Primary. Contingent: ------------------------------------------------------------------- -------------------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ Date __________________________________ Accepted by the Company this ______ day of _________________, 200___. By ____________________________________ Title _________________________________
Appears in 4 contracts
Samples: Director Retirement Agreement (United Security Bancshares Inc), Director Retirement Agreement (United Security Bancshares Inc), Director Retirement Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- -------------------------------------------------------------------------------- --------------------------------------------------------- --------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ ------------------------------ Date __________________________________ ----------------------------------- Accepted by the Company this ______ day of _________________, 200___200 . ------ ----------------- --- By ____________________________________ ------------------------------------- Title _________________________________----------------------------------
Appears in 1 contract
Samples: Director Retirement Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- -------------------------------------------------------------------- -------------------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ ------------------------------- Date __________________________________ ----------------------------------- Accepted by the Company this ______ day of _________________, 200___. By ____________________________________ ------------------------------------- Title _________________________________-----------------------------------
Appears in 1 contract
Samples: Director Retirement Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- -------------------------------------------------------------------------------- ---------------------------------------------------------- ---------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ ------------------------------ Date __________________________________ ----------------------------------- Accepted by the Company this ______ day of _________________, 200___200 . ------ ----------------- --- By ____________________________________ ------------------------------------- Title _________________________________----------------------------------
Appears in 1 contract
Samples: Director Retirement Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- -------------------------------------------------------------------------------- ---------------------------------------------------------- ---------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ ------------------------------ Date __________________________________ ----------------------------------- Accepted by the Company this ______ day of _________________, 200___. By ____________________________________ ------------------------------------- Title _________________________________----------------------------------
Appears in 1 contract
Samples: Director Retirement Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- --------------------------------------------------------------------- -------------------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ -------------------------------- Date __________________________________ ------------------------------------- Accepted by the Company this ______ day of _________________, 200___. By ____________________________________ --------------------------------------- Title _________________________________------------------------------------
Appears in 1 contract
Samples: Director Retirement Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- -------------------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ ------------------------------------- Date __________________________________ ------------------------------------------ Accepted by the Company this ______ day of _________________, 200___. By ____________________________________ ------------------------------------- Title _________________________________----------------------------------
Appears in 1 contract
Samples: Director Retirement Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- --------------------------------------------------------------------- -------------------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ -------------------------------- Date __________________________________ ------------------------------------- Accepted by the Company this ______ day of _________________, 200___. By ____________________________________ ---------------------------------------- Title _________________________________-------------------------------------
Appears in 1 contract
Samples: Salary Continuation Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- -------------------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ ---------------------------------------------------------- Date __________________________________ --------------------------------------------------------------- Accepted by the Company this ______ day of _________________, 200___. By ____________________________________ --------------------------------------------- Title _________________________________------------------------------------------
Appears in 1 contract
Samples: Director Retirement Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------- ------------------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ ------------------------------ Date __________________________________ ------------------------------ Accepted by the Company this ______ day of _________________, 200___. By ____________________________________ ------------------------------------ Title _________________________________---------------------------------
Appears in 1 contract
Samples: Salary Continuation Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- -------------------------------------------------------------------------------- ----------------------------------------------------------- ----------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ ------------------------------ Date __________________________________ ----------------------------------- Accepted by the Company this ________ day of _________________, 200___. By ____________________________________ ------------------------------------- Title _________________________________----------------------------------
Appears in 1 contract
Samples: Salary Continuation Agreement (United Security Bancshares Inc)
Primary. Contingent: ------------------------------------------------------------------- -------------------------------------------------------------------------------- I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I also understand that this beneficiary designation revokes any prior beneficiary designation(s) with respect to this Agreement. Signature _____________________________ ------------------------------ Date __________________________________ ---------------------------------- Accepted by the Company this _______ day of _________________, 200___. By ____________________________________ ------------------------------------ Title _________________________________---------------------------------
Appears in 1 contract
Samples: Salary Continuation Agreement (United Security Bancshares Inc)