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EXHIBIT 99.1
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CRESCENT BANKING COMPANY
DIVIDEND REINVESTMENT AND STOCK PURCHASE PLAN
ENROLLMENT FORM
[ ] Current Shareholder of Record. I am a shareholder of record and I wish to
enroll in the Plan.
[ ] New Shareholder. 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.
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
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 ENROLLMENT FORM ONLY IF YOU WISH TO PARTICIPATE IN
THE DIVIDEND REINVESTMENT AND STOCK PURCHASE PLAN.
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