Contingent. Note: To name a trust as beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. I understand that I may change these beneficiary designations by filing a new written designation with the Bank. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. Signature: Date: , 2018 Accepted by the Bank this _________ day of ____________________________, 2018 By: Title:
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Samples: Salary Continuation Agreement (Investar Holding Corp), Salary Continuation Agreement (Investar Holding Corp)
Contingent. Note: To name a trust as beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. I understand that I may change these beneficiary designations by filing a new written designation with the Bank. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. Signature: Date: , 2018 Accepted by the Bank this _________ day of ____________________________, 2018 By: Title:
Appears in 1 contract
Contingent. Note: To name a trust as beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. I understand that I may change these beneficiary designations by filing a new written designation with the Bank. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. Signature: Xxxxx X. Xxxxxx Date: , 2018 201 Accepted by the Bank this _________ day of ____________________________, 2018 201 By: Title:
Appears in 1 contract
Contingent. Note: To name a trust as beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. I understand that I may change these beneficiary designations by filing a new written designation with the Bank. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. Signature: Xxxxx X. Xxxxxx Date: , 2018 20 Accepted by the Bank this _________ day of ____________________________, 2018 20 By: Title:
Appears in 1 contract
Contingent. Note: To name a trust as beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. I understand that I may change these beneficiary designations by filing a new written designation with the Bank. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. Signature: Date: , 2018 Accepted by the Bank this _________ day of ____________________________, 2018 By: Title:
Appears in 1 contract
Samples: Salary Continuation Agreement (Investar Holding Corp)
Contingent. Note: To name a trust as beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. I understand that I may change these beneficiary designations by filing a new written designation with the Bank. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. Signature: Date: , 2018 Accepted 20____ Received by the Bank this _________ day of ____________________________, 2018 20 By: Title:
Appears in 1 contract
Samples: Southern Michigan Bancorp Inc
Contingent. Note: To name a trust as beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. I understand that I may change these beneficiary designations by filing a new written designation with the Bank. I further understand that the designations designation will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. Signature: Date: , 2018 Accepted by the Bank this _________ day date of ____________________________, 2018 By: Title:
Appears in 1 contract
Samples: Director Retirement Agreement (Fairfield County Bank Corp.)
Contingent. Note: To name a trust as beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. I understand that I may change these beneficiary designations by filing a new written designation with the Bank. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. Signature: Xxxxx X. Xxxxxx Date: , 2018 2010 Accepted by the Bank this _________ day of ____________________________, 2018 2010 By: Title:
Appears in 1 contract
Samples: Salary Continuation Agreement (Cortland Bancorp Inc)