0001558370-25-003995 Sample Contracts

FORM OF ENDORSEMENT SPLIT-DOLLAR LIFE INSURANCE AGREEMENT
Endorsement Split-Dollar Life Insurance Agreement • March 28th, 2025 • Peoples Financial Services Corp. • National commercial banks

THIS ENDORSEMENT SPLIT-DOLLAR LIFE INSURANCE AGREEMENT (the “Agreement”) is adopted this day of , 20 , by and between Peoples Security Bank and Trust Company, a state-charted bank organized and existing under the laws of the Commonwealth of Pennsylvania (successor to FNCB Bank and First National Community Bank), located in Dunmore, Pennsylvania (the “Bank”), and (the “Executive”).