Common use of Contingent Clause in Contracts

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 designations of beneficiary by filing a new written designation with the Company. 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. Printed Name: Xxxxxxx X. Xxxxx Signature: ______________________________ Date: _____________ Acknowledged by the Company this ________ day of ___________________, 2004. By _________________________________ Title ________________________________

Appears in 2 contracts

Samples: Split Dollar Endorsement Agreement (Heartland Bancshares Inc /In/), Dollar Endorsement Agreement (Heartland Bancshares Inc /In/)

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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 designations of beneficiary by filing a new written designation with the Company. 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. Printed Name: Xxxxxxx Xxxx X. Xxxxx Signature: ______________________________ Date: _____________ Acknowledged by the Company this ________ day of ___________________, 2004. By _________________________________ Title ________________________________

Appears in 1 contract

Samples: Dollar Endorsement Agreement (Heartland Bancshares Inc /In/)

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 designations of beneficiary by filing a new written designation with the Company. 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. Printed Name: Xxxxxx X. Xxxxxxx X. Xxxxx Signature: ______________________________ Date: _____________ Acknowledged by the Company this ________ day of ___________________, 2004. By _________________________________ Title ________________________________

Appears in 1 contract

Samples: Split Dollar Endorsement Agreement (Heartland Bancshares Inc /In/)

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Contingent. Note: To name a trust as Beneficiarybeneficiary, 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 of beneficiary by filing a new written designation with the CompanyUmpqua. I further understand that the designations will be automatically revoked if the Beneficiary beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. Printed Name: Xxxxxxx X. Xxxxx Signature: ______________________________ Printed Name: ___________________________ Date: _____________________________ Acknowledged Received by the Company Umpqua this _________ day of ___________________, 2004______________. By _By: ________________________________ Title Name: ________________________________

Appears in 1 contract

Samples: Employment Agreement (Umpqua Holdings Corp)

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