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Exhibit 99.6
FORM OF PROXY TO BE USED IN CONNECTION WITH
SPECIAL MEETING OF SHAREHOLDERS OF
PARK NATIONAL CORPORATION
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PARK NATIONAL CORPORATION
PROXY FOR SPECIAL MEETING OF SHAREHOLDERS
TO BE HELD ON [ ], 2001
THIS PROXY IS SOLICITED ON BEHALF OF
THE BOARD OF DIRECTORS OF
PARK NATIONAL CORPORATION
The undersigned holder(s) of common shares of Park National Corporation, an Ohio
corporation (the "Company"), hereby constitutes and appoints _______________,
_______________ and _______________, or any of them, the Proxy or Proxies of the
undersigned, with full power of substitution, to attend the Special Meeting of
Shareholders (the "Special Meeting") of the Company to be held on [ ], 2001, at
the offices of The Park National Bank, 50 North Third Street, Newark, Ohio, at
________ __.m., local time, and any adjournment thereof, and to vote all of the
common shares of the Company which the undersigned is entitled to vote at the
Special Meeting, or at any adjournment thereof, as follows:
1. To adopt the Agreement and Plan of Merger between Park National
Corporation and Security Banc Corporation, dated as of November 20,
2000, a copy of which is included as Appendix A to the Joint Proxy
Statement/Prospectus for the Special Meeting, which accompanied this
proxy card.
[ ] FOR [ ] AGAINST [ ] ABSTAIN
2. In their discretion, upon any other business (none known at the time of
solicitation of this proxy) which properly comes before the Special
Meeting or any adjournment thereof.
A VOTE FOR PROPOSAL NO. 1 IS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE
COMPANY. WHERE A CHOICE IS INDICATED, THE COMMON SHARES REPRESENTED BY THIS
PROXY CARD WHEN PROPERLY EXECUTED WILL BE VOTED OR NOT VOTED AS SPECIFIED. IF NO
CHOICE IS INDICATED, THE COMMON SHARES REPRESENTED BY THIS PROXY CARD WILL BE
VOTED FOR PROPOSAL NO. 1. IF ANY OTHER MATTERS ARE PROPERLY BROUGHT BEFORE THE
SPECIAL MEETING OR ANY ADJOURNMENT, THE COMMON SHARES REPRESENTED BY THIS PROXY
CARD WILL BE VOTED IN THE DISCRETION OF THE PROXIES ON SUCH MATTERS.
All proxies previously given or executed by the undersigned are hereby revoked.
Receipt is acknowledged of the accompanying Notice of Special Meeting of
Shareholders and Joint Proxy Statement/Prospectus for the _____________, 2001
meeting.
Dated: , 2001
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(Signatures)
Shareholders should date this proxy
card and sign above exactly as name
appears at left. If common shares are
registered in two names, both
shareholders should sign. Executors,
administrators, trustees, guardians
and others signing in a representative
capacity should indicate the capacity
in which they sign.
