Total Subscription Clause Samples

Total Subscription. This is equal to the sum of the payments calculated on lines (a), and (b). The total subscription is $_______________ payment. If you do not specify the number of subscription rights and over-subscription privileges being exercised, or if your payment is not sufficient to pay the total purchase price for all of the notes that you indicated you wished to purchase, you will be deemed to have exercised the maximum number of subscription rights and over-subscription privileges that could be exercised for the amount of the payment that we receive from you. If your payment exceeds the total purchase price for all of the subscription rights shown on this shareholder rights agreement, your payment will be applied, until depleted, to subscribe for notes in the following order: (1) to subscribe for the principal amount of notes, if any, that you indicated on the shareholder rights agreement that you wished to purchase through your basic subscription right, until your basic subscription right has been fully exercised; and (2) to subscribe for additional principal amount of notes pursuant to the basic over-subscription privilege, subject to any applicable limitation. Any excess payment remaining after the foregoing allocation will be returned to you as soon as practicable by mail, without interest or deduction. Method of Payment (Check And Complete Appropriate Box(es)): ---------------------------------------------------------- [ ] Check, bank draft, or money order payable to "Fidelity Federal Bancorp"; or [ ] Wire transfer of immediately available funds directed to: Wire to: Federal Home Loan Bank of Indianapolis ABA#: 074 001 019 Further Credit: United Fidelity Bank, fsb Account #: 8166-9994 Further Credit: Fidelity Federal Bancorp - Rights Offering Account #: 0-01-45004609

Total Subscription. Enter the total number of shares you want to purchase in the offer. This number is the sum of the number of shares you are purchasing on Basic Subscription Rights plus the number of shares you desire to purchase on Over-Subscription.

Total Subscription. Enter the total number of shares you want to purchase in the offering. This number is the sum of the number of shares you are purchasing on Basic Subscription Right plus the number of shares you desire to purchase pursuant to your Over-Subscription Right.

Total Subscription. This is equal to the total amount of the payments listed under sections (a) and (c). The total subscription price is $ . If the aggregate payment enclosed or transmitted is insufficient to purchase the total number of shares of common stock included in lines (a) and (c), or if the number of shares being subscribed for is not specified, you will be considered to have subscribed for the maximum number of shares of common stock that could be subscribed for with the payment enclosed or transmitted. If the number of shares of common stock to be subscribed for pursuant to the over-subscription privilege is not specified and the amount enclosed or transmitted exceeds the total purchase price for all shares which may be purchased upon the exercise of your basic subscription privilege, you will be considered to have exercised your over-subscription privilege to purchase, to the extent available, the maximum number of shares of common stock that could be purchased with the payment enclosed or transmitted, subject to the limit on the number of shares you may purchase upon the exercise of your over-subscription privilege. To the extent any portion of the payment enclosed or transmitted remains after applying the above procedures, these funds will be mailed to you without interest as soon as practicable after the expiration date of the rights offering. The number of additional shares of our common stock that you will be entitled to purchase if you exercise your over-subscription privilege will be limited. The maximum number of shares you will be entitled to purchase upon the exercise of your over-subscription privileges may be on a pro rata basis with other shareholders exercising their over-subscription privileges. METHOD OF PAYMENT (CHECK AND COMPLETE APPROPRIATE BOX(ES)): [ ] Check, bank draft, or money order payable to "Blue River Bancshares, Inc."; or [ ] Wire transfer of immediately available funds directed to: Wire to: ---------------------------------------------------------------- ABA#: ---------------------------------------------------------------- Further Credit: ---------------------------------------------------------------- Account #: ---------------------------------------------------------------- Further Credit: ---------------------------------------------------------------- Account #: ----------------------------------------------------------------

Total Subscription. (total number of shares on lines (a) and (b) multiplied by $___) = $_________ payment. If the aggregate Subscription Price enclosed or transmitted is insufficient to purchase the total number of shares of Common Stock included in lines (a) and (b), or if the number of shares being subscribed for is not specified, the Rights holder exercising this Shareholders Rights Agreement shall be deemed to have subscribed for the maximum number of shares of Common Stock that could be subscribed for with the aggregate Subscription Price received. If the number of shares of Common Stock to be subscribed for pursuant to the Over-Subscription Privilege is not specified and the amount enclosed or transmitted exceeds the aggregate Subscription Price for all shares which may be purchased pursuant to the Basic Subscription Privilege represented by this Shareholders Rights Agreement (the "Subscription Excess"), the Rights holder executing this Shareholders Rights Agreement shall be deemed to have exercised the Over-Subscription Privilege to purchase, to the extent available, that number of shares of Common Stock equal to the quotient obtained by dividing the Subscription Excess by the Subscription Price (rounded down to the nearest whole number), subject to the limit on the number of shares a Rights holder may purchase pursuant to the Over- Subscription Privilege. To the extent any portion of the aggregate Subscription Price enclosed or transmitted remains after the foregoing procedures, such funds shall be mailed to the Rights holder without interest or deduction as soon as practicable after the Expiration Date.

Total Subscription. This is equal to the sum of the payments calculated on lines (a), (b), (c) and (d). The total subscription is $_______________ payment. If you do not specify the number of subscription rights and over-subscription privileges being exercised, or if your payment is not sufficient to pay the total purchase price for all of the notes and warrants that you indicated you wished to purchase, you will be deemed to have exercised the maximum number of subscription rights and over-subscription privileges that could be exercised for the amount of the payment that we receive from you. If your payment exceeds the total purchase price for all of the subscription rights shown on this shareholder rights agreement, your payment will be applied, until depleted, to subscribe for notes and warrants in the following order: (1) to subscribe for the principal amount of notes and the number of warrants, if any, that you indicated on the shareholder rights agreement that you wished to purchase through your basic subscription right and warrant subscription right, until your basic subscription right and warrant subscription right have been fully exercised; (2) to subscribe for additional principal amount of notes pursuant to the basic over-subscription privilege, subject to any applicable limitation; and (3) to subscribe for additional warrants pursuant to the warrant over-subscription privilege, subject to limitation. Any excess payment remaining after the foregoing allocation will be returned to you as soon as practicable by mail, without interest or deduction.