0001193125-08-114796 Sample Contracts

FORM CHANGE IN CONTROL AGREEMENT
Change in Control Agreement • May 14th, 2008 • Orrstown Financial Services Inc • State commercial banks • Pennsylvania

THIS CHANGE IN CONTROL AGREEMENT is made as of , 20 , by and among ORRSTOWN FINANCIAL SERVICES, INC., a Pennsylvania business corporation (the “Corporation”), ORRSTOWN BANK, a Pennsylvania state charted bank having its principal place of business at 77 East King Street, Shippensburg, Pennsylvania 17257 (the “Bank”), and an individual residing at , , Pennsylvania (the “Executive”).

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