Preliminary Subscription Agreement
Exhibit 99.7
0000 Xxxxxxxxx Xxxxx
Xxxxxxxxxx, Xxxxxxx 00000
Attn: Xxxxx X. Xxxxx
Ladies and Gentlemen:
I hereby subscribe to purchase the number of shares of Common
Stock, par value $1.00 per share (the “shares”) of
CapitalSouth Bancorp (the “Company”) indicated below.
I have received a copy of the Company’s prospectus, dated
[ ], 2008. I understand that my
purchase of the Company’s stock involves significant risk,
as described under “Risk Factors” in the prospectus. I
also understand that no federal or state agency has made any
finding or determination regarding the fairness of the
Company’s offering of the shares, the accuracy or adequacy
of the prospectus, or any recommendation or endorsement
concerning an investment in the shares.
I am not sending the purchase price for the shares I wish to buy
at this time. After I receive the prospectus supplement
announcing the results of the Company’s rights offering to
its stockholders, if I still wish to purchase shares, I will
send the Company an acknowledgment of subscription and a check
in the amount of
$[ ]
multiplied by the number of shares I wish to buy. My check will
be made payable to “CapitalSouth Bancorp”
WHEN THE COMPANY RECEIVES MY ACKNOWLEDGMENT OF SUBSCRIPTION AND
MY CHECK, THIS SUBSCRIPTION AGREEMENT WILL BECOME FINAL AND
BINDING AND WILL BE IRREVOCABLE UNTIL THE OFFERING IS CLOSED.
NUMBER OF SHARES
(MINIMUM 100
SHARES):
TOTAL SUBSCRIPTION PRICE
(AT
$[ ]
PER
SHARE):
*
PLEASE PRINT OR TYPE EXACT NAME(S) IN WHICH UNDERSIGNED DESIRES
SHARES TO BE
REGISTERED:
* DO NOT SEND THE PURCHASE PRICE FOR YOUR SHARES AT THIS TIME.
SUBSTITUTE
W-9
Under the penalty of perjury, I certify that: (1) the
Social Security number or Taxpayer Identification Number given
below is correct; and (2) I am not subject to backup
withholding.
INSTRUCTION: YOU MUST CROSS OUT (2) ABOVE IF YOU HAVE BEEN
NOTIFIED BY THE INTERNAL REVENUE SERVICE THAT YOU ARE SUBJECT TO
BACKUP WITHHOLDING BECAUSE OF UNDERREPORTING INTEREST OR
DIVIDENDS ON YOUR TAX RETURN.
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DATE
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| SIGNATURE(S)* | ||
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AREA CODE AND TELEPHONE NO.
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PLEASE INDICATE FORM OF OWNERSHIP YOU DESIRE FOR THE SHARES
(INDIVIDUAL, JOINT TENANTS WITH RIGHT OF SURVIVORSHIP, TENANTS
IN COMMON, TRUST, CORPORATION, PARTNERSHIP, CUSTODIAN, ETC.):
SOCIAL SECURITY OR FEDERAL TAXPAYER
IDENTIFICATION NO.
TO BE COMPLETED BY THE COMPANY
Accepted as
of ,
2008, as
to shares.
| By: |
Signature
Print Name
When signing as attorney, trustee, administrator, or guardian,
please give your fall title as such. If a corporation, please
sign in full corporate name by president or other authorized
officer. In case of joint tenants, each joint owner must sign.
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