Description of Certificates. Insert in the box at the top of the Election Form marked “Description of Certificates Surrendered” the certificate number(s) of the TBI Common Stock certificate(s) that you are surrendering herewith, the number of shares represented by each certificate, and the name(s) and address(es) of the registered owners of such certificates. If the space provided is insufficient, attach a separate sheet listing this information.
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Sources: Merger Agreement (Community Bank Shares of Indiana Inc), Merger Agreement (Community Bank Shares of Indiana Inc), Merger Agreement (Community Bank Shares of Indiana Inc)
Description of Certificates. Insert in the box at the top of the Election Form marked “"Description of Certificates Surrendered” " the certificate number(s) of the TBI MBT Common Stock certificate(s) that you are surrendering herewith, the number of shares represented by each certificate, and the name(s) and address(es) of the registered owners of such certificates. If the space provided is insufficient, attach a separate sheet listing this information.
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Description of Certificates. Insert in the box at the top of the Election Form marked “Description of Certificates Surrendered” the certificate number(s) of the TBI Common Stock First Sentinel Bancorp, Inc. common stock certificate(s) that you are surrendering herewith, the number of shares represented by each certificate, and the name(s) and address(es) of the registered owners of such certificates. If the space provided is insufficient, attach a separate sheet listing this information.
Appears in 1 contract
Sources: Merger Agreement (Provident Financial Services Inc)
Description of Certificates. Insert in the box at the top of the Election Form marked “Description of Certificates Surrendered” the certificate number(s) of the TBI Common Stock Community First Financial Group, Inc. common stock certificate(s) that you are surrendering herewith, the number of shares represented by each certificate, and the name(snames(s) and address(es) of the registered owners of such certificates. If the space provided is insufficient, attach a separate sheet listing this the information.
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Sources: Merger Agreement (BNC Bancorp)
Description of Certificates. Insert in the box at the top of the Election Form and Letter of Transmittal marked “Description of Certificates Surrendered” the certificate number(s) of the TBI Common Stock L▇▇▇▇▇▇▇ common stock certificate(s) that you are surrendering herewith, the number of shares represented by each certificate, and the name(s) and address(es) of the registered owners of such certificates. If the space provided is insufficient, attach a separate sheet listing this information.
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Description of Certificates. Insert in the box at the top of the Election Form marked “Description of Certificates Surrendered” the certificate number(s) of the TBI Citizens Common Stock certificate(s) that you are surrendering herewith, the number of shares represented by each certificate, and the name(s) and address(es) of the registered owners of such certificates. If the space provided is insufficient, attach a separate sheet listing this information.
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