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EXHIBIT 4.6
Account No. ___________________
ACCEPTANCE OF OFFER
The undersigned hereby agrees to purchase, at par, $________________ in
aggregate principal amount of the following securities (the "Securities") of
F.N.B. Corporation (the "Company") offered pursuant to the Prospectus dated
______________ __, 1995 (as the same may be amended, modified or supplemented,
the "Prospectus"), receipt of which is hereby acknowledged:
Security:
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Subordinated Note ("Term Note") or Subordinated Daily Cash Account ("DCA")
Term:
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For Term Notes only; 3,6,9,12,18,24,30,36,48,60,84 or 120 months
Interest Rate:
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Fixed for Term Notes; Initial for DCA
Registration Code: Account Type:
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IN;JT;UTMA P;B;O
The name(s) and address in which the Securities being purchased by the
undersigned are to be registered are as follows (all persons so named must
execute this Acceptance of Offer):
___________________________________________
___________________________________________ Soc. Sec. or E.I. No.
___________________________________________ # ____________________________
___________________________________________ Telephone Number _____________
EACH UNDERSIGNED HEREBY REPRESENTS AND WARRANTS THAT He/she has read and
reviewed carefully the Prospectus.
EACH UNDERSIGNED HEREBY AGREES THAT All Securities purchased hereby, whether
Term Notes or DCA's, are subject to all the terms and conditions including,
without limitation, subordination of the indebtedness evidenced thereby, as set
forth in the Prospectus and the Indenture dated as of May 15, 1992 between the
Company and Northern Central Bank, as Trustee.
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THIS SECURITY IS NOT A SAVINGS ACCOUNT OR AN OBLIGATION OF AN INSURED
DEPOSITORY INSTITUTION AND IS NOT INSURED BY THE FEDERAL DEPOSIT INSURANCE
CORPORATION (FDIC).
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By executing this ACCEPTANCE OF OFFER, I (we), under penalty of perjury,
certify that: (1) the number shown on this form is my (our) correct taxpayer
number (T.I.N.) and (2) I (we) am (are) not subject to backup withholding
either because of (a) I (we) am (are) exempt from backup withholding, or (b) I
(we) have not been notified by the Internal Revenue Service that I (we) am
(are) subject to backup withholding as a result of a failure to report all
interest or dividends, or (c) the IRS has notified me (us) that I (we) am (are)
no longer subject to backup withholding. (If you have been notified by the IRS
that you are subject to backup withholding, delete the language in (2) above.)
TERM NOTE INTEREST ELECTION (CHECK ONE)
1. MONTHLY CHECK ____(3-120 MO.) _______________________________
2. QUARTERLY CHECK ____(9-120 MO.) _______________________________
3. COMPOUND QUARTERLY _______________________________
PAID AT MATURITY ____(9-120 MO.) (This Purchase Agreement must
4. PAID AT MATURITY ____(3-6 MO.) be executed by all persons whose
5. MONTHLY DEPOSIT names are to appear on the
TO DCA ____(3-120 MO.) Securities purchased hereby.)
Date: __________________________
DCA NUMBER __________________________ Opened By: _____________________
