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EXHIBIT 99.2
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CRESCENT BANKING COMPANY
DIVIDEND REINVESTMENT AND STOCK PURCHASE PLAN
EMPLOYEE ENROLLMENT AND
PAYROLL DEDUCTION AUTHORIZATION FORM
Initial Cash Investment. I am an employee of Crescent Banking Company, or
one of its subsidiaries, and I wish to enroll in the Plan by making an
initial cash investment. Enclosed is my check for $_______ ($500 minimum
and $2,500 maximum), made payable to "Crescent Bank & Trust Company." I
have also completed the Substitute Form W-9 below.
Payroll Deductions. I am an employee of Crescent Banking Company, or one of
its subsidiaries, and I wish to enroll in the Plan by authorizing voluntary
deductions to be taken from my payroll and contributed to the Plan, in the
amount of $_________ (minimum of $25 and maximum of $1,000) per pay period.
I have also completed the Substitute Form W-9 below.
Change in Payroll Deductions. I hereby request that my payroll deduction
under the Plan be changed to $______ (minimum of $25 and maximum of $1,000)
per pay period.
Cancellation of Payroll Deductions. I hereby request that my payroll
deduction under the Plan be cancelled effective as of ________________.
I hereby appoint Crescent Bank & Trust Company as my agent to receive cash
dividends that may hereafter become payable to me on all shares of common stock,
par value $1.00 per share (the "Common Stock"), of Crescent Banking Company (the
"Company") registered in my name(s), and authorize Crescent Bank & Trust Company
to apply such dividends to the purchase of full shares and fractional interest
in shares of the Company's Common Stock.
I understand that the purchases will be made under the terms and conditions
of the Company's Dividend Reinvestment and Stock Purchase Plan as described in
the Prospectus, which I have received, carefully reviewed and understood, and
that I may revoke this authorization at any time by notifying Crescent Bank &
Trust Company, in writing, of my desire to terminate my participation.
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Please Print Name(s) Signature(s)
(As Shown on Stock Certificate if
Currently a Shareholder)
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Street Address Signature(s)
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City State Zip Code Date Social Security or Tax I.D. No.
SUBSTITUTE FORM W-9
Certification: Under penalty of law, I certify that:
1. The number shown on this form is my correct taxpayer identification number
(or I am waiting for a number to be issued to me, which I will promptly forward
to the Plan administrator); and
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2. I am not subject to backup withholding because: (a) I am exempt from
backup withholding, or (b) I have not been notified by the Internal Revenue
Service that I am subject to backup withholding as a result of a failure to
report all interest or dividends, or (c) the Internal Revenue Service has
notified me that I am no longer subject to backup withholding.
Signature: Date:
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RETURN THIS CARD ONLY IF YOU WISH TO PARTICIPATE IN
THE COMPANY'S DIVIDEND REINVESTMENT AND STOCK PURCHASE PLAN.
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