Exhibit 10.3
Form of Consent

FORM OF CONSENT
 
I, the undersigned, hereby do consent to the adoption of the amendments to the
“Benefit Plans” as defined in and as described in the attached resolutions
adopted by the Finance Committee of the Board of Directors, as of December ___,
2008, to Amend Benefit Plans to Comply With Emergency Economic Stabilization
Act, as and to the extent, and for the period, required by the provisions of
Section 111 of the Emergency Economic Stabilization Act of 2008 (“EESA”)
applicable to participants in the Capital Purchase Program under EESA and the
regulation issued by the Department of the Treasury as published in the Federal
Register on October 20, 2008.
 
Agreed to and acknowledged as of this ___ day of __________ 2008:
 

  
[Name]

 
 
 

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