Area Code and Telephone No. (Day): ---------------------------------------------- (Evening): ---------------------------------------- ================================================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 2 contracts
Samples: Acknowledgment and Agreement (Aimco Properties Lp), Acknowledgment and Agreement (Aimco Properties Lp)
Area Code and Telephone No. (Day): ---------------------------------------------- -------------------------------------- (Evening): ---------------------------------------- ----------------------------------- ================================================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ---------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- --------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ----------------- ------------------------- ------------- ================================================================================ -------------------------------------------------------------------------------- 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ ---------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ------------------------------------------------------------------------ ------------------------------------------------------------------------ ------------------------------------------------------------------------ (Include Zip Code) -------------------------------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- ----------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------- -------------------------------------------------- -------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 2 contracts
Samples: Acknowledgment and Agreement (Aimco Properties Lp), Acknowledgment and Agreement (Aimco Properties Lp)
Area Code and Telephone No. (Day): ---------------------------------------------- (Evening): ---------------------------------------- ---------------------------------------------- ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, address, number of units owned and tax Total Number of identification number printed below.) Units Tendered (#) -------------------------------------------------------------------------------- ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 ================================================================================ SIGNATURE GUARANTEE (IF REQUIRED) 3 (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- --------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- -------------------------------- ------------- ---------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ -------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- ------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================== ================================================== 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- -------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- -------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - -- BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Samples: Acknowledgment and Agreement (United Investors Income Properties)
Area Code and Telephone No. (Day): ---------------------------------------------- ------------------------------------------ (Evening): ---------------------------------------- ------------------------------------------ ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================-------------------------------------------------------------------------------- Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, address, number of units owned and tax identification number printed below.) Totals Number of Units Tendered (#) ------------------------------------------ [ ] Check box if the units have been tendered in another tender offer. ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- --------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ------------------------------ ---------------- ------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS See Instructions 2, 7 AND and 8 IN THE LETTER OF TRANSMITTALin the Letter of Transmittal) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment payments is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ --------------------------------------------------------- Name: --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- Address: ------------------------------------------------------------------------ -------------------------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- Name: --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- Address: ------------------------------------------------------------------------ -------------------------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION See Instruction 4 - BOX Box 6 OF THE LETTER OF TRANSMITTALof the Letter of Transmittal) -------------------------------------------------------------------------------- [ ] Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder unitholder: (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- (Evening): ---------------------------------------- ------------------------------------------- ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================-------------------------------------------------------------------------------- Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, address, number of units owned and tax identification number printed below.) Total Number of Units Tendered (#) ------------------------------------------ [ ] Check box if the units have been tendered in another tender offer. ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- --------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ------------------------------ ---------------- ------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment payments is to be issued in the name of someone other than the Signatory. Issue consideration to: --------------------------------------------------------- Name ------------------------------------------------------------------ --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- ---------------------------------------------------------- Name -------------------------------------------------------------- --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- [ ] Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder unitholder: (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- (Evening): ---------------------------------------- -------------------------------------- ================================================================================ ==================================================================================================================================== 2 DESCRIPTION OF UNITS TENDERED ==================================================================================================================================== Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned Total Number of Units and tax identification number printed below.) Tendered (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------ ==================================================================================================================================== [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------ ================================================================================ 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- Name: Title: Date: -------------------------- --------------------- ------------------- ------------------- --------------- ================================================================================ ================================================================ ================================================================= 4 SPECIAL PAYMENT INSTRUCTIONS 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- LETTER OF TRANSMITTAL) ---------------------------------------------------------------- ----------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price To be completed ONLY if the consideration for the purchase of Units accepted for payment is to be issued in the name of price of Units accepted for payment is to be sent to someone other someone other than the Signatory. than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Issue consideration to: Name ------------------------------------------------------------------ Mail consideration to: ----------------------------------- (Please Type or Print) Name ----------------------------------- Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- (Please Type or Print) -------------------------------- Address -------------------------------- -------------------------------- -------------------------------- -------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- -------------------------------- -------------------------------------------------------- (Include Zip Code) (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- (Evening): ---------------------------------------- ------------------------------------ ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, address, number of units owned and tax identification number Total Number of Units Tendered printed below.) (#) -------------------------------------------------------------------------------- ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ================================================================================ 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ----------------------------- ---------------- ------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ------------------------------------------------------------------------ -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ------------------------------------------------------------------------ -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- -------------------------------------------- (Evening): ---------------------------------------- ---------------------------------- ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ---------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- ================================================================================ [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ================================================================================ 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ---------------------- --------------------------- ------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS See Instructions 2, 7 AND and 8 IN THE LETTER OF TRANSMITTALin the Letter of Transmittal) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ -------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- ------------------------------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NOTax Identification or Social Security No.) (See Substitute Form W-9 below) ================================================================================ ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS See Instructions 2, 7 AND and 8 IN THE LETTER OF TRANSMITTALin the Letter of Transmittal) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- ----------------------------------------- (Evening): ---------------------------------------- ================================-------------------------------------- ================================================================================ --------------------------------------------------------------------------------------------------------- 2 DESCRIPTION OF UNITS TENDERED ================================--------------------------------------------------------------------------------------------------------- Name(s) and Address(es) of Registered Holder(s) (Please indicate Total Number of changes or corrections to the name, address and tax identification Units Owned number printed below.) (#) --------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ -------------------------------------------------------------------------------- YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ---------------------------------- --------------------------------------------------------------------------- --------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- ---------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ------------------------ ------------------ --------------- ================================================================================ ======================================================== ======================================================= 4 SPECIAL PAYMENT INSTRUCTIONS 5 SPECIAL DELIVERY INSTRUCTIONS (See Instructions 2, 7 and 8 in the Letter (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER of Transmittal) OF TRANSMITTAL) -------------------------------------------------------------------------------- -------------------------------------------------------- ------------------------------------------------------ To be completed ONLY if the consideration for the To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Issue consideration to: Mail consideration to: Name ------------------------------------------------------------------ Name ---------------------------------------------------- -------------------------------------------------- (Please Type or Print) (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- Address ------------------------------------------------- ----------------------------------------------- ------------------------------------------------- ----------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- [ ] Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- (Evening): ---------------------------------------- ------------------------------------ ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, address, number of units owned and tax identification number Total Number of Units Tendered printed below.) (#) -------------------------------------------------------------------------------- ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ================================================================================ 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- --------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ----------------------------- ---------------- ---------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ------------------------------------------------------------------------ -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ------------------------------------------------------------------------ -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- (Evening): ---------------------------------------- ---------------------------------------------- ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, address, number of units owned and tax Total Number of identification number printed below.) Units Tendered (#) -------------------------------------------------------------------------------- ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 ================================================================================ SIGNATURE GUARANTEE (IF REQUIRED) 3 (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- --------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- -------------------------------- ------------- ---------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ -------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- ------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================== ================================================== 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- -------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - -- BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Samples: Acknowledgment and Agreement (Winthrop Growth Investors I Lp)
Area Code and Telephone No. (Day): ---------------------------------------------- (Evening): ---------------------------------------- ---------------------------------------------- ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================ Name(s), Address(es) of Registered Holder(s). Please indicate changes or corrections to the name, address and tax identification number 1. Total Number of 2. Number of Units printed below. Units Owned Tendered for Cash (#) (#) -------------------------------------------------------------------------------- ================================================================================ Name(s)WHEN COMPLETING THIS ACKNOWLEDGMENT AND AGREEMENT, Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 PLEASE REFER TO THE INSTRUCTIONS SET FORTH ON THE LAST PAGE OF THIS ACKNOWLEDGMENT AND AGREEMENT ================================================================================ SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) 3 ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- --------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- -------------------------------- ------------- ---------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE 4 LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- ------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ -------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ----------------------------------------- ----------------------------------------- ----------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- ------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================== SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE 5 LETTER OF TRANSMITTAL) ------------------------------------------------- To be completed ONLY if the consideration for the Units accepted for payment is to be sent to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: Name -------------------------------------------- (Please Type or Print) Address ----------------------------------------- ----------------------------------------- ----------------------------------------- (Include Zip Code) =============================== 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.====================
Appears in 1 contract
Samples: Acknowledgment and Agreement (Oxford Residential Properties I LTD Partnership)
Area Code and Telephone No. (Day): ---------------------------------------------- ----------------------------------------- (Evening): ---------------------------------------- ================================-------------------------------------- ================================================================================ --------------------------------------------------------------------------------------------------------- 2 DESCRIPTION OF UNITS TENDERED ================================--------------------------------------------------------------------------------------------------------- Name(s), and Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of address, number of units owned and tax identification number printed below.) Units Tendered (#) --------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ -------------------------------------------------------------------------------- YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ---------------------------------- --------------------------------------------------------------------------- --------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- ---------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ------------------------ ------------------ --------------- ================================================================================ ======================================================== ======================================================= 4 SPECIAL PAYMENT INSTRUCTIONS 5 SPECIAL DELIVERY INSTRUCTIONS (See Instructions 2, 7 and 8 in the Letter (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER of Transmittal) OF TRANSMITTAL) -------------------------------------------------------------------------------- -------------------------------------------------------- ------------------------------------------------------ To be completed ONLY if the consideration for the To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Issue consideration to: Mail consideration to: Name ------------------------------------------------------------------ Name ---------------------------------------------------- -------------------------------------------------- (Please Type or Print) (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- Address ------------------------------------------------- ----------------------------------------------- ------------------------------------------------- ----------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- [ ] Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- (Evening): ---------------------------------------- ---------------------------------------------- ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, address, number of units owned and tax Total Number of identification number printed below.) Units Tendered (#) -------------------------------------------------------------------------------- ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ================================================================================ 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- --------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- -------------------------------- ------------- ---------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ -------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- ------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================== ================================================== 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- ------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- -------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - -- BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Samples: Acknowledgment and Agreement (Us Realty Partners LTD Partnership)
Area Code and Telephone No. (Day): ---------------------------------------------- ----------------------------------------- (Evening): ---------------------------------------- ================================================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ----------------------------------------------------------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2DESCRIPTION OF UNITS TENDERED 2 -------------------------------------------------------------------------------- Name(s), 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price Address(es), Number of Units accepted for payment is to be issued in the name Owned and Tax Identification Number of someone other than the SignatoryRegistered Holder(s). Issue consideration to: Name ------------------------------------------------------------------ (Please Type indicate changes or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NOcorrections to the name, address, number of units and tax identification number printed below.) Total Number of Units Tendered (See Substitute Form W-9 below#) ------------------- --------------------------- ------------------------------- ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS -------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ================================================================================ SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTIONS 2, 7 AND 8 INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration toEligible Institution: ----------------------------------------------- Name -------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- (Include Zip Code) --------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X --------------------------------------------------------- Name: Title: Date: -------------------------- --------------------- -------------- ================================================================================ ======================================================== ======================================================= 6 SUBSTITUTE FORM W-9 4 SPECIAL PAYMENT INSTRUCTIONS 5 SPECIAL DELIVERY INSTRUCTIONS (See Instructions 2, 7 and 8 in the Letter (SEE INSTRUCTION 4 - BOX 6 OF INSTRUCTIONS 2, 7 AND 8 IN THE LETTER of Transmittal) OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties -------------------------------------------------------- ------------------------------------------------------ To be completed ONLY if the consideration for the To be completed ONLY if the consideration for the purchase price of perjury, Units accepted for payment is to be purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. sent to someone other than the Signatory certifies thator to the Signatory at an address other than that shown in Box 2 above. Issue consideration to: Mail consideration to: Name Name ---------------------------------------------------- -------------------------------------------------- (1Please Type or Print) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN"Please Type or Print) or the unitholder has applied for a TIN; and Address Address ------------------------------------------------- ----------------------------------------------- ------------------------------------------------- ----------------------------------------------- (2Include Zip Code) the unitholder is not subject to backup withholding either because the unitholder : (aInclude Zip Code) is exempt for backup withholding; -------------------------------------------------------- (bTAX IDENTIFICATION OR SOCIAL SECURITY NO.) has not been notified by the Internal Revenue Service ("IRS"See Substitute Form W-9 below) that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.======================================================== =======================================================
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- ----------------------------- (Evening): ---------------------------------------- ================================----------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 2 DESCRIPTION OF UNITS TENDERED -------------------------------------------------------------------------------- Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, address, number of units owned and tax identification number printed below.) [ ] Check box if the units have been tendered in another tender offer. -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 2 ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ -------------------------------------------------------------------------------- YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- ------------------------------------------------------- Name: Title: Date: -------------------- ----------------- --------------------- ------------------- ------------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS See Instructions 2, 7 AND and 8 IN THE LETTER OF TRANSMITTALin the Letter of Transmittal) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ------------------------------------------------------------------------ -------------------------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (See Instructions 2, 7 and 8 in the Letter of Transmittal) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: Name --------------------------------------------------------------------------- (Please Type or Print) Address ------------------------------------------------------------------------ -------------------------------------------------------------------------------- (Include Zip Code) ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- [ ]Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder unitholder: (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- ------------------------------------------ (Evening): ---------------------------------------- --------------------------------------- ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================-------------------------------------------------------------------------------- Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or Totals Number corrections to the name, address, number of units of Units Tendered owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ SIGNATURE GUARANTEE (IF REQUIRED) 3 (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- --------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- ------------------------------ ---------------- ------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment payments is to be issued in the name of someone other than the Signatory. Issue consideration to: --------------------------------------------------------- Name ------------------------------------------------------------------ --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================================================ ================================================================================ 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- --------------------------------------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- ------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder unitholder: (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Area Code and Telephone No. (Day): ---------------------------------------------- (Evening): ---------------------------------------- ---------------------------------------------- ================================================================================ ================================================================================ 2 DESCRIPTION OF UNITS TENDERED ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, address, number of units owned and tax Total Number of identification number printed below.) Units Tendered (#) -------------------------------------------------------------------------------- ================================================================================ Name(s), Address(es), Number of Units Owned and Tax Identification Number of Registered Holder(s). (Please indicate changes or corrections to the name, Total Number of Units Tendered address, number of units owned and tax identification number printed below.) (#) -------------------------------------------------------------------------------- ------------------------------ ---------------------------------------------------------------------------------------------------------------- [ ] Check box if the units have been tendered in another tender offer. ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ================================================================================ 3 SIGNATURE GUARANTEE (IF REQUIRED) (SEE INSTRUCTION 2 IN THE LETTER OF TRANSMITTAL) ================================================================================ YOU DO NOT NEED TO HAVE YOUR SIGNATURE GUARANTEED UNLESS YOU ARE A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION OR OTHER PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY. Name and Address of Eligible Institution: --------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Authorized Signature: X -------------------------------------------------------- --------------------------------------------------------- Name: Title: Date: --------------------- ------------------- ------------------- -------------------------------- ------------- ---------------- ================================================================================ ================================================================================ 4 SPECIAL PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be issued in the name of someone other than the Signatory. Issue consideration to: Name ------------------------------------------------------------------ -------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- (Include Zip Code) -------------------------------------------------------------------------------- ------------------------------------------------- (TAX IDENTIFICATION OR SOCIAL SECURITY NO.) (See Substitute Form W-9 below) ================================================== ================================================== 5 SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS 2, 7 AND 8 IN THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- To be completed ONLY if the consideration for the purchase price of Units accepted for payment is to be sent to someone other than the Signatory or to the Signatory at an address other than that shown in Box 2 above. Mail consideration to: ----------------------------------------------- Name -------------------------------------------------------------- -------------------------------------------- (Please Type or Print) Address -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- (Include Zip Code) ================================================================================ ================================================================================ 6 SUBSTITUTE FORM W-9 (SEE INSTRUCTION 4 - -- BOX 6 OF THE LETTER OF TRANSMITTAL) -------------------------------------------------------------------------------- Under penalties of perjury, the Signatory certifies that: (1) the number shown on this form is the unitholder's correct Taxpayer Identification No. ("TIN") or the unitholder has applied for a TIN; and (2) the unitholder is not subject to backup withholding either because the unitholder : (a) is exempt for backup withholding; (b) has not been notified by the Internal Revenue Service ("IRS") that the unitholder is subject to back-up withholding as a result of failure to report all interest or dividends; or (c) has been notified by the IRS that such unitholder is no longer subject to backup withholding.
Appears in 1 contract
Samples: Acknowledgment and Agreement (Drexel Burnham Lambert Real Estate Associates Ii)
