0001193125-13-247170 Sample Contracts

PRELIMINARY SUBSCRIPTION AGREEMENT
Preliminary Subscription Agreement • June 4th, 2013 • Jacksonville Bancorp Inc /Fl/ • State commercial banks

Under penalty of perjury, I certify that: (1) the Social Security number or IRS Taxpayer Identification Number given below is correct; and (2) I am not subject to backup withholding.

Sample 1
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SUBSCRIPTION AGREEMENT
Subscription Agreement • June 4th, 2013 • Jacksonville Bancorp Inc /Fl/ • State commercial banks

Under penalty of perjury, I certify that: (1) the Social Security number or IRS Taxpayer Identification Number given below is correct; and (2) I am not subject to backup withholding.

Sample 1
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