SUBSCRIPTION AGREEMENT FIRST TRINITY FINANCIAL CORPORATION

EXHIBIT 99.10

SUBSCRIPTION AGREEMENT
FIRST TRINITY FINANCIAL CORPORATION

The undersigned acknowledges receipt of a copy of the Prospectus (the “Prospectus”) dated ____________, 2010 relating to the offering of securities of First Trinity Financial Corporation, an Oklahoma corporation (the “Corporation”). The shares are being offered by the Corporation at $7.50 per share and in the manner described in the Prospectus.

1.		Subscription. Subject to the terms and conditions of this Agreement and the Prospectus, the undersigned hereby irrevocably subscribes for and agrees to purchase ____________shares and tenders here with a check in the amount of $____________ payable to First Trinity Financial Corporation. This amount represents a total payment of the subscription price payable to the Corporation.
2.		Acceptance of Subscription. The undersigned understands and agrees that this subscription is subject to the following terms and conditions:

	(a)		The Corporation has the right to reject this subscription in whole or in part.
	(b)		The foregoing subscription is made subject to all of the terms set out in the prospectus.

3.		Place of Residence. The undersigned hereby certifies that as of the date hereof, he is a bona fide resident of the State of Oklahoma and agrees to notify the Corporation promptly of any change of address
4.		Suitability. The undersigned hereby certifies that they have a minimum annual gross income of $65,000 and a minimum net worth of $65,000 excluding vehicles, home and home furnishings or a minimum net worth of $150,000 excluding vehicles, home, and home furnishings. In addition, the undersigned certifies that they are not investing more than 10% of their net worth, excluding vehicles, home and home furnishings.

Signature of Subscriber Name(s) in which certificate to be issued:

Name Printed or Typed D.O.B. o SUBSCRIBER’S o ADDRESS SAME AS SUBSCRIBER’S

Subscriber’s Social Security or Taxpayer I.D. No.		Name		D.O.B.
Subscriber’s Oklahoma Driver’s License No.		Name		X.X.X.

Xxxxxx Xxxxxxx		Xxxxxx Xxxxxxx
Xxxx                                Xxxxx                                Xxx		Xxxx                                Xxxxx                                Xxx
Xxxxxx		Xxxxxx
Home Phone No.                      Work Phone No.		Certificate Holder’s Social Security or Taxpayer I.D. No.
Title and Occupation

Email Address
 

Issue Certificate as Follows:

o Individual            o Joint Tenants with Right of Survivorship

o Tenants In Common            o Uniform Gift to Minors

o Other:

FIRST TRINITY FINANCIAL CORPORATION            Subscription Dated _____________________ at (City)

_________________________________, __________________________________, Oklahoma

By:				by
		Authorized Representative                      Rep. No.				Authorized Representative                      Rep. No.

Make all checks payable to FIRST TRINITY FINANCIAL CORPORATION

Signature of Subscriber Signature of Subscriber

WHITE COPY—Office            YELLOW COPY—Subscriber            PINK COPY—Agent