Common use of Attest Clause in Contracts

Attest. By: -------------------------------------- Name ------------------------------------- Title: ----------------------------------- [SEAL] TRUSTEE'S CERTIFICATE OF AUTHENTICATION: This is one of the Subordinated Securities of the series designated "[designation of Subordinated Securities]" pursuant to the within-mentioned Indenture. -----------------------------, as Trustee By: ------------------------------------- Authorized Signatory ASSIGNMENT FORM FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Please Print or Typewrite Name and Address including Zip Code of Assignee) ________________________________________________________ the within Subordinated Security of Koger Equity, Inc. and _____________________ hereby does irrevocably cxxxxxtute and appoint ____________________________________________________________Attorney to transfer said Subordinated Security on the books of the within-named Corporation with full power of substitution in the premises. Dated: ---------------------------------------------- ---------------------------------------------- NOTICE: The signature to this assignment must correspond with the name as it appears on the first page of the within Subordinated Security in every particular, without alteration or enlargement or any change whatever.

Appears in 2 contracts

Samples: Koger Equity Inc, Equity Inns Inc

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Attest. By: -------------------------------------- Name ------------------------------------- Title: ----------------------------------- [SEAL] TRUSTEE'S CERTIFICATE OF AUTHENTICATION: This is one of the Subordinated Securities of the series designated "[designation of Subordinated Securities]" pursuant to the within-mentioned Indenture. -----------------------------APPENDIX A I, as Trustee By: ------------------------------------- Authorized Signatory ASSIGNMENT FORM FOR VALUE RECEIVEDStephan L. Jones, the undersigned hereby sellsPresident and X, assigns and transfers unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Please Print or Typewrite Name and Address including Zip Code of Assignee) Xxxxxx X. Xxxean, Vice President xxx Xxxxxxxxx xx _____________________________________, a Maryland corporation (the "Fund"), do hereby certify that: The following individuals serve in the following positions with the Fund and each has been duly elected or appointed by the Board of Directors of the Fund to each such position and qualified therefor in conformity with the Fund's Articles of Incorporation and By-Laws, and the signatures set forth opposite their respective names are their true and correct signatures: Name Position Signature ----------------------------- --------------------- ---------------------- ----------------------------- --------------------- ---------------------- ----------------------------- --------------------- ---------------------- ----------------------------- --------------------- ---------------------- ----------------------------- --------------------- ---------------------- ----------------------------- --------------------- ---------------------- ----------------------------- --------------------- ---------------------- ----------------------------- --------------------- ---------------------- APPENDIX B SERIES NONE APPENDIX C I, ________________________________________ , a Vice President with THE BANK OF NEW YORK do hereby designate the within Subordinated Security of Koger Equityfollowing publications: The Bond Buyer Depository Trust Company Notices Financial Daily Card Service JJ Kenney Municipal Bond Service Xxxxxx Financial Times New York Times Standard & Poor's Called Bond Record Wall Street Journal EXHIBIT A CERTIFICATION The undersigned, Inc. ________________________________, hereby certifies that he or she is the duly elected and acting _______________________ hereby does irrevocably cxxxxxtute and appoint of ____________________________________, a Maryland corporation (the "Fund"), and further certifies that the following resolution was adopted by the Board of Directors of the Fund at a meeting duly held on ________________________Attorney to transfer said Subordinated Security on the books , 19_____, at which a quorum was at all times present and that such resolution has not been modified or rescinded and is in full force and effect as of the within-named Corporation with full power date hereof. RESOLVED, that The Bank of substitution New York, as Custodian pursuant to a Custody Agreement between The Bank of New York and the Fund dated as of __________________, 19_____, (the "Custody Agreement") is authorized and instructed on a continuous and ongoing basis until such time as it receives a Certificate, as defined in the premises. Dated: ---------------------------------------------- ---------------------------------------------- NOTICE: The signature Custody Agreement, to this assignment must correspond the contrary, to accept, utilize and act with the name as it appears on the first page respect to Clearing Member confirmations for Options and transaction in Options, regardless of the within Subordinated Security Series to which the same are specifically allocated, as such terms are defined in every particularthe Custody Agreement, without alteration or enlargement or any change whateveras provided in the Custody Agreement.

Appears in 2 contracts

Samples: Custody Agreement (Principal Real Estate Func Inc), Custody Agreement (Principal Smallcap Fund Inc)

Attest. By: -------------------------------------- Name ------------------------------------- Title: ----------------------------------- [SEAL] TRUSTEE'S CERTIFICATE OF AUTHENTICATION: This is one Xxxxxxx Xxxxxxxx, Secretary PURCHASE FORM (To be signed only upon exercise of the Subordinated Securities Option) The undersigned, the holder of the series designated "[designation foregoing Option, hereby irrevocably elects to exercise the purchase rights represented by such Option for, and to purchase thereunder, Units of Subordinated Securities]" pursuant Central European Distribution Corporation, each Unit consisting of one share of $.01 par value Common Stock and one Warrant to the within-mentioned Indenture. -----------------------------, as Trustee By: ------------------------------------- Authorized Signatory ASSIGNMENT FORM FOR VALUE RECEIVED, the undersigned hereby sells, assigns purchase one share of Common Stock and transfers unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Please Print or Typewrite Name and Address including Zip Code herewith makes payment of Assignee) $_______________________________________________ therefor. Dated: __________ INSTRUCTIONS FOR REGISTRATION OF STOCK AND WARRANTS Name --------------------------------------- (Please type or print in block letters) Address ----------------------------------- Signature ---------------------------------- OPTION EXCHANGE The undersigned, pursuant to the within Subordinated Security provisions of Koger Equitythe foregoing Option, Inc. and hereby elects to exchange its Option for ________Units of Central European Distribution Corporation, each Unit consisting of one share of $.01 par value Common Stock and one Warrant to purchase one share of Common Stock, pursuant to the Option Exchange provisions of the Option. Dated: -------------- ------------------------------------------------- Print Name ------------------------------------------------- Address ------------------------------------------------- Signature TRANSFER FORM (To be signed only upon transfer of the Option) For value received, the undersigned hereby sells, assigns, and transfers unto the right to purchase Units represented by the foregoing Option to the extent of ______ Units , and appoints __________ hereby does irrevocably cxxxxxtute and appoint ____________________________________________________________Attorney attorney to transfer said Subordinated Security such rights on the books of the within-named Corporation Central European Distribution Corporation, with full power of substitution in the premises. Dated: ---------------------------------------------- ---------------------------------------------- NOTICE------------------ ----------------------------------- By: The signature to this assignment must correspond with -------------------------------- -------------------------------- Address In the name as it appears on the first page of the within Subordinated Security in every particular, without alteration or enlargement or any change whatever.presence of:

Appears in 1 contract

Samples: Central European Distribution Corp

Attest. By: -------------------------------------- Name ------------------------------------- Title: ----------------------------------- [SEAL] TRUSTEE'S CERTIFICATE OF AUTHENTICATION: This is one of the Subordinated Securities of the series designated "[designation of Subordinated Securities]" pursuant to the within-mentioned Indenture. -----------------------------, as Trustee By: ------------------------------------- Authorized Signatory ASSIGNMENT Thomxx X. Xxxxxxxx Xxxef Executive Officer & President TRANSFER FORM FOR VALUE RECEIVEDFor value received, the undersigned hereby sells, assigns assigns, and transfers unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Please Print or Typewrite Name and Address including Zip Code of Assignee) to Name__________________________________ Address_________________________________ this Warrant and irrevocable appoints ___________________ attorney (with full power of substitution) to transfer this Warrant on the books of the Corporation. Date: ----------------------------------------- ------------------------------------- (Please sign exactly as name appears on Warrant) Taxpayer ID No.______________________ In the presence of Signature guaranteed by ----------------------------- ------------------------------------- EXERCISE FORM The undersigned hereby: (1) irrevocably subscribes for ________________ shares of your Common Stock pursuant to this Warrant, and encloses payment of $____________________ therefor; (2) requests that a certificate for the shares be issued in the name of the undersigned and delivered to the undersigned at the address below; and (3) if such number of shares is not all of the shares purchasable hereunder, that a new Warrant of like tenor for the balance of the remaining shares purchasable hereunder be issued in the name of the undersigned and delivered to the undersigned at the address below. Date: ____________________________ ________________________________________ the within Subordinated Security of Koger Equity, Inc. and (Please sign exactly as name appears on Warrant) Address:________________________________ hereby does irrevocably cxxxxxtute and appoint ____________________________________________________________Attorney to transfer said Subordinated Security on the books of the within-named Corporation with full power of substitution in the premises. Dated: ---------------------------------------------- ---------------------------------------------- NOTICE: The signature to this assignment must correspond with the name as it appears on the first page of the within Subordinated Security in every particular, without alteration or enlargement or any change whatever.

Appears in 1 contract

Samples: Probex Corp

Attest. By: --------------------------- -------------------------------------- Name ------------------------------------- Name: ------------------------------------ Title: ----------------------------------- [SEAL] TRUSTEE'S CERTIFICATE OF AUTHENTICATION: This is one EXHIBIT A TO WARRANT PURCHASE FORM To Be Executed by the Holder Desiring to Exercise a Warrant of Kafus Environmental Industries Ltd. The undersigned holder hereby exercises the Subordinated Securities of the series designated "[designation of Subordinated Securities]" pursuant right to the within-mentioned Indenture. -----------------------------, as Trustee By: ------------------------------------- Authorized Signatory ASSIGNMENT FORM FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Please Print or Typewrite Name and Address including Zip Code of Assignee) _________________________________________________purchase _______ shares of Common Stock covered by the within Subordinated Security Warrant, according to the conditions thereof, and herewith undertakes to make payment in full of Koger Equitythe Exercise Price of such shares or to withdraw this notice of exercise, Inc. in accordance with the terms of the Warrant. Name of Holder: ----------------------------------------- Signature: ------------------------------- Title: ----------------------------------- Address: --------------------------------- ----------------------------------------- ----------------------------------------- Dated: , . ------------------- ------- EXHIBIT B TO WARRANT ASSIGNMENT FORM To Be Executed by the Holder Desiring to Transfer a Warrant of Kafus Environmental Industries Ltd. FOR VALUE RECEIVED, the undersigned holder hereby sells, assigns, and _____________________ transfers unto the right to purchase shares of Common Stock covered by the within Warrant, and does hereby does irrevocably cxxxxxtute constitute and appoint _____________________________________________________________ Attorney to transfer the said Subordinated Security Warrant on the books of the within-named Corporation Company (as defined in such Warrant), with full power of substitution in the premises. Dated: ---------------------------------------------- ---------------------------------------------- NOTICE: The signature to this assignment must correspond with the name as it appears on the first page of the within Subordinated Security in every particular, without alteration or enlargement or any change whateversubstitution.

Appears in 1 contract

Samples: Enron North America Corp

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Attest. By: -------------------------------------- Name ------------------------------------- By ------------------------------ --------------------------------- Title: ----------------------------------- [SEAL] TRUSTEE'S CERTIFICATE Title: ------------------------ ----------------------------- Countersigned: UNITED NATIONAL BANK & TRUST COMPANY as Rights Agent A-33 37 By ----------------------------- Authorized Signature A-34 38 Form of Reverse Side of Right Certificate FORM OF AUTHENTICATION: This is one of ASSIGNMENT ------------------ (To be executed by the Subordinated Securities of registered holder if such holder desires to transfer the series designated "[designation of Subordinated Securities]" pursuant to the within-mentioned Indenture. -----------------------------, as Trustee By: ------------------------------------- Authorized Signatory ASSIGNMENT FORM Right Certificate.) FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Please Print or Typewrite Name and Address including Zip Code of Assignee) RECEIVED _________________________________________ hereby sells, assigns and transfers unto _____________________________________________ the within Subordinated Security (Please print name and address of Koger Equitytransferee) ----------------------------------------------------------------------------- this Right Certificate, Inc. together with all right, title and _____________________ interest therein, and does hereby does irrevocably cxxxxxtute constitute and appoint ____________________________________________________________Attorney _ Attorney, to transfer said Subordinated Security the within Right Certificate on the books of the within-named Corporation Company, with full power of substitution in the premisessubstitution. Dated: ---------------------------------------------- ---------------------------------------------- NOTICE----------------- ----------------------------------- Signature Signature Guaranteed: Signatures must be guaranteed by a bank, broker or other institution which is a member of a Medallion Signature Guarantee Program. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - The signature undersigned hereby certifies that the Rights evidenced by this Right Certificate are not beneficially owned by an Acquiring Person or an Affiliate or Associate thereof (as defined in the Rights Agreement). ----------------------------------- Signature - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - A-35 39 Form of Reverse Side of Right Certificate -- continued FORM OF ELECTION TO PURCHASE ---------------------------- (To be executed if holder desires to this assignment must correspond with exercise Rights represented by the name as it appears on the first page of the within Subordinated Security in every particular, without alteration or enlargement or any change whateverRight Certificate.)

Appears in 1 contract

Samples: Rights Agreement (Unb Corp/Oh)

Attest. Secretary President Countersigned: EQUISERVE TRUST COMPANY, N.A., as Rights Agent By: -------------------------------------- Name ------------------------------------- -------------------------------------------- Title: ----------------------------------- [SEAL] TRUSTEE'S CERTIFICATE -------------------------------------------- Form of Reverse Side of Right Certificate FORM OF AUTHENTICATION: This is one of ASSIGNMENT ------------------ (To be executed by the Subordinated Securities of registered holder if such holder desires to transfer the series designated "[designation of Subordinated Securities]" pursuant to the within-mentioned Indenture. -----------------------------, as Trustee By: ------------------------------------- Authorized Signatory ASSIGNMENT FORM Right Certificate.) FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (Please Print or Typewrite Name and Address including Zip Code of Assignee) RECEIVED _______________________________________ hereby sells, assigns and transfers unto___________________________________________ the within Subordinated Security -------------------------------------------------------------------------------- (Please print name and address of Koger Equity, Inc. and _____________________ hereby does irrevocably cxxxxxtute and appoint transferee) ____________________________________________________________Attorney ____________________ this Right Certificate, together with all right, title and interest therein, and does hereby irrevocably constitute and appoint ___________________________ Attorney, to transfer said Subordinated Security the within Right Certificate on the books of the within-named Corporation Company, with full power of substitution in the premisessubstitution. Dated: ---------------------------------------------- ---------------------------------------------- NOTICE____________________, ____ ------------------------------------- Signature Signature Guaranteed: Signatures must be guaranteed by a member firm of a registered national securities exchange, a member of the National Association of Securities Dealers, Inc. or a commercial bank or trust company having an office or correspondent in the United States. -------------------------------------------------------------------------------- The signature undersigned hereby certifies that the Rights evidenced by this Right Certificate are not Beneficially Owned by a 15% Stockholder or an Affiliate or Associate thereof (as defined in the Rights Agreement). -------------------------------------- Signature (Signature must conform in all respects to this assignment must correspond with the name of holder as it appears specified on the first page face of the within Subordinated Security this Right Certificate in every particular, without alteration or enlargement or any change whateverwhatsoever) -------------------------------------------------------------------------------- Form of Reverse Side of Right Certificate -- continued FORM OF ELECTION TO PURCHASE ---------------------------- (To be executed if holder desires to exercise the Right Certificate.)

Appears in 1 contract

Samples: Rights Agreement (Standard Pacific Corp /De/)

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