Common use of Split Dollar Policy Endorsement Clause in Contracts

Split Dollar Policy Endorsement. Insured: Xxxxxxxx X. Xxxxxxxxx Insurer: Security Life of Denver Policy No. 1567991 According to the terms of The Cortland Savings and Banking Company Third Amended Split Dollar Agreement and Endorsement dated as of December 3, 2008, the undersigned Owner requests that the above-referenced policy issued by the Insurer provide for the following beneficiary designation and limited contract ownership rights to the Insured:

Split Dollar Policy Endorsement. Insured: Xxxxxxxx Xxxxx X. Xxxxxxxxx Xxxxxx Insurer: Security Life of Denver Policy No. 1567991 1567992 According to the terms of The Cortland Savings and Banking Company Third Amended Split Dollar Agreement and Endorsement dated as of December 3, 2008, the undersigned Owner requests that the above-referenced policy issued by the Insurer provide for the following beneficiary designation and limited contract ownership rights to the Insured:

Split Dollar Policy Endorsement. Insured: Xxxxxxxx Xxxxx X. Xxxxxxxxx Xxxxx Insurer: Security Life of Denver Policy No. 1567991 1567995 According to the terms of The Cortland Savings and Banking Company Third Amended Split Dollar Agreement and Endorsement dated as of December 3, 2008, the undersigned Owner requests that the above-referenced policy issued by the Insurer provide for the following beneficiary designation and limited contract ownership rights to the Insured:

Split Dollar Policy Endorsement. Insured: Xxxxxxxx X. Xxxxxxxxx Xxxxxxx Xxxxxx Insurer: Security Life of Denver Policy No. 1567991 1567990 According to the terms of The Cortland Savings and Banking Company Third Amended Split Dollar Agreement and Endorsement dated as of December 3, 2008, the undersigned Owner requests that the above-referenced policy issued by the Insurer provide for the following beneficiary designation and limited contract ownership rights to the Insured: