0001193125-14-354877 Sample Contracts

ELECTION FORM
Merger Agreement • September 26th, 2014 • First Merchants Corp • National commercial banks

This Election Form is being delivered to you in connection with the Agreement and Plan of Reorganization and Merger, dated July 21, 2014 (the “Merger Agreement”) between Community Bancshares, Inc. (“Community Bancshares”) and First Merchants Corporation (“First Merchants”), whereby Community Bancshares will merge with and into First Merchants (the “Merger”). As a Community Bancshares shareholder, you are being asked to elect the form of consideration you wish to receive upon the completion of the Merger by forwarding this Election Form to American Stock Transfer & Trust Company, LLC (“American Stock Transfer”), who is acting as the Election Agent for the Merger. The proxy statement and prospectus delivered to you with this Election Form includes a copy of the Merger Agreement and contains a more detailed description of the Merger and the election decision you are being asked to make, including important adjustment, election, allocation and proration procedures applicable to such electi

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