0001145443-13-000186 Sample Contracts

SUBSCRIPTION AGREEMENT
Subscription Agreement • February 6th, 2013 • Independence Bancshares, Inc. • National commercial banks

You have informed me that Independence Bancshares, Inc., a South Carolina corporation (the “Company”), is offering up to 2,351,250 shares of its common stock at a price of $0.80 per share to existing shareholders as of the close of business on December 30, 2012, as provided herein and as described in and offered pursuant to the prospectus dated [•], 2013 (the “Prospectus”) and furnished with this Subscription Agreement (this “Agreement”).

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