EXHIBIT 99.1
FIRST INDEPENDENCE CORP.
SUBSCRIPTION DOCUMENTS
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SUBSCRIPTION AGREEMENT
FIRST INDEPENDENCE CORP.
131 Bayview Drive
Osprey, Florida 34229
Telephone: 941-726-4383
A. Instructions.
Each person considering subscribing for shares of the Company should
review the following instructions:
Subscription Agreement: Please complete, execute and deliver to the
Company the enclosed copy of the Subscription Agreement. The Company will
review the materials and, if the subscription is accepted, the Company
will execute the Subscription Agreement and return one copy of the
materials to you for your records.
The Company shall have the right to accept or reject any subscription, in
whole or in part.
An acknowledgment of the acceptance of your subscription will be returned
to you promptly after acceptance.
Payment: Payment for the amount of the shares subscribed for shall be made
at the time of delivery of the properly executed Subscription Agreement,
or such date as the Company shall specify by written notice to subscribers
(unless such period is extended in the sole discretion of the President of
the Company), of a check, bank draft or wire transfer of immediately
available funds to the Company at the address set forth below or an
account specified by the Company. The closing of the transactions
contemplated hereby (the "Closing") will be held on such date specified in
such notice (unless the closing date is extended in the sole discretion of
the President of the Company). There is no minimum aggregate amount of
Shares which must be sold as a condition precedent to the Closing, and the
Company may provide for one or more Closings while continuing to offer the
Shares that constitute the unsold portion of the Offering.
B. Communications.
All documents and check should be forwarded to:
FIRST INDEPENDENCE CORP.
131 Bayview Drive
Osprey, Florida 34229
Telephone: 941-726-4383
Attention: Mr. Bruno O. Pasquali
THE PURCHASE OF SHARES OF FIRST INDEPENDENCE CORP. INVOLVES A HIGH DEGREE OF
RISK AND SHOULD BE CONSIDERED ONLY BY PERSONS WHO CAN BEAR THE RISK OF THE LOSS
OF THEIR ENTIRE INVESTMENT.
EVERY POTENTIAL INVESTOR PRIOR TO ANY INVESTMENT OR PURCHASE OF FIRST
INDEPENDENCE CORP.'S SHARES SHOULD READ THE PROSPECTUS RELATING TO THIS
OFFERING.
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FIRST INDEPENDENCE CORP.
131 Bayview Drive
Osprey, Florida 34229
Telephone: 941-726-4383
SUBSCRIPTION AGREEMENT SIGNATURE PAGE
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The undersigned (the "Subscriber") hereby subscribes for that number of shares
(the "Shares") of the Company set forth below, upon and subject to the terms and
conditions set forth in the Company's final prospectus filed on Form S-1 and
dated ________________, 2012 (the "Prospectus").
The Subscriber acknowledges, represents and warrants as of the date of this
Subscription Agreement that:
1. no person has made to the Subscriber any written or oral representations:
(a) that any person will resell or repurchase the Shares,
(b) that any person will refund the purchase price of the Shares, or
(c) as to the future price or value of the Shares;
2. the Company has provided to the Subscriber a copy of the Prospectus and
has made available a copy of the Company's Registration Statement on Form
S-1 filed on ________________, 2012; and
3. the representations, warranties and acknowledgements of the Subscriber
contained in this Section will survive the closing of this Agreement.
The Subscriber acknowledges that the Subscriber has a two day cancellation right
and can cancel this Subscription Agreement by sending notice to the Company by
midnight on the 2nd business day after the Subscriber signs this Subscription
Agreement.
Total Number of Shares to be Acquired: ____________________________
Amount to be paid (price of $0.0115 USD per Share): ____________________________
IN WITNESS WHEREOF, the undersigned has executed this Subscription Agreement
this ______ day of ____________________, 2012.
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NAME: (PRINT) as it should appear on the Certificate:
__________________________________________________________________
ADDRESS: __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
If Joint Ownership, check one (all parties must sign above):
[ ] Joint Tenants with Right of Survivorship
[ ] Tenants in Common
[ ] Community Property
If Fiduciary or a Business or an Organization, check one:
[ ] Trust
[ ] Estate
[ ] Power of Attorney
Name and Type of Business Organization:
__________________________________________________
Identification Authentication REQUIRED [Attach photocopy of ID]
---------------------------------------------------------------
Below is my (check one) [ ] Government ID# [ ] Drivers License# - #____________
Telephone #
SS #
E-mail address
Signature: ___________________________________________
ACCEPTANCE OF SUBSCRIPTION
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The foregoing Subscription is hereby accepted for and on behalf of First
Independence Corp. this ______ day of ____________________, 2012.
By: _____________________________________
Mr. Bruno O. Pasquali, President
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