SpareBank 1 SMN

Proxy Solicitation & Information Statement • Jan 25, 2021

ATTENDANCE FORM

Wednesday 10th of February 2021 at 09.00 am

FORM OF PROXY

_ _	SpareBank 1 SMN Konsernadministrasjonen Postboks 4796 Torgard N-7467 Trondheim		SpareBank 1 SMN Konsernadministrasjonen Postboks 4796 Torgard N-7467 Trondheim
The undersigned hereby gives notification of intention to attend the Election Meeting of the Owners of Equity Capital Certificates(ECC) in SpareBank 1 SMN			As the owner of _____ Equity Capital Certificates(ECC) issued by SpareBank 1 SMN I/we
	Wednesday 10th of February 2021 at 09.00 am		____________ (name of authorising party)
The meeting will be held digitally in Norwegian.			hereby authorize
A	Name of owner of ECC(s):	___ECC	_______ or the Chair of the (name of proxy) Supervisory Board, Knut Solberg, to attend on my behalf at the Election meeting of the
B	Authorised representative, title and name: (Only to be completed if the name entered under A is that of a company, institution or organisation)	___ECC	SpareBank 1 SMN, on Wednesday 10th of Equity Capital Certificates holders in February 2021, at 09.00 am, and to cast a vote for my Equity Capital according to the Election Committee's proposal. Alternatively according to the proposal in a separate
C	Number of ECC(s) owned:	___ECC	attachment to this authorization. This authorization may be transported.
D	Other ECC(s) according to enclosed proxy	___ECC	Place: ______ Date: ___
E	In total	___ECC
	____Place/date _______Binding signature		__________ (Binding signature of authorising party)

Email to the participant: ______________________

This Attendance Form should be returned, duly completed, to SpareBank 1 SMN, konsernadministrasjonen, N-7467 Trondheim, and must be registered as received by the Bank by 10 am on Friday 5 th of February 2021.

e-mail: admsekr@smn.no

This proxy must only be used if the Equity Capital Certificates holder does not attend the meeting in person. The name of the person attending as proxy must be stated in the proxy. A general or blank proxy is not valid.

This Form of Proxy should be returned, duly completed, to SpareBank 1 SMN, konsernadministrasjonen, N-7467 Trondheim, and must be registered as received by the Bank by 10 am on Friday 5 th of February 2021.

e-mail: admsekr@smn.no