Special Transfer Instructions Clause Samples
Special Transfer Instructions. If you want your shares of Wellsford common stock, check for cash in lieu of fractional shares and/or check for cash to be issued in another name, fill in this section with the information for the new account name. Your signature in Box 1 must be medallion guaranteed. -------------------------------------------------------------------------------- Name (Please Print First, Middle & Last Name) -------------------------------------------------------------------------------- Address (Number and Street) -------------------------------------------------------------------------------- (City, State & Zip Code) -------------------------------------------------------------------------------- (Tax Identification or Social Security Number) The Election Date is _________, 2007, unless extended. If the closing date of the merger is to be more than five business days after the date of the Reis special meeting, the election date will be extended and announce▇ ▇▇ a press release delivered to Dow Jones News Service, which date will be at least five business days fo▇▇▇▇▇ng the date of the press release. This means that if the Exchange Agent has not RECEIVED an effective Form of Election and Letter of Transmittal and your Reis stock certificate(s) at the Exchange Agent's designated office b▇ ▇:00 p.m., New York City Time, on or prior to _______, 2007 (or such other date as described above), you will be deemed to have made no election and your shares of Reis common stock and/or Reis preferred stock will be deemed to be No▇-▇▇ection Shares (as def▇▇▇▇ in the Merger Agreement and the Joint Proxy Statement/Prospectus). Holders of Non-Election Shares will receive a separate letter of transmittal following the consummation of the Merger. Completing this Form of Election and Letter of Transmittal does not have the effect of casting a vote with respect to adoption of the Merger Agreement and approval of the related transactions at the Reis special meeting of stockholders. INSTRUCTIONS F▇▇ ▇OMPLETING THE FORM OF ELECTION AND LETTER OF TRANSMITTAL PLEASE NOTE: TOTAL SHARES YOU HOLD ARE LISTED ABOVE YOUR NAME AND ADDRESS
(1) Sign, date and include your daytime telephone number in this Form of Election and Letter of Transmittal in Box 1 and after completing all other applicable sections return this form and your stock certificates in the enclosed envelope.
(2) PLEASE SIGN IN BOX 2 TO CERTIFY YOUR TAXPAYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER if you are a U.S. Taxpayer. If the...
Special Transfer Instructions o If you want your shares of Common Stock received upon exercise of Rights or any refund check to be issued in another name, fill in this section with the information for the new account name. Name (Please Print First, Middle & Last Name) Address (Number and Street) (City, State & Zip Code) (Tax Identification or Social Security Number o If you want your shares of Common Stock received upon exercise of Rights or any refund check to be mailed to someone other than the undersigned or to the undersigned at an address other than that shown on the front of this card. Mail certificate(s) and check(s) to: Name (Please Print First, Middle & Last Name) Address (Number and Street) (City, State & Zip Code) If Special Transfer Instructions are selected, the signature of the Rights holder must be guaranteed by an eligible guarantor institution (unless you are an eligible guarantor institution). (Title of Officer Signing this Guarantee) (Name of Guarantor – Please Print) (Address of Guarantor Firm) PLEASE CONSULT COMPUTERSHARE (“U.S. SUBSCRIPTION AGENT”) OR YOUR BANK, BROKER OR OTHER NOMINEE AS TO ANY QUESTIONS. The following instructions relate to the rights offering (the “Rights Offering”) by CanArgo Energy Corporation, a Delaware corporation (the “Company”), to U.S. holders of its common stock, par value $0.10 per share (“Common Stock”), as described in the Company’s accompanying prospectus, dated October 2, 2008 (the “Prospectus”). In the event that there is a conflict between these instructions and the Prospectus, the Prospectus controls. The Company’s stockholders of record at the close of business on October 2, 2008 (the “Record Date”), are receiving one transferable subscription right (“Right”) for each share of Common Stock held by them at the Record Date. Each Right will entitle the holder to purchase one (1) new share of Common Stock at $0.10 per full share (the “Subscription Price”). In the Rights Offering, the Company is offering an aggregate of approximately 242,107,390 shares of Common Stock. Eight separate private investors (collectively, the “Standby Underwriters”) have severally agreed to purchase the unsubscribed for shares in the Rights Offering. As such, the Standby Underwriters collectively will purchase the shares not purchased through the exercise of the Rights, as further described in the Prospectus. No fractional shares of Common Stock will be issued upon exercise of the Rights and no cash in lieu thereof will be paid. Instead, fractional share...
Special Transfer Instructions. If your shares are to be issued to a person(s) other than the registered owner(s), a transfer of ownership form must be completed. You may obtain transfer of ownership requirements and instructions from the internet at www.[Exchange Agent].com or by calling [Exchange Agent] at the number listed below. Form W-9: Under U.S. Federal Income Tax law, a stockholder is required to provide [Exchange Agent] with such stockholder's correct Taxpayer Identification Number. If your Taxpayer Identification Number is not certified on our records, we have enclosed a Form W-9 for you to complete and return. Failure to provide the information on the form may subject you to backup withholding on any reportable payment. If you are a foreign individual seeking to qualify as an exempt recipient from backup withholding, you must complete and submit the enclosed Form W-8BEN to [Exchange Agent]. Lost Securities Affidavit By Mail: [Exchange Agent] [Address] By Overnight Delivery: [Exchange Agent] [Address] For Assistance Please Call: [Telephone Number] EXHIBIT 1.09(a)(ix) TRANSITION PERIOD RETENTION AGREEMENT Attached hereto. TRANSITION RETENTION AGREEMENT THIS TRANSITION RETENTION AGREEMENT (this "Agreement") is hereby entered into by and between GERMAN AMERICAN BANK ("German American") and ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ (the "Employee") as of , 2018.