Special Delivery Instructions Sample Contracts

SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549
Special Delivery Instructions • April 25th, 2017

Instrument Systems Corporation, a Delaware corporation (the "Company"), invites its stockholders to tender shares of its common stock, par value $.25 per share (the "Shares"), including the associated Common Stock Purchase Rights (the "Rights"), at prices, net to the seller in cash, not greater than $9.25 nor less than $8.00 per Share, specified by tendering stockholders, upon the terms and subject to the conditions set forth in this Offer to Purchase and the related Letter of Transmittal (which together constitute the "Offer"). Unless the Rights are redeemed by the Company, a tender of Shares will also constitute a tender of the associated Rights. Unless the context requires otherwise, all references herein to Shares shall include the associated Rights.

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ELECTION FORM AND LETTER OF TRANSMITTAL
Special Delivery Instructions • March 25th, 2016 • Mainsource Financial Group • State commercial banks

This Election Form and Letter of Transmittal is being delivered to holders of shares of common stock of Cheviot Financial Corp. (“Cheviot”) in connection with the Agreement and Plan of Merger (the “Merger Agreement”), by and between Cheviot and MainSource Financial Group, Inc. (“MainSource”), whereby Cheviot will merge with and into MainSource (the “Merger”).

AGREEMENT TO BE COMPLETED BY APPLICANT Date Legal Business Name Trade Name (s) Company Website Delivery Address Mailing Address (if different) Telephone No Fax No
Special Delivery Instructions • April 11th, 2012

TYPE OF BUSINESS CORPORATIONIndicate Officers Kind of Business SIC # D&B No # of Years This Business Under Current Ownership PARTNERSHIPIndicate Partners Other Locations Currently Owned Tax Exempt/Resale # (Attach copy of certificate) PROPRIETORSHIP Indicate Owner Line of Credit Requested Anticipated Monthly Purchase

AGREEMENT TO BE COMPLETED BY APPLICANT
Special Delivery Instructions • February 4th, 2019

TYPE OF BUSINESS CORPORATIONIndicate Officers Kind of Business SIC # D&B No # of Years This Business Under Current Ownership PARTNERSHIPIndicate Partners Other Locations Currently Owned Tax Exempt/Resale # (Attach copy of certificate) PROPRIETORSHIP Indicate Owner Line of Credit Requested Anticipated Monthly Purchase

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