Form of Beneficiary Election Form
EXHIBIT 10.4
FRANKLIN BANK CORP.
DEFERRED COMPENSATION PLAN
BENEFICIARY ELECTION FORM
SECTION 1. Initial Beneficiary Election. I represent that I have not made a prior beneficiary election pursuant to the Franklin Bank Corp. Deferred Compensation Plan (Plan). I understand that in the event of my death before I receive the balance of the Account maintained for me under the Plan, the remaining balance (if any) of such Account will be paid in a single sum to the beneficiary or beneficiaries (Beneficiary) I designate below, or, if none, or if my designated Beneficiary predeceases me, to my estate. Finally, I understand that I may change my beneficiary designation at any time and that my new Beneficiary designation will take effect upon receipt by the Plan Administrator prior to my death.
I hereby designate:
as my beneficiary | ||
Printed Name of Beneficiary |
By signing this Beneficiary Election Form, I agree to the terms and conditions of the Plan as it now exists and as it may be amended from time to time.
Date of Election: | ||
Signature of Participant | ||
Printed Name of Participant |
SECTION 2: Revocation and Subsequent Beneficiary Election: I represent that I have previously made a beneficiary election under the Plan, and by the completion of this Section 2 and by my signature below, I hereby revoke my previous beneficiary election and make the following beneficiary election. I understand that in the event of my death before I receive the balance of the Account maintained for me under the Plan, the remaining balance (if any) of such Account will be paid in a single sum to the beneficiary or beneficiaries (Beneficiary) I designate below, or, if none, or if my designated Beneficiary predeceases me, to my estate. Finally, I understand that I may change my beneficiary designation at any time and that my new Beneficiary designation will take effect upon receipt by the Plan Administrator prior to my death.
1
I hereby designate:
as my beneficiary. | ||
Printed Name of Beneficiary |
Date of Election: | ||
Signature of Participant | ||
Printed Name of Participant |
2