FORM OF SPLIT DOLLAR LIFE INSURANCE AGREEMENTForm of Split Dollar Life Insurance Agreement • April 4th, 2017 • Fidelity D & D Bancorp Inc • National commercial banks • Pennsylvania
THIS SPLIT DOLLAR AGREEMENT (this “Agreement”) is adopted this 29th day of March, 2017, by and between The Fidelity Deposit and Discount Bank, located in Dunmore, Pennsylvania (the “Employer”), and _______________________________________ (the “Executive”), and formalizes the agreements and understanding between the Employer and the Executive.
