EXHIBIT 4.13
Account No. ______________
ACCEPTANCE OF OFFER
The undersigned hereby agrees to purchase, at par, $______________________
in aggregate principal amount of the following securities (the "Securities") of
FNB Financial Services, LP (the "Company") offered pursuant to the Prospectus
dated __________________________, 2005 (as the same may be amended, modified or
supplemented, the "Prospectus"), receipt of which is hereby acknowledged:
Security: ________________________________________________________________
Nonnegotiable Subordinated Term Note ("Term Note") or
Nonnegotiable Subordinated Daily Note ("Daily Note")
Term: ____________________________________________________________________
For Term Notes only; 3, 6, 9, 12, 15, 18, 21, 24,
27, 30, 36, 48, 60, 84 or 120
Interest Rate: ___________________________________________________________
Fixed for Term Notes; Initial for Daily Note
Registration Code: ______________________ Account Type: ________________
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 No. __________________
EACH UNDERSIGNED HEREBY REPRESENTS AND WARRANTS THAT he/she has received a copy
of the Prospectus.
EACH UNDERSIGNED HEREBY AGREES THAT ALL Securities purchased hereby, whether
Term Notes or Daily Notes, are subjected to all the term and conditions
including, without limitation, subordination of the indebtedness evidenced
thereby, as set forth in the Prospectus and the Indenture dated as of January
____, 2005, among the Company, F.N.B. Corporation as Guarantor, and X.X. Xxxxxx
Trust Company, National Association, as Trustee.
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).
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
identification 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.), and (3) I (we) am (are) a U.S. person (including a U.S.
resident alien).
TERM NOTE INTEREST ELECTION (CHECK ONE) ______________________________________
1. MONTHLY CHECK ____ (3/120 MO.) ____________________________________________________________
2. QUARTERLY CHECK ____ (9-120 MO.) ____________________________________________________________
3. COMPOUND QUARTERLY (9-120 MO.) ____________________________________________________________
(This Purchase Agreement must be executed by all persons whose
names are to appear on the Securities purchased hereby)
4. PAID AT MATURITY ____ (3-6 M).)
5. MONTHLY DEPOSIT Date: _______________________________________________________
TO DAILY NOTE ____ (3-120 MO.)
DAILY NOTE NUMBER ____________________ Opened By: ___________________
