Agreement for Restricted Stock Sample Contracts

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AGREEMENT FOR RESTRICTED STOCK GRANTED UNDER NORTHWEST INDIANA BANCORP AMENDED AND RESTATED 2004 STOCK OPTION AND INCENTIVE PLAN
Agreement for Restricted Stock • August 13th, 2008 • Northwest Indiana Bancorp • Savings institution, federally chartered • Indiana

This Agreement has been entered into as of the day of , 20 between NorthWest Indiana Bancorp, an Indiana corporation (the “Company”), and , a [employee/director] of the Company or one of its affiliates (the “Participant”), pursuant to the Company’s Amended and Restated 2004 Stock Option and Incentive Plan (the “Plan”) and evidences and sets forth certain terms of the grant to the Participant pursuant to the Plan of an aggregate of shares of Restricted Stock as of the date of this Agreement. Capitalized terms used herein and not defined herein have the meanings set forth in the Plan.

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