EXHIBIT 99.2
AUTHORIZATION CARDS
IBT BANCORP, INC.
Stockholder Dividend I hereby appoint the Plan Administrator of
Reinvestment and Employee Stock the IBT Bancorp, Inc. Stockholder Dividend
Purchase Plan Authorization Reinvestment and Employee Stock Purchase
Card SH Plan as my agent under the terms and
-------------------- conditions of the Stockholder Dividend
So that we may identify your Reinvestment and Employee Stock Purchase
account, please PRINT your name Plan as described in the Prospectus of the
and address below in addition to Plan which accompanied this card to receive
signing the card. and apply to the purchase of shares without
charge as provided in the Plan the
following:
9 1. Full Dividend Reinvestment - any
dividends that may become payable to me on
all IBT Bancorp, Inc. Common Stock now or
hereafter registered to me.
9 2. Partial Dividend Reinvestment - any
dividends that may become payable to me on
the following shares of my IBT Bancorp, Inc.
Common Stock. Shs
I understand that I may change or revoke
this authorization at any time by notifying
the Plan Administrator, in writing, of my
desire to change or withdraw my
participation.
Date
Stockholder
Stockholder
ALL JOINT OWNERS MUST SIGN.
INSTRUCTIONS
1. Please check only one of the boxes (No. 1 or No. 2). If you do not
check any box, Full Dividend Reinvestment will be assumed.
2. If you check Box 2, and:
-If you wish to reinvest cash dividends on all of the
shares now registered in your name but not on any additional
shares that may be registered in your name in the future,
write the total number of shares registered in your name in
the space provided.
-If you wish to reinvest cash dividends on less than
all of the shares now registered in your name and continue to
receive a cash dividend on the remaining shares, write the
number of shares on which you wish dividends reinvested in the
space provided.
3. Under each of the options, regardless of the one you select, dividends
received on shares accumulated and held under the Plan will be
reinvested.
4. Be sure to date and sign the card and return it to IBT Bancorp, Inc.
200 East Broadway, Mt. Pleasant, Michigan, 48858, Attention: Plan
Administrator of the IBT Bancorp, Inc. Stockholder Dividend
Reinvestment and Employee Stock Purchase Plan.
IBT BANCORP, INC.
Stockholder Dividend I hereby appoint the Plan Administrator of
Reinvestment and Employee Stock the IBT Bancorp, Inc. Stockholder Dividend
Purchase Plan Authorization Reinvestment and Employee Stock Purchase
Card EE Plan as my agent under the terms and
-------------------- conditions of the Stockholder Dividend
So that we may identify your Reinvestment and Employee Stock Purchase
account, please PRINT your name Plan as described in the Prospectus of the
and address below in addition to Plan which accompanied this card to receive
signing the card. and apply to the purchase of shares without
charge as provided in the Plan the
following:
$__________ of my periodic compensation
check from ________________________________
(Name of Employer)
I acknowledge that amounts deducted from my
compensation checks will be subject to all
applicable federal, state and local taxes
even though I do not actually receive the
deducted amount but, instead, it is applied
to the purchase of Common Stock.
I acknowledge that dividends received on
shares held in my Plan account will
automatically be reinvested in additional
Common Stock.
I understand that this authorization card
will continue in effect without further
action on my part, until I change or revoke
it. I may change or revoke this
authorization at any time by notifying the
Plan Administrator, in writing, of my desire
to change or withdraw my participation.
However, I also understand that my request
to change or withdraw my participation will
be effective as of my next regular
compensation check only if my employer
receives notice thereof not less than 96
hours before compensation checks are
distributed.
Date
Employee
Be sure to date and sign the card and return
it to IBT Bancorp, Inc., 200 East Broadway,
Mt. Pleasant, Michigan, 48858, Attention:
Plan Administrator of the IBT Bancorp, Inc.
Stockholder Dividend Reinvestment and
Employee Stock Purchase Plan.