Common use of REGISTRATION STATEMENT QUESTIONNAIRE Clause in Contracts

REGISTRATION STATEMENT QUESTIONNAIRE. In connection with the preparation of the Registration Statement, Ameriserv Financial, Inc., a Pennsylvania corporation (the “Company”), will use the responses to this questionnaire to qualify prospective Purchaser for purposes of United States federal and state securities laws. This is not an offer to sell or the solicitation of an offer to buy securities. Such an offer can be made only by appropriate offering documentation. Any such offer may be conditioned upon your qualification as an accredited purchaser under federal and state securities laws. Please complete, sign, date and return one copy of this Questionnaire in accordance with the instructions on the Summary Instruction Sheet for the Purchaser on the page immediately preceding this Appendix I. All investors (including partnerships, trusts, corporations, etc.) must complete Parts I, II and III of this Questionnaire. If the answer to any question below is “none” or “not applicable”, please so indicate. Your answers will be kept confidential at all times. However, by signing this Questionnaire, you agree that the Company may present this Questionnaire to such parties as it deems appropriate to establish the availability of exemptions from registration under state and federal securities laws.

REGISTRATION STATEMENT QUESTIONNAIRE. In connection with the preparation of the Registration Statement, Ameriserv FinancialDeep Down, Inc., a Pennsylvania corporation Inc. (the “Company”), a Nevada corporation, will use the responses to this questionnaire to qualify prospective Purchaser for purposes of United States federal and state securities laws. This is not an offer to sell or the solicitation of an offer to buy securities. Such an offer can be made only by appropriate offering documentation. Any such offer may be conditioned upon your qualification as an accredited purchaser under federal and state securities laws. Please complete, sign, date and return one copy of this Questionnaire in accordance with the instructions on the Summary Instruction Sheet for the each Purchaser on the page immediately preceding this Appendix I. All investors (including partnerships, trusts, corporations, etc.) must complete Parts I, II and III of this Questionnaire. If the answer to any question below is “none” or “not applicable”, please so indicate. Your answers will be kept confidential at all times. However, by signing this Questionnaire, you agree that the Company may present this Questionnaire to such parties as it deems appropriate to establish the availability of exemptions from registration under state and federal securities laws.

REGISTRATION STATEMENT QUESTIONNAIRE. In connection with the preparation of the Registration Statement, Ameriserv FinancialRoxio, Inc., a Pennsylvania Delaware corporation (the “Company”), will use the responses to this questionnaire to qualify prospective Purchaser for purposes of United States federal and state securities laws. This is not an offer to sell or the solicitation of an offer to buy securities. Such an offer can be made only by appropriate offering documentation. Any such offer may be conditioned upon your qualification as an accredited purchaser Purchaser under federal and state securities laws. Please complete, sign, date and return one copy of this Questionnaire questionnaire in accordance with the instructions on the Summary Instruction Sheet for the Purchaser on the page immediately preceding this Appendix I. All investors (including partnerships, trusts, corporations, etc.) must complete Parts I, II and III of this Questionnairequestionnaire. If the answer to any question below is “none” or “not applicable”, please so indicate. Your answers will be kept confidential at all times. However, by signing this Questionnaire, you agree that the Company may present this Questionnaire to such parties as it deems appropriate to establish the availability of exemptions from registration under state and federal securities laws.

REGISTRATION STATEMENT QUESTIONNAIRE. In connection with the preparation of the Registration Statement, Ameriserv FinancialSirna Therapeutics, Inc., a Pennsylvania Delaware corporation (the “Company”), will use the responses to this questionnaire to qualify prospective Purchaser for purposes of United States federal and state securities laws. This is not an offer to sell or the solicitation of an offer to buy securities. Such an offer can be made only by appropriate offering documentation. Any such offer may be conditioned upon your qualification as an accredited purchaser Purchaser under federal and state securities laws. Please complete, sign, date and return one copy of this Questionnaire questionnaire in accordance with the instructions on the Summary Instruction Sheet for the Purchaser on the page immediately preceding this Appendix I. All investors (including partnerships, trusts, corporations, etc.) must complete Parts I, II and III of this Questionnairequestionnaire. If the answer to any question below is “none” or “not applicable”, please so indicate. Your answers will be kept confidential at all times. However, by signing this Questionnaire, you agree that the Company may present this Questionnaire to such parties as it deems appropriate to establish the availability of exemptions from registration under state and federal securities laws.

REGISTRATION STATEMENT QUESTIONNAIRE. In connection with the preparation of the Registration Statement, Ameriserv FinancialNapster, Inc., a Pennsylvania Delaware corporation (the “Company”), will use the responses to this questionnaire to qualify prospective Purchaser for purposes of United States federal and state securities laws. This is not an offer to sell or the solicitation of an offer to buy securities. Such an offer can be made only by appropriate offering documentation. Any such offer may be conditioned upon your qualification as an accredited purchaser under federal and state securities laws. Please complete, sign, date and return one copy of this Questionnaire in accordance with the instructions on the Summary Instruction Sheet for the Purchaser on the page immediately preceding this Appendix I. All investors (including partnerships, trusts, corporations, etc.) must complete Parts I, II and III of this Questionnaire. If the answer to any question below is “none” or “not applicable”, please so indicate. Your answers will be kept confidential at all times. However, by signing this Questionnaire, you agree that the Company may present this Questionnaire to such parties as it deems appropriate to establish the availability of exemptions from registration under state and federal securities laws.

REGISTRATION STATEMENT QUESTIONNAIRE. In connection with the preparation of the Registration Statement, Ameriserv Financial, Inc.ADVANCIS PHARMACEUTICAL CORPORATION, a Pennsylvania Delaware corporation (the “Company”), will use the responses to this questionnaire to qualify prospective Purchaser for purposes of United States federal and state securities laws. This is not an offer to sell or the solicitation of an offer to buy securities. Such an offer can be made only by appropriate offering documentation. Any such offer may be conditioned upon your qualification as an accredited purchaser under federal and state securities laws. Please complete, sign, date and return one copy of this Questionnaire in accordance with the instructions on the Summary Instruction Sheet for the Purchaser on the page immediately preceding this Appendix I. All investors (including partnerships, trusts, corporations, etc.) must complete Parts I, II and III of this Questionnaire. If the answer to any question below is “none” or “not applicable”, please so indicate. Your answers will be kept confidential at all times. However, by signing this Questionnaire, you agree that the Company may present this Questionnaire to such parties as it deems appropriate to establish the availability of exemptions from registration under state and federal securities laws.

REGISTRATION STATEMENT QUESTIONNAIRE. In connection with the preparation of the Registration Statement, Ameriserv FinancialRoxio, Inc., a Pennsylvania Delaware corporation (the “Company”), will use the responses to this questionnaire to qualify prospective Purchaser for Purchaserfor purposes of United States federal and state securities laws. This is not an offer to sell or the solicitation of an offer to buy securities. Such an offer can be made only by appropriate offering documentation. Any such offer may be conditioned upon your qualification as an accredited purchaser Purchaser under federal and state securities laws. Please complete, sign, date and return one copy of this Questionnaire questionnaire in accordance with the instructions on the Summary Instruction Sheet for the Purchaser on the page immediately preceding this Appendix I. All investors (including partnerships, trusts, corporations, etc.) must complete Parts I, II and III of this Questionnairequestionnaire. If the answer to any question below is “none” or “not applicable”, please so indicate. Your answers will be kept confidential at all times. However, by signing this Questionnaire, you agree that the Company may present this Questionnaire to such parties as it deems appropriate to establish the availability of exemptions from registration under state and federal securities laws.