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  • Stock Transfer Request Form

Stock Transfer Request Form*

HCSB Financial Corporation
Private Trading System

Please Check the Appropriate Box

____ Offer to Sell Common Stock

____ Offer to Purchase Common Stock

check the box if this is an amendment to your original offer terms and specify the date such original offer was submitted:  __________________

Name Number of Shares Offered for Sale / Desired to be Purchased
Ask Price Per Share / Bid Price Per Share
Offer Expiration Contact Information
         
         
         
         
         
         
         
         
         

* Please submit this form to Denise Floyd via mail to HCSB Financial Corporation, P.O. Box 218, Loris, South Carolina, 29569, email to dfloyd@horrycountystatebank.com, or facsimile to (843) 716-6213.  We will then place the information onto the Private Trading System.  If you are registered as a broker-dealer, are an associated person of a broker-dealer, or have a state securities license, you must identify that fact under the column "Contact Information".  You are prohibited from submitting an offer to buy at one price and an offer to sell at a higher price ("two-sided quotes").

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