751 at
    September 30, 1999 and $59,207 at December 31, 1998)........................  44,038         57,877
                                                                                ---------      ---------
  Total investment securities................................................... 157,555        163,413
                                                                                ---------      ---------

Loans, net of unearned income .................................................. 279,308        269,519
Less allowance for loan losses..................................................  (4,063)        (3,821)
                                                                                ---------      ---------
  Net loans..................................................................... 275,245        265,698
                                                                                ---------      ---------

Bank premises and equipment, at cost, less accumulated
  depreciation of $7,944 in 1999 and $7,164 in 1998.............................   7,938          7,603
Accrued interest receivable and other assets....................................  10,575          8,891
                                                                                ---------      ---------
  Total assets..................................................................$477,643       $460,383
                                                                                =========      =========

LIABILITIES and SHAREHOLDERS' EQUITY
Liabilities:
  Demand deposits -- non-interest bearing.......................................$ 44,033       $ 45,071
  Demand deposits -- interest bearing...........................................  54,778         55,883
  Money market deposits.........................................................  19,499         18,089
  Savings deposits..............................................................  66,551         68,621
  Time deposits................................................................. 188,739        170,661
                                                                                ---------      ---------
    Total deposits.............................................................. 373,600        358,325
                                                                                ---------      ---------

Repurchase agreements...........................................................  18,567         31,023
FHLB borrowings.................................................................  26,000         13,000
Accrued interest payable and other liabilities..................................   3,062          3,174
                                                                                ---------      ---------
  Total liabilities............................................................. 421,229        405,522
                                                                                ---------      ---------

Shareholders' equity:
  Preferred stock, $5 par, 200,000 shares authorized,
    none outstanding............................................................       -              -
  Common stock, $1 par, 10,000,000 shares authorized,
    6,103,466 shares outstanding at September 30, 1999 *
    and 3,051,733 shares outstanding at December 31, 1998.......................   6,103          3,052
  Capital in excess of par value................................................   9,893          9,892
  Retained earnings.............................................................  41,244         40,799
  Accumulated other comprehensive income -
    net unrealized (losses) gains on securities available for sale..............    (826)         1,118
                                                                                ---------      ---------
  Total shareholders' equity....................................................  56,414         54,861
                                                                                ---------      ---------
  Total liabilities and shareholders' equity....................................$477,643       $460,383
                                                                                =========      =========

* - Reflects the impact of a 2-for-1 stock split effected in the form of a dividend issued July 1, 1999.

The accompanying notes to consolidated financial statements are an integral part of these balance sheets.



                                  Consolidated Statements of Income
                           American National Bankshares Inc. and Subsidiary
                                            (In Thousands)
                                             (Unaudited)
- -----------------------------------------------------------------------------------------------------

                                                                                 Three Months Ended
                                                                                    September 30
                                                                                ---------------------
                                                                                  1999         1998
                                                                                --------     --------
                                                                                       
Interest Income:
  Interest and fees on loans....................................................$ 5,991      $ 5,898
  Interest on federal funds sold and other......................................     94           94
  Income on investment securities:
    U S Government..............................................................    141          629
    Federal agencies............................................................  1,474        1,169
    State and municipal.........................................................    431          342
    Other investments...........................................................    304          112
                                                                                --------     --------
      Total interest income.....................................................  8,435        8,244
                                                                                --------     --------
Interest Expense:
  Interest on deposits:
    Demand......................................................................    276          295
    Money market................................................................    125          145
    Savings.....................................................................    445          499
    Time........................................................................  2,342        2,337
  Interest on fed funds and repos ..............................................    191          278
  Interest on other borrowings..................................................    341          148
                                                                                --------     --------
    Total interest expense......................................................  3,720        3,702
                                                                                --------     --------
Net Interest Income.............................................................  4,715        4,542
Provision for Loan Losses.......................................................    120          203
                                                                                --------     --------
Net Interest Income After Provision
  For Loan Losses...............................................................  4,595         4,339
                                                                                --------      --------
Non-Interest Income:
  Trust and investment services.................................................    630           513
  Service charges on deposit accounts...........................................    258           243
  Non-deposit fees and insurance commissions....................................     70            83
  Mortgage banking income.......................................................     75           109
  Other income..................................................................    128            54
                                                                                --------      --------
    Total non-interest income...................................................  1,161         1,002
                                                                                --------      --------
Non-Interest Expense:
  Salaries......................................................................  1,392         1,319
  Pension and other employee benefits...........................................    238           279
  Occupancy and equipment.......................................................    507           367
  Postage and printing..........................................................    103            99
  Core deposit intangible amortization .........................................    112           112
  Other.........................................................................    575           529
                                                                                --------      --------
    Total non-interest expense..................................................  2,927         2,705
                                                                                --------      --------
Income Before Income Tax Provision..............................................  2,829         2,636
Income Tax Provision............................................................    841           809
                                                                                --------      --------
Net Income......................................................................$ 1,988       $ 1,827
                                                                                ========      ========

- ------------------------------------------------------------------------------------------------------
Net Income Per Common Share *
Basic...........................................................................$   .33       $   .30
Diluted.........................................................................$   .33       $   .30
- ------------------------------------------------------------------------------------------------------
Average Common Shares Outstanding
Basic.........................................................................6,103,466     6,103,466
Diluted.......................................................................6,113,907     6,104,514
- ------------------------------------------------------------------------------------------------------

* - Per share amounts have been restated to reflect the impact of a 2-for-1 stock split effected in the
    form of a dividend issued July 1, 1999.

The accompanying notes to consolidated financial statements are an integral part of these statements.



                                  Consolidated Statements of Income
                           American National Bankshares Inc. and Subsidiary
                                            (In Thousands)
                                             (Unaudited)
- -----------------------------------------------------------------------------------------------------

                                                                                 Nine Months Ended
                                                                                   September 30
                                                                                ---------------------
                                                                                  1999         1998
                                                                                --------     --------
                                                                                       
Interest Income:
  Interest and fees on loans....................................................$17,787      $17,463
  Interest on federal funds sold and other......................................    113          149
  Income on investment securities:
    U S Government..............................................................    691        2,077
    Federal agencies............................................................  4,070        3,332
    State and municipal.........................................................  1,292          933
    Other investments...........................................................    930          354
                                                                                --------     --------
      Total interest income..................................................... 24,883       24,308
                                                                                --------     --------
Interest Expense:
  Interest on deposits:
    Demand......................................................................    826          928
    Money market................................................................    367          407
    Savings.....................................................................  1,333        1,489
    Time........................................................................  6,842        6,981
  Interest on fed funds purchased and repos.....................................    638          814
  Interest on other borrowings..................................................    891          202
                                                                                --------     --------
    Total interest expense...................................................... 10,897       10,821
                                                                                --------     --------
Net Interest Income............................................................. 13,986       13,487
Provision for Loan Losses.......................................................    480          678
                                                                                --------     --------
Net Interest Income After Provision
  For Loan Losses............................................................... 13,506       12,809
                                                                                --------     --------
Non-Interest Income:
  Trust and investment services.................................................  1,868        1,580
  Service charges on deposit accounts...........................................    715          681
  Non-deposit fees and insurance commissions...................................     209          211
  Mortgage banking income.......................................................    279          302
  Other income..................................................................    262          126
                                                                                --------     --------
    Total non-interest income...................................................  3,333        2,900
                                                                                --------     --------
Non-Interest Expense:
  Salaries......................................................................  4,055        3,760
  Pension and other employee benefits...........................................    726          854
  Occupancy and equipment.......................................................  1,432        1,272
  Postage and printing..........................................................    334          340
  Core deposit intangible amortization .........................................    337          337
  Other.........................................................................  1,615        1,585
                                                                                --------     --------
    Total non-interest expense..................................................  8,499        8,148
                                                                                --------     --------
Income Before Income Tax Provision..............................................  8,340        7,561
Income Tax Provision............................................................  2,462        2,322
                                                                                --------     --------
Net Income......................................................................$ 5,878      $ 5,239
                                                                                ========     ========

- -----------------------------------------------------------------------------------------------------
Net Income Per Common Share *
Basic...........................................................................$   .96      $   .86
Diluted.........................................................................$   .96      $   .86
- ------------------------------------------------------------------------------------------------------
Average Common Shares Outstanding
Basic.........................................................................6,103,466    6,103,466
Diluted.......................................................................6,108,773    6,105,290
- ------------------------------------------------------------------------------------------------------

* - Per share amounts have been restated to reflect the impact of a 2-for-1 stock split effected in the
    form of a dividend issued July 1, 1999.

The accompanying notes to consolidated financial statements are an integral part of these statements.



                                    Consolidated Statements of Cash Flows
                              American National Bankshares Inc. and Subsidiary
                                               (In Thousands)
                                                 (Unaudited)
- -------------------------------------------------------------------------------------------------------

                                                                                  Nine Months Ended
                                                                                    September 30
                                                                                -----------------------
                                                                                  1999          1998
                                                                                ---------     ---------
                                                                                        
Cash Flows from Operating Activities:
  Net income....................................................................$  5,878      $  5,239
  Adjustments to reconcile net income to net
    cash provided by operating activities:
  Provision for loan losses.....................................................     480           678
  Depreciation..................................................................     794           643
  Core deposit intangible amortization..........................................     337           337
  Net amortization (accretion) of premiums and discounts
    on investment securities....................................................      79            46
  Gain on sale of securities....................................................      (8)            -
  Gain on sale of real estate owned.............................................     (63)            -
  Deferred income taxes benefit.................................................    (190)         (248)
  Increase in interest receivable...............................................    (203)         (398)
  Increase in other assets......................................................    (702)          (14)
  Increase in interest payable..................................................     135            35
  (Decrease) increase in other liabilities......................................    (247)          448
                                                                                ---------     ---------
    Net cash provided by operating activities...................................   6,290         6,674
                                                                                ---------     ---------

Cash Flows from Investing Activities:
  Proceeds from maturities, calls, and sales of securities .....................  45,072        28,918
  Purchases of securities available for sale.................................... (37,197)      (28,491)
  Purchases of securities held to maturity......................................  (5,033)       (8,624)
  Net increase in loans......................................................... (10,027)      (10,562)
  Proceeds from sale of other real estate owned.................................     138             -
  Purchases of property and equipment...........................................  (1,129)         (805)
                                                                                ---------     ---------
    Net cash used in investing activities.......................................  (8,176)      (19,564)
                                                                                ---------     ---------

Cash Flows from Financing Activities:
  Net (decrease) increase in demand, money market,
    and savings deposits........................................................  (2,803)        3,127
  Net increase in time deposits.................................................  18,078         3,197
  Net (decrease) increase in federal funds purchased
    and repurchase agreements................................................... (12,456)       10,888
  Net increase in borrowings....................................................  13,000        13,000
  Cash dividends paid...........................................................  (2,381)       (2,105)
  Repurchase of stock...........................................................       -             -
                                                                                ---------     ---------
    Net cash provided by financing activities...................................  13,438        28,107
                                                                                ---------     ---------

Net Increase in Cash and Cash Equivalents.......................................  11,552        15,217


Cash and Cash Equivalents at Beginning of Period................................  14,778        13,752
                                                                                ---------     ---------

Cash and Cash Equivalents at End of Period......................................$ 26,330      $ 28,969
                                                                                =========     =========

Supplemental Schedule of Cash and Cash Equivalents:
  Cash:
    Cash and due from banks.....................................................$ 12,435      $ 12,538
    Interest-bearing deposits in other banks....................................  13,895        16,431
                                                                                ---------     ---------
                                                                                $ 26,330      $ 28,969
                                                                                =========     =========

Supplemental Disclosure of Cash Flow Information:
  Interest paid.................................................................$ 10,762      $ 10,786
  Income taxes paid.............................................................$  2,935      $  2,150

The accompanying notes to consolidated financial statements are an integral part of these statements.


                AMERICAN NATIONAL BANKSHARES INC. AND SUBSIDIARY
         NOTES TO UNAUDITED CONSOLIDATED CONDENSED FINANCIAL STATEMENTS


1.  Basis of Presentation
    ---------------------

         In the opinion of management,  the accompanying  unaudited consolidated
condensed  financial  statements  contain all adjustments  (consisting of normal
recurring  accruals)  necessary to present fairly American National  Bankshares'
financial  position as of September 30, 1999,  the results of its operations and
its cash flows for the three and nine months then ended.  Operating  results for
the three and nine month  periods ended  September 30, 1999 are not  necessarily
indicative  of the results that may be expected for the year ended  December 31,
1999.
         The consolidated  financial  statements include the amounts and results
of operations of American National  Bankshares Inc. ("the  Corporation") and its
wholly owned  subsidiary,  American National Bank and Trust Company ("the Bank")
and the Bank's  subsidiary,  ANB Mortgage  Corp. A summary of the  Corporation's
significant  accounting  policies  is set  forth  in Note 1 to the  Consolidated
Financial Statements in the Corporation's 1998 Annual Report on Form 10-K.
         On June 15,  1999,  the  Corporation's  Board of  Directors  approved a
2-for-1  stock  split  effected  in  the  form  of  a  100%  stock  dividend  to
shareholders  of record July 1, 1999 with a distribution  date of July 15, 1999.
All per share data and weighted average shares have been restated as appropriate
to reflect the split.
         This report  contains  forward-looking  statements  with respect to the
financial  condition,  results of operations and business of the Corporation and
Bank. These  forward-looking  statements involve risks and uncertainties and are
based on the beliefs and  assumptions of management of the  Corporation and Bank
and on information  available at the time these  statements and disclosures were
prepared.  Factors that may cause actual results to differ materially from those
expected include the following:

o    General  economic  conditions may deteriorate and negatively  impact credit
     quality and deposit retention.
o    Changes in interest rates could reduce net interest income.
o    Competitive pressures among financial institutions may increase.
o    Legislative  or  regulatory   changes,   including  changes  in  accounting
     standards,  may adversely  affect the businesses  that the  Corporation and
     Bank are engaged.
o    New products  developed or new methods of delivering  products could result
     in a reduction in business and income for the Corporation and Bank.
o    Adverse changes may occur in the securities market.
o    Year 2000 issues could erode public confidence in financial institutions or
     present other risks (see separate Year 2000 Issue disclosure).

2.  Investment Securities
    ---------------------

         The Bank classifies investment securities in one of three categories:
held to maturity, available for sale and trading.
          Debt  securities  acquired with both the intent and ability to be held
to maturity are  classified as held to maturity and reported at amortized  cost.
Gains or losses  realized from the sale of any  securities  held to maturity are
determined by specific identification and are included in non-interest income.
          Securities  which may be used to meet  liquidity  needs  arising  from
unanticipated  deposit and loan fluctuations,  changes in regulatory capital and
investment  requirements,  or unforeseen  changes in market

conditions,  including  interest rates,  market values or inflation  rates,  are
classified as available for sale.  Securities available for sale are reported at
estimated fair value,  with  unrealized  gains and losses reported as a separate
component of stockholders' equity, net of tax. Gains or losses realized from the
sale of securities available for sale are determined by specific  identification
and are included in non-interest income.
          The  Corporation  does not  permit  the  purchase  or sale of  trading
account securities. If such securities were permitted, market adjustments, fees,
gains or  losses  and  income  earned on  trading  account  securities  would be
included  in  non-interest  income.  Gains or losses  realized  from the sale of
trading securities would be determined by specific identification.
          Premiums and discounts on investment  securities  are amortized  using
the interest method.

3.  Commitments and Contingencies
    -----------------------------

         The  Bank  has  credit  availability  of 15% of  assets,  approximately
$71,500,000  with the Federal Home Loan Bank of Atlanta at  September  30, 1999.
Borrowings  outstanding under this availability were $26,000,000 and $13,000,000
respectively, at September 30, 1999 and December 31, 1998.
         Commitments to extend credit,  which amount to $83,779,000 at September
30, 1999 and  $67,466,000  at  December  31,  1998,  represent  legally  binding
agreements to lend to customers with fixed expiration dates or other termination
clauses.  Since many of the  commitments  are expected to expire  without  being
funded,  the  total  commitment  amounts  do not  necessarily  represent  future
liquidity requirements.
          There were  $1,110,000  commitments at September 30, 1999 and $952,000
commitments at December 31, 1998 to purchase securities when issued.
         Standby  letters of credit are  conditional  commitments  issued by the
Bank  guaranteeing  the  performance  of a  customer  to a  third  party.  Those
guarantees  are  primarily  issued  to  support  public  and  private  borrowing
arrangements.  At September 30, 1999 and December 31, 1998 the Bank had $799,000
and $682,000, respectively, in outstanding standby letters of credit.

4.  Merger and Acquisitions
    -----------------------

         On March 14, 1996, the Corporation  completed the acquisition of Mutual
Savings  Bank,  F.S.B.  (Mutual) upon the approval of the  shareholders  of each
company.  The Corporation  exchanged 879,805 common shares, at an exchange ratio
of .705 of a share of the  Corporation's  common stock,  for Mutual's  1,248,100
common shares.
         The  transaction  was  accounted  for as a pooling  of  interests.  The
financial  position and results of operations of the Corporation and Mutual were
combined and the fiscal year of Mutual was conformed to the Corporation's fiscal
year.
         In  October  1996,  the  Corporation  acquired  the  branch  office  of
FirstSouth  Bank  located in  Yanceyville,  North  Carolina.  In addition to the
branch  facilities and an ATM located in Yanceyville,  the Corporation  acquired
$4,775,000 in loans and assumed  deposits of $21,405,000.  This  transaction was
accounted for as a purchase. In conjunction with the Yanceyville  purchase,  the
Corporation  recorded a core deposit intangible of $1,516,000,  approximately 7%
of the deposits assumed.

5.  New Accounting Pronouncements
    -----------------------------

         The Corporation  adopted  Statement of Financial  Accounting  Standards
("SFAS") No. 130, "Reporting  Comprehensive Income", during the first quarter of
1998.  This  statement  establishes  standards  for  reporting  a measure of all
changes in equity of an enterprise  that result from  transactions  and economic
events of the period other than transactions with owners ("economic income").
SFAS No.

130 requires an  enterprise to report  comprehensive  income in the notes to the
financial  statements  on  an  interim  basis.  The  following  is a  detail  of
comprehensive  income for the three and nine months ended September 30, 1999 and
1998:



                                                 Three Months Ended            Nine Months Ended
                                                    September 30                 September 30
                                              -------------------------     -------------------------
                                                 1999           1998           1999           1998
                                              ----------     ----------     ----------     ----------
                                                                               
Net Income                                    $1,988,000     $1,827,000     $5,878,000     $5,239,000
Unrealized holding gains (losses) arising
  during period (net of tax expense)             159,000        655,000     (1,944,000)       719,000
                                              ----------     ----------     -----------    ----------
Total comprehensive income                    $2,147,000     $2,482,000     $3,934,000     $5,958,000
                                              ==========     ==========     ==========     ==========


         The FASB also issued SFAS No. 131,  "Disclosures  about  Segments of an
Enterprise and Related  Information",  in September 1997, which  establishes new
standards  for  reporting  information  about  operating  segments in annual and
interim  financial   statements.   This  statement  also  requires   descriptive
information  about the way operating  segments are determined,  the products and
services  provided  by the  segments  and  the  nature  of  differences  between
reportable segment  measurements and those used for the consolidated entity. The
disclosure  requirements  of SFAS No.131 have been  adopted and are  included in
Note 6 to the Consolidated Condensed Financial Statements.
         In February 1998, SFAS No. 132,  "Employers'  Disclosures about Pension
and Other Post-retirement  Benefits",  was issued,  amending FASB Statements No.
87, 88, and 106. This Statement  does not change the  measurement or recognition
of  pension  and  post-retirement  benefit  plans  but  standardizes  disclosure
requirements.  The new disclosure requirements of SFAS No. 132 have been adopted
and are included in the Consolidated  Financial  Statements in the Corporation's
1998 Annual Report on Form 10K.
         In  September  1998,  the FASB  issued SFAS No.  133,  "Accounting  for
Derivative Instruments and Hedging Activities", which establishes accounting and
reporting  standards  requiring  balance  sheet  recognition  of all  derivative
instruments  at fair value.  The  statement  specifies  that changes in the fair
value of  derivative  instruments  be  recognized  currently in earnings  unless
specific hedge accounting  criteria are met.  Special  accounting for qualifying
hedges allows  derivative  gains and losses to offset related  results on hedged
items in the income statement.  Companies must formally document,  designate and
assess  the  effectiveness  of  transactions  utilizing  hedge  accounting.   In
September,  1999,  the FASB  issued  SFAS No. 137,  "Accounting  for  Derivative
Instruments  and Hedging  Activities  - Deferral of the  Effective  Date of FASB
Statement  No. 133",  which delays the original  effective  date of SFAS No. 133
until fiscal years beginning after September 15, 2000.  Adoption is not expected
to have a material impact on the Corporation.

6.  Segment and Related Information
    -------------------------------

         The Corporation adopted SFAS No. 131, "Disclosures About Segments of an
Enterprise  and  Related  Information",  in 1998.  Reportable  segments  include
community banking and trust and investment services.  Community banking involves
making loans to and generating  deposits from  individuals and businesses in the
markets where the Bank has offices.  All assets and  liabilities of the Bank are
allocated to community banking.  Investment income from fixed income investments
is a major source of income in addition to loan interest income. Service charges
from deposit accounts and non-deposit fees such as automatic teller machine fees
and insurance commissions generate additional income for community banking.
         Trust and investment  services  includes  estate and trust planning and
administration  and investment  management for various  entities.  The trust and
investment  services  division of the Bank

manages  trusts and estates and purchases  equity,  fixed income and mutual fund
investments for customer  accounts.  The trust and investment  services division
receives fees for investment and administrative services. Fees are also received
by this division for individual  retirement  accounts  managed for the community
banking segment.
         The accounting  policies of the segments and the basis of  segmentation
are the  same as  those  described  in the  summary  of  significant  accounting
policies set forth in Note 1 to the  Consolidated  Financial  Statements  in the
Corporation's  1998 Annual Report on Form 10-K. All  inter-segment  sales prices
are market based.
         Segment  information  for the three and nine months ended September 30,
1999 and 1998 is shown in the following table (in thousands). The "Other" column
includes corporate related items, results of insignificant operations and, as it
relates to segment profit (loss), income and expense not allocated to reportable
segments.


                                                    Three Months Ended September 30, 1999
- -----------------------------------------------------------------------------------------------------------------------------

                                                                           Trust and
                                                           Community      Investment                  Intersegment
                                                             Banking        Services       Other      Eliminations      Total
                                                           ---------      ----------     -------      ------------   --------
                                                                                                      
Interest income                                             $  8,435           $  -      $     6         $     (6)   $  8,435
Interest expense                                               3,720              -            6               (6)      3,720
Non-interest income - external customers                         456            630           75                -       1,161
Non-interest income - internal customers                           -            (26)          39              (13)          -
Operating income before income taxes                           2,420            442        1,966           (1,999)      2,829
Depreciation and amortization                                    380             11            3                -         394
Total assets                                                 477,175              -       57,288          (56,820)    477,643
Capital expenditures                                             552              -            3                -         555


                                                    Three Months Ended September 30, 1998
- -----------------------------------------------------------------------------------------------------------------------------

                                                                           Trust and
                                                           Community      Investment                  Intersegment
                                                             Banking        Services       Other      Eliminations      Total
                                                           ---------      ----------     -------      ------------   --------
                                                                                                      
Interest income                                             $  8,244         $    -      $    10         $    (10)   $  8,244
Interest expense                                               3,702              -           10              (10)      3,702
Non-interest income - external customers                         380            513          109                -       1,002
Non-interest income - internal customers                           -             13            -              (13)          -
Operating income before income taxes                           2,308            326        1,830           (1,828)      2,636
Depreciation and amortization                                    256             12            5                -         273
Total assets                                                 458,163              -       55,230          (55,205)    458,188
Capital expenditures                                             570              -            -                -         570


                                                    Nine Months Ended September 30, 1999
- ----------------------------------------------------------------------------------------------------------------------------

                                                                           Trust and
                                                           Community      Investment                  Intersegment
                                                             Banking        Services       Other      Eliminations      Total
                                                           ---------      ----------     -------      ------------   --------
                                                                                                      
Interest income                                             $ 24,883         $    -      $    25         $    (25)   $ 24,883
Interest expense                                              10,897              -           25              (25)     10,897
Non-interest income - external customers                       1,186          1,868          279                -       3,333
Non-interest income - internal customers                           -              -           39              (39)          -
Operating income before income taxes                           7,087          1,313        5,845           (5,905)      8,340
Depreciation and amortization                                  1,087             33           11                -       1,131
Total assets                                                 477,175              -       57,288          (56,820)    477,643
Capital expenditures                                           1,123              -            6                -       1,129


                                                    Nine Months Ended September 30, 1998
- ----------------------------------------------------------------------------------------------------------------------------

                                                                           Trust and
                                                           Community      Investment                  Intersegment
                                                             Banking        Services       Other      Eliminations      Total
                                                           ---------      ----------     -------      ------------   --------
                                                                                                      
Interest income                                             $ 24,308         $    -      $    27         $    (27)   $ 24,308
Interest expense                                              10,821              -           27              (27)     10,821
Non-interest income - external customers                       1,018          1,580          302                -       2,900
Non-interest income - internal customers                           -             39            -              (39)          -
Operating income before income taxes                           6,551          1,030        5,234           (5,254)      7,561
Depreciation and amortization                                    931             36           13                -         980
Total assets                                                 458,163              -       55,230          (55,205)    458,188
Capital expenditures                                             799              -            6                -         805



                AMERICAN NATIONAL BANKSHARES INC. AND SUBSIDIARY

MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS

EARNINGS and CAPITAL
     The  Corporation's  net  income  for the  first  nine  months  of 1999  was
$5,878,000,  an increase of 12.2% over the  $5,239,000  earned  during the first
nine months of 1998. On a basic and diluted per share basis,  net income totaled
$.96 for the first nine months of 1999,  up 11.6% from $.86 in the 1998  period.
On an annualized  basis,  return on average total assets was 1.69% for the first
nine months of 1999  compared  to 1.61% for the same  period in 1998.  Return on
average common shareholders' equity increased to 14.1% for the first nine months
of 1999 from 13.57% for the first nine months of 1998.
     The  Corporation's net income for the third quarter of 1999 was $1,988,000,
an increase of 8.8% over the $1,827,000 earned during the third quarter of 1998.
On a basic and diluted per share basis, net income totaled $.33 for the quarter,
up 10.0% from $.30 in 1998.  On an  annualized  basis,  return on average  total
assets was 1.68% for the third  quarter of 1999  compared to 1.65% for the third
quarter of 1998.  Return on average  common  shareholders'  equity  increased to
14.30% in the third quarter of 1999 from 13.91% for the third quarter of 1998.
     Shareholders'  equity increased  $1,553,000 during the first nine months of
1999 from net income of $5,878,000  less dividends paid of $2,381,000 and less a
change  in net  unrealized  gains  (losses)  on  securities  held  for  sale  of
$1,944,000.  Common stock at September 30, 1999 was increased by $3,052,000  for
the 2-for-1  stock split  effected in the form of a 100% stock  dividend  issued
July 1, 1999 by transfer from retained earnings.
     The Corporation's  growth in earnings resulted from four principal factors.
First, net interest income improved $499,000, or 3.7%, for the first nine months
of 1999 compared to the first nine months of 1998 from growth in average earning
assets by  $30,975,000  and related  growth in average  earning  liabilities  by
$24,295,000  (see  discussion on NET INTEREST  INCOME).  Second,  continued good
asset  quality  resulted  in a  reduction  in the  provision  for loan losses by
$198,000,  or 29.2%, for the first nine months of 1999 compared to 1998.  Third,
the 14.9%  growth in  non-interest  income in the first nine months of 1999 over
the same period in 1998  demonstrates the continued success of the Corporation's
expanded trust and investment  services and other fee income areas.  Fourth, the
Corporation has controlled  non-interest  expenses which have grown $351,000, or
4.3%, in the first nine months of 1999 over the first nine months of 1998.

TRENDS and FUTURE EVENTS
     During the first nine months of 1999,  net loans  increased  $9,547,000  or
3.6% and deposits increased  $15,275,000 or 4.3%. Repurchase agreements declined
$12,456,000,   but  were  replaced  by  $13,000,000  in  new,  longer-term  FHLB
borrowings. Repurchase agreements are used by commercial accounts to earn higher
yields  on  short-term  funds  and are  volatile.  Total  investment  securities
decreased during the first nine months of 1999 by $5,858,000 or 3.6%.
     On  September  29,  1998  the  Federal  Reserve  Board  ("FRB")   decreased
short-term  interest rates by cutting  federal funds by 1/4% and the major money
center  banks  followed  by lowering  the prime rate by 1/4%.  On October 15 and
November 17, 1998 the FRB decreased  short-term  rates again by cutting  federal
funds and the discount  rate by 1/4%,  and major money center banks  followed by
lowering the prime rate by 1/4% on both occasions.  Short and intermediate  term
U.S.  Treasury  yields had  already  preceded  the  Federal  Reserve  actions by
declining  from  September  1998 to  October  1998  in  response  to the  global
financial  crisis,  losses in hedge funds and low inflation.  The FRB actions in
lowering interest

rates were  designed to  stabilize  financial  markets  and to offset  perceived
deteriorating economic conditions caused by the global financial crisis. The FRB
increased  short-term  interest  rates by increasing  federal funds 1/4% on both
June 30 and August 24, 1999 in response to stabilized  global financial  markets
and tight U.S.  labor  conditions,  and major  money  center  banks  followed by
increasing the prime rate by 1/4% on both occasions. Treasury yields had already
risen in anticipation of FRB tightening.
     At  the  annual  meeting  of   shareholders,   held  April  22,  1998,  the
shareholders approved a Stock Option Plan permitting the Corporation to issue up
to a total of 150,000  shares of common  stock  (300,000  shares to reflect  the
2-for-1 stock split), upon the exercise of options granted under the plan, prior
to December 31, 2006. The Plan is administered by the Stock Option  Committee of
the Board of Directors  which  consists only of the  Corporation's  non-employee
Directors.

YEAR 2000 ISSUE
     The Corporation is aware of the issues associated with the programming code
in existing computer systems as the millennium (Year 2000) approaches. The "Year
2000" problem is pervasive and complex as virtually every computer operation and
many  equipment  systems will be affected in some way by the rollover of the two
digit year value to 00. The issue is whether  computers and systems dependent on
computer chips will properly recognize date sensitive  information when the year
changes to 2000.  Systems that do not recognize such information  could generate
erroneous data or cause a system to fail.
     Technology hardware, software and other systems used by the Corporation are
provided by outside vendors rather than being developed in-house.  These outside
vendors  have been  proactive  in making  systems  Year 2000  ready,  in testing
systems for Year 2000 readiness,  in submitting  their efforts to regulators for
review,  and in supplying  testing  procedures  for the  Corporation  to conduct
independent testing.
     The  Corporation  is utilizing  both  internal  and  external  resources to
identify,  correct or reprogram, and test systems for Year 2000 compliance.  The
Corporation's readiness plan encompasses both information technology systems and
computer  chip embedded  functions,  such as elevators,  security  systems,  and
building heating and cooling.  A project team has installed  corrected  hardware
and software and tested systems for Year 2000 readiness.  Additional  testing of
new and updated  systems have been made during 1999.  To date,  successful  Year
2000 testing has been completed on 100% of the  Corporation's  mission  critical
systems.
     An educational process has been implemented to assist and assure that major
customers  are  Year  2000  ready.  Approximately  95% of major  customers  have
responded  that they are Year 2000 ready or will be Year 2000 ready in 1999. The
project team will continue to monitor readiness of customers during 1999.
     Total Year 2000 project costs will be approximately  $125,000 with $103,000
having been spent to date. The remaining expenditures are not expected to have a
material impact on the Corporation's results of operations, liquidity or capital
resources.
     The  Corporation  faces a number  of risks  related  to the Year  2000 date
change  including  legal risks,  project  management  risk,  financial  risk and
outside vendor risk.  Legal risk involves  failure to meet  contractual  service
agreements,  leading to possible  punitive actions.  Project  management risk is
failure to adequately  address Year 2000 planning and resource needs with missed
deadlines and improper  allocation of resources.  Financial risk relates to lost
revenue,  asset quality  deterioration or even business failure.  Outside vendor
risk  involves  failure  of  communication  systems,  power or  other  important
services which the Corporation  depends upon to operate.  A contingency plan has
been  established  to assure  readiness in the unlikely  event that any critical
operating  system fails prior to or after the Year 2000.  The  contingency  plan
specifies  actions to be taken by the Year 2000 project team in the event that a
critical system is not timely  corrected and tested before Year 2000. Since 100%
of mission critical

systems have been  successfully  tested to date, pre Year 2000 contingency plans
are  not  expected  to  be  activated.   The   contingency   plan  also  assigns
responsibility  for checking  the proper  operation of all systems on January 1,
2000, adopts special liquidity  measures to be taken before and after Year 2000,
and  describes   implementation   of  manual  processes  for  lending,   deposit
operations, and trust services in the event that systems fail.  Responsibilities
and detail procedures have been established for training on manual systems.  The
Corporation's  operations  center,  branch office and mortgage banking operation
located at Tower Drive are  equipped  with a diesel  generator in the event that
electric  power  supplies  fail prior to or after Year  2000.  The backup  power
supply has been tested and will continue to be tested.

NET INTEREST INCOME
     Net  interest  income  on a fully  taxable  equivalent  ("FTE")  basis  was
$14,558,000  for the first nine months of 1999 compared to  $13,896,000  for the
first nine  months of 1998,  an  increase  of 4.8%.  The  interest  rate  spread
decreased to 3.72% from 3.79% and the net yield on earning  assets  decreased to
4.41%  from 4.50% in the first nine  months of 1999  compared  to the first nine
months of 1998,  respectively.  These  decreases were due to a larger decline in
loan yield than deposit  yield as interest  rates  declined  and from  increased
reliance on more expensive FHLB  borrowings.  Net interest income on a FTE basis
for the first nine  months of 1999 grew  $662,000  over the first nine months of
1998 in the face of the yield decreases because average  interest-earning assets
increased $30,975,000 while interest-bearing  liabilities only grew $24,295,000.
Growth in  average  non-interest  bearing  deposits  and  retained  income  were
primarily  responsible  for the greater  growth in interest  earning assets than
interest-bearing liabilities while the $18,868,000 increase in average loans led
the average asset growth during the 1999 period.
     Net interest  income on a FTE basis was  $4,903,000 in the third quarter of
1999  compared to  $4,694,000 in the third quarter of 1998, an increase of 4.5%.
The  interest  rate  spread  decreased  to 3.68% from 3.72% and the net yield on
earning  assets  decreased  to 4.38%  from  4.45% in the third  quarter  of 1999
compared  to the  third  quarter  of 1998,  respectively.  The  reasons  for the
increase in net interest income on a FTE basis while  experiencing net yield and
spread  declines for the three months ended  September  30, 1999 were similar to
the those for the nine month period ended September 30, 1999.
     The following  tables  demonstrate  fluctuations in net interest income and
the related  yields for the first nine months and third quarter of 1999 compared
to similar  prior year periods.


The following is an analysis of net interest income, on a taxable equivalent basis.  Nonaccrual loans are included in
average balances.  Interest income on nonaccrual loans if recognized is recorded on a cash basis. (In thousands,
except rates):

                                                                                     Interest
                                               Average Balance                   Income/Expense                Yield/Rate
                                           ------------------------           --------------------          ----------------
For Nine Months Ended September 30
                                             1999            1998              1999          1998           1999       1998
                                           --------        --------           -------      -------          ----       ----
                                                                                                     
Loans:
  Commercial                               $ 84,187        $ 74,411           $ 5,228      $ 4,967          8.28%      8.92%
  Mortgage                                  141,137         132,798             8,714        8,682          8.23       8.72
  Consumer                                   53,263          52,510             3,863        3,839          9.67       9.77
                                           --------        --------           -------      -------          ----       ----
    Total loans                             278,587         259,719            17,805       17,488          8.52       8.99
                                           --------        --------           -------      -------          ----       ----

Investment securities:
  U. S. Government                           15,194          45,632               691        2,077          6.06       6.00
  Federal agencies                           87,027          69,052             4,070        3,332          6.24       6.36
  State and municipal                        36,295          24,022             1,846        1,317          6.78       7.23
  Other investments                          19,924           7,005               930          354          6.22       6.66
                                           --------        --------           -------      -------          ----       ----
    Total investment securities             158,440         145,711             7,537        7,080          6.34       6.41
                                           --------        --------           -------      -------          ----       ----

Federal funds sold and other                  2,975           3,597               113          149          5.06       5.46
                                           --------        --------           -------      -------          ----       ----

  Total interest-earning assets             440,002         409,027            25,455       24,717          7.71       8.04
                                                                              -------      -------          ----       ----

Other non-earning assets                     24,875          24,485
                                           --------        --------

  Total assets                             $464,877        $433,512
                                           ========        ========

Interest-bearing deposits:
  Demand                                   $ 53,953        $ 50,551               826          928          2.04       2.45
  Money market                               18,248          18,616               367          407          2.68       2.92
  Savings                                    67,805          67,382             1,333        1,489          2.62       2.95
  Time                                      180,569         174,652             6,842        6,981          5.05       5.34
                                           --------        --------           -------      -------          ----       ----
    Total interest-bearing deposits         320,575         311,201             9,368        9,805          3.90       4.21

Federal funds purchased                           -             251                 -           11             -       5.78
Repurchase agreements                        20,692          23,785               638          803          4.11       4.51
Other borrowings                             23,229           4,964               891          202          5.11       5.37
                                           --------        --------           -------      -------          ----       ----
  Total interest-bearing
    liabilities                             364,496         340,201            10,897       10,821          3.99       4.25
                                                                              -------      -------          ----       ----

Demand deposits                              42,075          39,007
Other liabilities                             3,163           2,834
Shareholders' equity                         55,143          51,470
                                           --------        --------
  Total liabilities and
    shareholders' equity                   $464,877        $433,512
                                           ========        ========

Interest rate spread                                                                                        3.72%      3.79%
                                                                                                            ====       ====

Net interest income                                                           $14,558      $13,896
                                                                              =======      =======

Taxable equivalent adjustment                                                 $   572      $   409
                                                                              =======      =======

Net yield on earning assets                                                                                   4.41%    4.50%
                                                                                                              ====     ====



The following is an analysis of net interest income, on a taxable equivalent basis.  Nonaccrual loans are included in
average balances.  Interest income on nonaccrual loans if recognized is recorded on a cash basis. (In thousands,
except rates):

                                                                                     Interest
                                               Average Balance                   Income/Expense                Yield/Rate
                                           ------------------------           --------------------          ----------------
For Three Months Ended September 30
                                             1999            1998              1999          1998           1999       1998
                                           --------        --------           -------      -------          ----       ----
                                                                                                     
Loans:
  Commercial                               $ 84,041        $ 78,094           $ 1,754      $ 1,741          8.35%      8.84%
  Mortgage                                  143,891         131,591             2,947        2,846          8.19       8.65
  Consumer                                   53,148          53,532             1,294        1,319          9.74       9.78
                                           --------        --------           -------      -------          ----       ----
    Total loans                             281,080         263,217             5,995        5,906          8.53       8.94
                                           --------        --------           -------      -------          ----       ----

Investment securities:
  U. S. Government                            9,205          41,509               141          629          6.13       5.93
  Federal agencies                           94,496          73,018             1,474        1,169          6.24       6.26
  State and municipal                        36,339          26,912               615          486          6.77       7.07
  Other investments                          19,506           6,603               304          112          6.23       6.64
                                           --------        --------           -------      -------          ----       ----
    Total investment securities             159,546         148,042             2,534        2,396          6.35       6.33
                                           --------        --------           -------      -------          ----       ----

Federal funds sold and other                  7,225           6,771                94           94          5.20       5.43
                                           --------        --------           -------      -------          ----       ----

  Total interest-earning assets             447,851         418,030             8,623        8,396          7.70       7.96
                                                                              -------      -------          ----       ----

Other non-earning assets                     24,027          24,581
                                           --------        --------

  Total assets                             $471,878        $442,611
                                           ========        ========

Interest-bearing deposits:
  Demand                                   $ 54,212        $ 49,069               276          295          2.04       2.39
  Money market                               18,358          19,538               125          145          2.72       2.94
  Savings                                    67,073          67,186               445          499          2.65       2.95
  Time                                      186,384         174,504             2,342        2,337          5.03       5.31
                                           --------        --------           -------      -------          ----       ----
    Total interest-bearing deposits         326,027         310,297             3,188        3,276          3.91       4.19

Federal funds purchased                           -               -                 -            -             -          -
Repurchase agreements                        18,167          24,912               191          278          4.21       4.43
Other borrowings                             26,309          10,985               341          148          5.18       5.27
                                           --------        --------           -------      -------          ----       ----
  Total interest-bearing
    liabilities                             370,503         346,194             3,720        3,702          4.02       4.24
                                                                              -------      -------          ----       ----

Demand deposits                              43,408          40,565
Other liabilities                             3,071           3,276
Shareholders' equity                         54,896          52,576
                                           --------        --------
  Total liabilities and
    shareholders' equity                   $471,878        $442,611
                                           ========        ========

Interest rate spread                                                                                        3.68%      3.72%
                                                                                                            ====       ====

Net interest income                                                           $ 4,903      $ 4,694
                                                                              =======      =======

Taxable equivalent adjustment                                                 $   188      $   152
                                                                              =======      =======

Net yield on earning assets                                                                                 4.38%      4.45%
                                                                                                            ====       ====


ASSET QUALITY
     Non-performing assets include loans on which interest is no longer accrued,
loans  classified as troubled debt  restructurings  and  foreclosed  properties.
Non-performing  assets increased to $703,000 at September 30, 1999 from $575,000
at December 31, 1998.
     Foreclosed property of $310,000 at September 30,1999 declined from $385,000
at  December  31,  1998  due  to  sale  of one of  two  commercial  real  estate
properties.
     Loans in a non-accrual  status at September 30, 1999 were $393,000 compared
with $190,000 at December 31, 1998.  Loans on accrual  status and past due 90 or
more days at September 30, 1999 were $351,000 compared with $249,000 at December
31, 1998.
     Total  non-performing  loans  and  loans  past  due 90  days  or  more as a
percentage  of loans were .27% at  September  30, 1999 and .16% at December  31,
1998.  Total  non-performing  loans  and loans  past due 90 days or more,  on an
accrual status,  are considered low by industry  standards.  Net charge-offs for
the first nine months,  annualized, as a percentage of average loans was .11% in
both 1999 and 1998.  These charge-off  ratios are low by industry  standards and
less than those experienced in calendar years 1998, 1997 and 1996.
     During the first nine months of 1999 the gross  amount of  interest  income
that would have been recorded on  non-accrual  loans and  restructured  loans at
September 30, 1999, if all such loans had been accruing interest at the original
contractual  rate, was $26,000.  No interest  payments were recorded  during the
reporting period as interest income for all such non-performing loans.

PROVISION and RESERVE FOR LOAN LOSSES
     The  provision  for loan losses was  $480,000 for the first nine months and
$120,000  for  the  third   quarter  of  1999  versus   $678,000  and  $203,000,
respectively,  for the  1998  periods.  The  reserve  for  loan  losses  totaled
$4,063,000  at  September  30,  1999 an  increase  of 6.3%  over the  $3,821,000
recorded at December 31,  1998.  The ratio of reserves to loans,  less  unearned
discount,  was 1.45% at September  30, 1999 and 1.42% at December  31, 1998.  In
Management's opinion, the current reserve for loan losses is adequate.

NON-INTEREST INCOME
     Non-interest  income for the first nine months of 1999 was  $3,333,000,  an
increase of 14.9% from the $2,900,000 reported in the first nine months of 1998.
The major reason for the 1999 first nine months  growth in  non-interest  income
was an 18.2%  increase in trust and  investment  services to  $1,868,000  due to
growth in managed investment accounts.  Mortgage banking income declined for the
three and nine months  ended  September  30, 1999  compared to the 1998  periods
because  higher  mortgage  rates have  dampened  the  origination  of fixed rate
mortgage  loans which are normally sold to generate  fees.  Other income for the
three and nine months ended  September 30, 1999 includes a gain from the sale of
real estate owned of $63,000.
     Non-interest  income  for the  third  quarter  of 1999 was  $1,161,000,  an
increase of 15.9% from the $1,002,000 reported in the third quarter of 1998. The
major reasons for the 1999 third  quarter  growth in  non-interest  income was a
22.8%  increase in trust and  investment  services to $630,000  due to growth in
managed  investment  accounts  and due to the  aforementioned  real estate owned
gain.


NON-INTEREST EXPENSE
     Non-interest  expense for the first nine months of 1999 was  $8,499,000,  a
4.3%  increase  from the  $8,148,000  reported  for the same  period  last year.
Salaries  increased  7.8% from the same period last year to  $4,055,000  in 1999
while pension and other employee benefits  decreased 15.0% to $726,000,

largely from lower medical insurance  expense and reduced deferred  compensation
costs.  Core  deposit  intangible  amortization  of $337,000  for the first nine
months of 1999 and 1998  represents  the  amortization  of the premium  paid for
deposits acquired at Gretna in August 1995 and Yanceyville in 1996.
     Non-interest expense for the third quarter of 1999 was $2,927,000,  an 8.2%
increase from $2,705,000 reported for the third quarter in 1998. The Bank opened
an office in Martinsville, Virginia in September, 1999. An experienced staff led
by two senior bankers was employed in the new Martinsville  office, and expenses
are up, partly due to this expansion.

INCOME TAX PROVISION
     The income tax provision for the first nine months of 1999 was  $2,462,000,
an increase of $140,000 from $2,322,000  reported a year earlier.  The effective
tax rate for the first nine  months of 1999 was 29.5%  compared to 30.7% for the
first nine months of 1998. The reduction in the effective tax rate resulted from
increased investment in tax exempt securities.

CAPITAL MANAGEMENT
     Federal regulatory  risk-based capital ratio guidelines require percentages
to be applied to various assets including  off-balance-sheet  assets in relation
to their perceived risk. Tier I capital includes  shareholders'  equity and Tier
II capital  includes  certain  components of  nonpermanent  preferred  stock and
subordinated  debt.  The  Corporation  has no  nonpermanent  preferred  stock or
subordinated  debt. Banks and bank holding  companies must have a Tier I capital
ratio of at least 4% and a total ratio, including Tier I and Tier II capital, of
at least 8%. As of September 30, 1999 the  Corporation had a ratio of 16.91% for
Tier I and a ratio of 18.16%  for total  capital.  At  December  31,  1998 these
ratios were 16.79% and 18.04%, respectively.
     During  the third  quarter of 1999,  the  Corporation  declared  and paid a
quarterly  cash dividend of $.135 per share of common stock  outstanding,  which
totaling  $824,000.  The Corporation  declared a 2-for-1 stock split effected in
the form of a 100% stock  dividend to  shareholders  of record July 1, 1999. The
number of shares outstanding after the 100% stock dividend was 6,103,466 and per
share amounts have been restated to reflect the stock dividend.

MARKET RISK MANAGEMENT
     The  effective  management  of market risk is essential  to  achieving  the
Corporation's objectives. As a financial institution, interest rate risk and its
impact  on net  interest  income  is  the  primary  market  risk  exposure.  The
Asset/Liability  Investment  Committee  ("ALCO") is  primarily  responsible  for
establishing  asset and liability  strategies and for monitoring and controlling
liquidity and interest  rate risk.  ALCO uses  computer  simulation  analysis to
measure the  sensitivity  of earnings  and market  value of equity to changes in
interest rates.
     The projected  changes in net interest income and market value of portfolio
equity ("MVE") to changes in interest rates are calculated and monitored by ALCO
as  indicators  of interest  rate risk.  The  projected  changes in net interest
income  and MVE to changes  in  interest  rates at  September  30,1999  were not
materially different from December 31, 1998.
     The  Bank's  net  liquid  assets  to net  liabilities  ratio  was  27.2% at
September  30, 1999 and 24.0% at December  31,  1998.  Both of these  ratios are
considered to reflect adequate liquidity for the respective periods.
     Management  constantly  monitors  and  plans  the  Corporation's  liquidity
position for future periods. Liquidity is provided from cash and due from banks,
federal funds sold,  interest-bearing  deposits in other banks,  repayments from
loans,  seasonal  increases in deposits,  lines of credit from two correspondent
banks and two federal agency banks and a planned structured  continuous maturity
of

investments.  Management  believes that these factors provide  sufficient and
timely liquidity for the foreseeable future.

PART II

                                OTHER INFORMATION

Item:
  1.  Legal Proceedings

        The nature of the  business of the  Corporation's  banking  subsidiary
     ordinarily results in a certain amount of litigation. The subsidiary of the
     Corporation  is involved  in various  legal  proceedings,  all of which are
     considered  incidental  to  the  normal  conduct  of  business.  Management
     believes that the liabilities  arising from these proceedings will not have
     a  material  adverse  effect  on the  consolidated  financial  position  or
     consolidated results of operations of the Corporation.

  2.  Changes in securities
        None

  3.  Defaults upon senior securities
        None

  4.  Results of votes of security holders
        None

  5.  Other information
        None

  6.  Exhibits and Reports on Form 8-K

        (a) Exhibits

              10.1 - Agreement between American National Bank and Trust
                       Company and James H. Johnson, Jr. dated July 31, 1999.

              10.2 -  Agreement  between  American  National  Bank and Trust
                       Company and Earnest C. Jordan dated July 26, 1999.

              27 Financial Data Schedule

         (b) Reports on Form 8-K
               None

                                   SIGNATURES

          Pursuant to the  requirements of the Securities  Exchange Act of 1934,
the  registrant  has duly  caused  this report to be signed on its behalf by the
undersigned thereunto duly authorized.

                                   AMERICAN NATIONAL BANKSHARES INC.



                                   /s/ Charles H. Majors
                                   ---------------------------------
                                   Charles H. Majors
Date - November 10, 1999           President and Chief Executive Officer




                                   /s/ T. Allen Liles
                                   ---------------------------------
                                   T. Allen Liles
                                   Senior Vice-President and
Date - November 10, 1999           Secretary-Treasurer (Chief Financial Officer)