EX-99.1 6 isba_2021xs3dxposxex991.htm EX-99.1 Document

Exhibit 99.1
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To be used by current Isabella Bank Corporation shareholders only. If you are not currently a shareholder, please contact Shareholder Services at (989) 779-6237, the financial advisors of Raymond James Financial Services located at Isabella Bank, or any other licensed broker.
Authorization Card
Stockholder Dividend
STOCK PURCHASE FORM -- I hereby appoint the Plan Administrator as my agent under
Reinvestment and Employeethe terms and conditions of the Plan, as described in the Prospectus for the Plan, to receive
Stock Purchase Plan Stockand apply the following to the purchase of the shares, without charge, as provided in the Plan:
Purchase Form
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DIVIDEND REINVESTMENT (Please select only one option)
So that we may identify your¨1FULL DIVIDEND REINVESTMENT- Any dividends that may become payable to me
account, please PRINT the
on all Isabella Bank Corporation Common Stock now or hereafter registered to me
following information in
subject to any maximum amount set by Isabella Bank Corporation from time to time.
addition to signing the card.¨PARTIAL DIVIDEND REINVESTMENT- Any dividends that may become payable to
me on the following shares of my Isabella Bank Corporation Common Stock.
          SHARES _______________ subject to any maximum amount set by Isabella
          Bank Corporation from time to time.
Name:
______________________
OPTIONAL CASH INVESTMENT (Please select only one option; said option shall be
Address:subject to any minimum or maximum amounts set by Isabella Bank Corporation from time to
______________________time.)
______________________¨CHECK OR MONEY ORDER - The amount payable on the enclosed check or
Phone Number:money order made payable to Isabella Bank Corporation.
______________________¨AUTOMATIC BANK WITHDRAWAL - $ _______________, which amount is not
Email (if applicable):less than $25 and shall be automatically deducted from my United States bank
______________________account identified below by either a:
          ¨ ONE-TIME AUTOMATIC BANK WITHDRAWAL or
          ¨ MONTHLY AUTOMATIC BANK WITHDRAWAL
                    Name of Financial Institution _________________________
                    Type of Account: ¨ Checking ¨ Savings
                    Account Number: ____________________
                    Routing Number: ____________________
I understand that, if I selected Monthly Automatic Bank Withdrawals, my United States bank
account identified above will be debited monthly in the amount requested on or about the
15th day of each month, until I change or revoke this authorization card.
I acknowledge that dividends received on shares held in my Plan account will automatically
be reinvested in additional Common Stock.
Date: ____________________
Signature: ____________________________________________________________
Please check only one of the boxes No. 1 or No. 2 under "DIVIDEND REINVESTMENT," and only one of the boxes No. 1 or No. 2 under "OPTIONAL CASH INVESTMENT." If you check box No. 2 under "OPTIONAL CASH INVESTMENT." you must also check a box to indicate whether the Automatic Bank Withdrawal should be one-time or monthly, and you must provide accurate account information.
Please be sure to sign and date the form. Return completed forms to:
Isabella Bank Corporation, 401 N. Main St., Mt. Pleasant, MI 48858
Attention: Shareholder Services
You may request additional Authorization Cards at any time by writing to the above address or by calling Debbie Campbell at (989) 779-6237. We will also periodically mail you a new Authorization Card.