EXHIBIT 99.2 FOR OF SUBSCRIPTION AGREEMENT FOR PUBLIC OFFERING
SUBSCRIPTION AGREEMENT
Tri-State 1st Bank, Inc.
00000 Xx. Xxxxx Xxxxxx
X.X. Xxx 000
Xxxx Xxxxxxxxx, Xxxx 00000
Gentlemen:
The undersigned hereby subscribes for and agrees to purchase the number of
shares of common stock, no par value (the "Shares"), of TRI-STATE 1ST BANK,
INC., an Ohio corporation (the "Company"), indicated below. The undersigned has
executed and delivered this Subscription Agreement in connection with the
Company's offering of Shares described in its Prospectus dated _____________,
1999. (Such Prospectus, including any amendments and supplements thereto, is
herein called the "Prospectus.")
The undersigned agrees to purchase the Shares subscribed for herein for the
purchase price of $27.00 per share and deliver to the Company a check made
payable to "Tri-State 1st Bank, Inc." in an amount equal to the aggregate
purchase price of all Shares purchased.
The undersigned acknowledges receipt of a copy of the Prospectus.
The undersigned acknowledges that the Company may accept in full the
undersigned's subscription, accept the undersigned's subscription for some but
not all of the Shares subscribed for herein, or completely reject the
undersigned's subscription. The undersigned agrees to deliver payment for the
Shares subscribed for herein for which the subscription is accepted by the
Company immediately upon call by the Company.
_________________________________ ___________________________________
Number of Shares Subscribed Please PRINT OR TYPE exact name(s)
to which the undersigned desires shares
to registered
The undersigned certifies that I am a ___________________________________
resident of ______________________ Signature of Subscriber
(insert state here)
___________________________________
Signature of Joint Subscriber, if any
DO NOT SEND PAYMENT FOR SUBSCRIPTION PRICE AT THIS TIME
