FIRSTBANCORPORATION, INC.
SUBSCRIPTION FORM
NUMBER OF SHARES
Fill in the number of shares you wish to purchase and the total amount due. No
fractional shares will be issued. Stockholders of FirstBancorporation, Inc.
("Company") as of the close of business on May 15, 1998 ("Record Date")
residing in South Carolina, North Carolina or Georgia ("Eligible Company
Stockholders") have the non-transferable right to subscribe for up to a maximum
of one additional share of Common Stock for every seven shares owned as of the
close of business on the Record Date. All other eligible persons as described
in the Prospectus may subscribe for up to $100,000 of Common Stock (5,555
shares), but no fewer than 50 shares of Common Stock.
METHOD OF PAYMENT
Check the appropriate boxes that show how you wish to pay for the stock. If
paying by check or money order, make it payable to "FirstBancorporation, Inc."
Cash will be accepted only if hand delivered to the Company.
STOCK REGISTRATION
Print the name(s) in which you want the stock registered. If you are an
Eligible Company Stockholder, to protect your rights over other purchasers as
described in the Prospectus, you must take ownership in at least one of the
registered owners' names. Enter the Social Security Number (or Tax ID Number)
of one registered owner; only one number is required. See the reverse side of
this form for registration guidelines.
TELEPHONE INFORMATION
Please enter the daytime telephone number where you may be contacted in the
event we cannot execute your order as given.
STOCK OWNERSHIP VERIFICATION
If you were an Eligible Company Stockholder as of the close of business on the
Record Date (May 15, 1998), indicate the number of shares you owned on that
date in order to insure proper identification of your purchase right or
preference.
ACKNOWLEDGEMENT
Please read this acknowledgement statement carefully and sign on the signature
line. When purchasing as a custodian, corporate officer, etc., add your full
title to your signature. Enter the Social Security number (or Tax ID number) of
the registered owner and date the form; only one number is required.
The offering will expire at 12 Noon, Eastern Time, on June 22, 1998, unless
extended by the Company. This Subscription Form must be properly completed and
received by the Company with full payment prior to the expiration date.
NUMBER PURCHASE TOTAL
OF SHARES PRICE AMOUNT
X $18.00 = $
[_] Enclosed is a check or money order payable to "FirstBancorporation, Inc."
[_] Cash (hand delivered only).
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NAME(S) IN WHICH YOUR STOCK IS TO BE REGISTERED
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NAME(S) IN WHICH YOUR STOCK IS TO BE REGISTERED
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ADDRESS
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CITY STATE ZIP CODE
[_] Individual [_] Joint Tenants
[_] Tenants in Common
[_] Uniform Gifts to Minors
[_] Other_______________________________________________________________________
Daytime Phone ( ) _____________________________________________________________
Were you a stockholder of the Company as of the close of business on May 15,
1998? [_] Yes [_] No
Number of shares held as of May 15, 1998: ______________________________________
I acknowledge receipt of the Prospectus dated May 14, 1998 and the provisions
therein and understand that after delivery of this Subscription Form, this
subscription may not be modified or revoked without the consent of the Company.
I certify that this order is for the above account only and under penalties of
perjury, I certify that the Social Security or Taxpayer ID number given below
is correct. I further certify that this subscription does not violate purchase
limitations set forth more fully in the Prospectus.
I acknowledge that the common stock offered is not a savings or deposit account
and is not insured or guaranteed by the FDIC or any other government agency.
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SIGNATURE DATE
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ADDITIONAL SIGNATURE (IF REQUIRED) DATE
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SOCIAL SECURITY NO. OR TAX ID NO.
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GUIDELINES FOR REGISTERING STOCK
For reasons of clarity and standardization, the stock transfer industry has
developed uniform stockholder registrations which we will utilize in the
issuance of your Stock Certificate(s). If you have any questions, please
consult your legal advisor.
Stock ownership must be registered in one of the following manners:
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INDIVIDUAL: Avoid the use of two initials. Include the first given name,
middle initial and last name of the stockholder. Omit words
of limitation that do not affect ownership rights such as
"special account", "single man", "personal property", etc.
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JOINT: Joint ownership of stock by two or more persons shall be
inscribed on the stock certificate with one of the following
types of joint ownership. Names should be joined by "and"; do
not connect with "or". Omit titles such as "Mrs.", "Dr.",
etc.
JOINT TENANTS--Joint Tenancy with Right of Survivorship and
not as Tenants in Common may be specified to identify two or
more owners where ownership is intended to pass automatically
to the surviving tenant(s).
TENANTS IN COMMON--Tenants in Common may be specified to
identify two or more owners. When stock is held as tenancy in
common, upon the death of one co-tenant, ownership of the
stock will be held by the surviving co-tenant(s) and by the
heirs of the deceased co-tenant. All parties must agree to
the transfer or sale of shares held in this form of
ownership.
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UNIFORM GIFT Stock may be held in the name of a custodian for a minor
TO MINORS: under the Uniform Gifts to Minors laws of the individual
states. There may be only one custodian and one minor
designated on a stock certificate. The standard abbreviation
of custodian is "CUST", while the description "Uniform Gifts
to Minors Act" is abbreviated "UNIF GIFT MIN ACT." Standard
U.S. Postal Service state abbreviations should be used to
describe the appropriate state. For example, stock held by
John P. Jones under the South Carolina Uniform Gift to Minors
Act will be abbreviated:
JOHN P. JONES CUST SUSAN A. JONES
UNIF GIFT MIN ACT SC
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FIDUCIARIES: Stock held in a fiduciary capacity must contain the
following:
1.The name(s) of the fiduciary--
. If an individual, list the first given name, middle
initial, and last name.
. If a corporation, list the corporate title.
. If an individual and a corporation, list the
corporation's title before the individual.
2.The fiduciary capacity--
. Administrator . Conservator
. Committee . Executor
. Trustee . Personal Representative
. Custodian
3. The type of document governing the fiduciary relationship.
Generally, such relationships are either under a form of
living trust agreement or pursuant to a court order.
Without a document establishing a fiduciary relationship,
your stock may not be registered in a fiduciary capacity.
4. The date of the document governing the relationship. The
date of the document need not be used in the description
of a trust created by a will.
5. Either of the following:
The name of the maker, donor or testator
or The name of the beneficiary
Example of Fiduciary Ownership
JOHN D. SMITH, TRUSTEE FOR TOM A. SMITH
UNDER AGREEMENT DATED (Date)