FORM OF COUPON. [THIS COUPON HAS NOT BEEN REGISTERED UNDER THE UNITED STATES SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), OR ANY STATE SECURITIES LAWS. NEITHER THIS COUPON NOR ANY INTEREST OR PARTICIPATION IN THIS COUPON MAY BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED, DIRECTLY OR INDIRECTLY, IN THE UNITED STATES OF AMERICA (INCLUDING THE STATES AND THE DISTRICT OF COLUMBIA), ITS TERRITORIES, ITS POSSESSIONS AND OTHER AREAS SUBJECT TO ITS JURISDICTION OR TO ANY PERSON DEEMED A U.S. PERSON UNDER REGULATION S UNDER THE SECURITIES ACT, UNLESS THIS COUPON IS REGISTERED UNDER THE SECURITIES ACT OR AN EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT IS AVAILABLE. THIS COUPON MAY NOT BE OFFERED, SOLD, OR DELIVERED WITHIN THE UNITED STATES OR ITS POSSESSIONS OR TO ANY CITIZEN, NATIONAL OR RESIDENT OF THE UNITED STATES, ANY CORPORATION, PARTNERSHIP OR OTHER ENTITY CREATED OR ORGANIZED IN OR UNDER THE LAWS OF THE UNITED STATES OR ANY POLITICAL SUBDIVISION THEREOF, OR TO ANY ESTATE THE INCOME OF WHICH IS SUBJECT TO UNITED STATES FEDERAL INCOME TAXATION REGARDLESS OF ITS SOURCE OR ANY TRUST WITH RESPECT TO WHICH A COURT WITHIN THE UNITED STATES IS ABLE TO EXERCISE PRIMARY SUPERVISION OVER ITS ADMINISTRATION, AND ONE OR MORE UNITED STATES PERSONS HAVE THE AUTHORITY TO CONTROL ALL OF ITS SUBSTANTIAL DECISIONS, EXCEPT AS PERMITTED UNDER APPLICABLE UNITED STATES TREASURY REGULATIONS. ANY UNITED STATES PERSON WHO HOLDS THIS OBLIGATION WILL BE SUBJECT TO LIMITATIONS UNDER THE UNITED STATES INCOME TAX LAWS, INCLUDING THE LIMITATIONS PROVIDED IN SECTIONS 165(j) AND 1287(a) OF THE INTERNAL REVENUE CODE. THIS COUPON IS NOT A SAVINGS ACCOUNT OR A DEPOSIT, IS NOT AN OBLIGATION OF OR GUARANTEED BY ANY BANKING OR NONBANKING AFFILIATE OF THE ISSUER, AND IS NOT INSURED BY THE FEDERAL DEPOSIT INSURANCE CORPORATION OR ANY OTHER GOVERNMENTAL AGENCY. NEITHER THE HOLDER NOR THE BENEFICIAL OWNERS OF THIS COUPON SHALL BE ENTITLED TO RECEIVE PAYMENT OF INTEREST HEREON EXCEPT PURSUANT TO THE PROVISIONS HEREOF. BANK OF AMERICA CORPORATION [Specified Currency and Principal Amount of Tranche] EURO MEDIUM-TERM NOTES DUE [Year of Maturity] Series No. [ ] COMMON CODE: ISIN: Part A [For Fixed Rate Notes: Coupon No. This Coupon is payable to bearer, separately negotiable and subject to the Terms and Conditions of the Notes. Coupon for [ ] due on [ ], 20[ ]] Part B [For Floating Rate Notes, Dual Currency Notes, Index Linked Interest Notes, Share Linked Interest Notes, Inflation ...
FORM OF COUPON. [Form of Face of Coupon] ANY UNITED STATES PERSON WHO HOLDS THIS OBLIGATION WILL BE SUBJECT TO LIMITATIONS UNDER THE UNITED STATES INCOME TAX LAWS, INCLUDING THE LIMITATIONS PROVIDED IN SECTIONS 165(j) AND 1287(a) OF THE INTERNAL REVENUE CODE. [Insert any other legend required by the Internal Revenue Code and the regulations thereunder.] Xxxxx & Nephew plc [Title of Security] [R ]* No. _______________ Unless the Security to which this coupon appertains shall have been called for previous redemption and payment thereof duly provided for on the date set forth hereon, Xxxxx & Nephew plc (hereinafter called the “Issuer”) will pay to Holder, upon surrender hereof, the amount shown hereon (together with any additional amounts in respect thereof which the Issuer may be required to pay according to the terms of said Security and the Indenture referred to therein) at the __________ * Insert if redeemable. Paying Agents set out on the reverse hereof or at such other offices or agencies (which, except as otherwise provided in the Security to which this coupon appertains, shall be located inside the United States of America (including the States and the District of Columbia), and its possessions (including Puerto Rico, the U.S. Virgin Islands, Guam American Samoa Wake Island and the Northern Mariana Islands) (the “United States”)) as the Issuer may designate from time to time, at the option of the Holder, [by United States dollar check drawn on a bank in The City of New York or by transfer of United States dollars to an account maintained by the payee with a bank located outside the United States] [If Security is denominated and payable other than in United States dollars insert currency and method of payment], being [one year’s] interest then payable on said Security. XXXXX & NEPHEW PLC By: Name: Title: Director [Reverse of Coupon]*
FORM OF COUPON. (Face of Coupon) [CIBA SPECIALTY CHEMICALS CORPORATION/ CIBA SPECIALTY CHEMICALS PLC/ CIBA SPEZIALITATENCHEMIE HOLDING DEUTSCHLAND GMBH] [Specified Currency and Nominal Amount Tranche] NOTES DUE [Year of Maturity] Series No. [ ] Part A [For Fixed Rate Notes: This Coupon is payable to bearer, separately Coupon for negotiable and subject to the Terms and [ ] Conditions of the said Notes. due on [ ] Part B [For Floating Rate Notes or Indexed Interest Notes: Coupon for the amount due in accordance with Coupon due the Terms and Conditions on the said Notes on in [ ] the Interest Payment Date falling in [ ]]. This Coupon is payable to bearer, separately negotiable and subject to such Terms and Conditions, under which it may become void before its due date.] THE NOTE PERTAINING HERETO HAS NOT BEEN AND WILL NOT BE REGISTERED UNDER THE UNITED STATES SECURITIES ACT OF 1933, AS AMENDED (THE "SECURITIES ACT"), AND MAY NOT BE OFFERED, SOLD OR DELIVERED WITHIN THE UNITED STATES OR TO OR FOR THE BENEFIT OF U.S. PERSONS OTHER THAN PURSUANT TO AN EXEMPTION FROM, OR IN A TRANSACTION NOT SUBJECT TO, THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT. TERMS USED HEREIN SHALL HAVE THE MEANING ASCRIBED TO THEM IN REGULATION S UNDER THE SECURITIES ACT. [BY ACCEPTING THIS OBLIGATION, THE HOLDER REPRESENTS AND WARRANTS THAT IT IS NOT A UNITED STATES PERSON (OTHER THAN AN EXEMPT RECIPIENT DESCRIBED IN SECTION 6049(B)(4) OF THE INTERNAL REVENUE CODE OF THE UNITED STATES AND THE REGULATIONS THEREUNDER) AND THAT IT IS NOT ACTING FOR OR ON BEHALF OF A UNITED STATES PERSON (OTHER THAN AN EXEMPT RECIPIENT DESCRIBED IN SECTION 6049(B)(4) OF THE INTERNAL REVENUE CODE AND THE REGULATIONS THEREUNDER).]1 [ANY UNITED STATES PERSON (AS DEFINED IN THE INTERNAL REVENUE CODE OF THE UNITED STATES) WHO HOLDS THIS OBLIGATION WILL BE SUBJECT TO LIMITATIONS UNDER THE UNITED STATES TAX LAWS INCLUDING THE LIMITATIONS PROVIDED IN SECTIONS 165(j) AND 1287(a) OF THE INTERNAL REVENUE CODE.]2 ------------------------------------------------------------------------ 00 000000 [ISIN] 00 000000 ------------------------------------------------------------------------ ------------------ (Reverse of Coupon) AGENT The Chase Manhattan Bank Trinity Tower 9 Thomas More Street London E1 9YT XXXXXX XXXXX Chase Manhattan Bank Luxembourg S.A. 5 Rue Plaetis L-2338 Luxembourg and/xx xxxx xxxxx xx xxxxxxx Xxxxx xxx xxxxx xx xxxxxxx Xxxxxx Agents and/or specified offices as may from time to time be duly appointed by the Issuer...
FORM OF COUPON. [Face of coupon] [Insert any legend required by the Internal Revenue Code and the Regulations thereunder.] No. ______ On the [____] Interest Payment Date [_____________] THE TIMES MIRROR COMPANY (the "Company") will pay to the bearer, upon surrender hereof, the interest payable with respect to the above-referenced Interest Payment Date on its [name of the Securities] with the certificate number set forth below, together with any additional amounts which may be payable under the terms of the Security, unless the Security shall have been previously called for redemption or submitted for repayment and sums for such redemption or repayment duly provided. Payment of this coupon will be made in the currency set forth on the face of such Security upon surrender hereof, subject to applicable laws and regulations, only (subject to certain limited exceptions set forth in such Security) at such paying agencies outside the United States and its possessions as the Company may appoint from time to time. Such payments will be made, at the option of the bearer, by check mailed or delivered to an address outside the United States and its possessions furnished by such bearer or by payment to an account maintained by the payee with a bank located outside the United States. [This coupon will become void unless presented for payment within [___] years from the due date hereof.] Reference is made to the Security for definitions of terms used herein. The Times Mirror Company By: ____________________________ Certificate Number: ____________ [Reverse of Coupon] Paying Agencies (subject to change) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Section 206. Form of Trustee's Certificate of Authentication. The Trustee's certificate of authentication shall be in substantially the following form: This is one of the Securities of the series designated therein referred to in the within-mentioned Indenture. As Trustee By ________________________________________ Authorized Signatory [Section 207. Securities in Global Form. If Securities of a series are issuable in whole or in part in global form, as specified as contemplated by Section 301, then, notwithstanding clause (9) of Section 301 and the provisions of Section 302, any such Securities shall represent such of the Outstanding Securities or such ser...
FORM OF COUPON. On the front: Total S.A./Total Capital/Total Capital Canada Ltd./Total Capital International Euro Medium Term Note Programme Series No. [●] [Title of issue] Coupon for [[set out amount due, if known]/the amount] due on [the Interest Payment Date falling in]* [●],[●]. [Coupon relating to Note in the nominal amount of [●]]** This Coupon is payable to bearer (subject to the Conditions endorsed on the Note to which this Coupon relates, which shall be binding upon the holder of this Coupon whether or not it is for the time being attached to such Note) at the specified offices of the Fiscal Agent and the Paying Agent set out on the reverse hereof (or any other Fiscal Agent or further or other Paying Agents or specified offices duly appointed or nominated and notified to the Noteholders). [If the Note to which this Coupon relates shall have become due and payable before the maturity date of this Coupon, this Coupon shall become void and no payment shall be made in respect of it.]*** ANY UNITED STATES PERSON WHO HOLDS THIS OBLIGATION WILL BE SUBJECT TO LIMITATIONS UNDER THE UNITED STATES INCOME TAX LAWS, INCLUDING THE LIMITATIONS PROVIDED IN SECTIONS 165(j) AND 1287(a) OF THE INTERNAL REVENUE CODE. [Total S.A.]/[Total Capital]/[Total Capital Canada Ltd./Total Capital International] By: [Cp. No.][F-]6 [Denomination] [ISIN] [Series] [Certif. No.] 6 For Total Capital Canada, Canadian income tax rules require additional disclosure where withholding tax is not exigible. If withholding tax is exigible “AX” must be added to the coupon. On the back: Fiscal Agent Citibank, N.A., London Branch, Citigroup Centre, Canada Square, Xxxxxx Xxxxx, Xxxxxx X00 0XX Paying Agent[s] [Banque Internationale à Luxembourg, société anonyme, 69 route x’Xxxx, X-0000 Xxxxxxxxxx] Citibank Europe Plc, 00-00 xxx Xxxxxx, 00000, Xxxxx XXXXX 00, Xxxxxx [*Only necessary where Interest Payment Dates are subject to adjustment in accordance with a Business Day Convention otherwise the particular Interest Payment Date should be specified.] [**Only required for Coupons relating to Floating Rate that are issued in more than one denomination.] [***Delete if Coupons are not to become void upon early redemption of Note.] Part 4 Form of Talon On the front: Total S.A. /Total Capital/Total Capital Canada Ltd./ Total Capital International Euro Medium Term Note Programme Series No. [●] [Title of issue] Talon for further Coupons falling due on [the Interest Payment Dates falling in]* [●][●]. [Talon relating to Note...
FORM OF COUPON. 58 Section 2.4. Form of Certificate of Authentication...........................................59 Section 2.5. Form of Conversion Notice.......................................................60
FORM OF COUPON. [FORM OF FACE] ANY UNITED STATES PERSON WHO HOLDS THIS OBLIGATION WILL BE SUBJECT TO LIMITATIONS UNDER THE UNITED STATES INCOME TAX LAWS, INCLUDING THE LIMITATIONS PROVIDED IN SECTIONS 165(j) and 1287(a) OF THE INTERNAL REVENUE CODE. No.- _______________ ISIN No. XS0060364659 STAPLES, INC. U.S.$ _______ Due ________ __, ____
FORM OF COUPON. PART A (Face of Coupon) TOYOTA MOTOR CREDIT CORPORATION (Incorporated under the laws of the State of California, U.S.A.) [Specified Currency and Nominal Amount of Series] EURO MEDIUM-TERM NOTES DUE [Year of Maturity] Series No. [ ] Part A (Reverse of Coupon) For Fixed Rate Notes: This Coupon is payable to bearer, separately negotiable and subject to the Terms and Conditions of the Note to which it appertains Coupon No. F Coupon for [ ] due on [ ] [20[ ]] [SEAL] ATTEST: TOYOTA MOTOR CREDIT CORPORATION By: Authorized Officer By: Authorized Officer ANY UNITED STATES PERSON (AS DEFINED IN THE INTERNAL REVENUE CODE OF THE UNITED STATES) WHO HOLDS THIS OBLIGATION WILL BE SUBJECT TO LIMITATIONS UNDER THE UNITED STATES INCOME TAX LAWS INCLUDING THE LIMITATIONS PROVIDED IN SECTIONS 165(j) AND 1287(a) OF THE INTERNAL REVENUE CODE.1 APPENDIX B-4
FORM OF COUPON. PART B (Face of Coupon) ANY UNITED STATES PERSON (AS DEFINED IN THE INTERNAL REVENUE CODE OF THE UNITED STATES) WHO HOLDS THIS OBLIGATION WILL BE SUBJECT TO LIMITATIONS UNDER THE UNITED STATES INCOME TAX LAWS INCLUDING THE LIMITATIONS PROVIDED IN SECTIONS 165(j) AND 1287(a) OF THE INTERNAL REVENUE CODE.1 For Floating Rate, Dual Currency and Index Linked Notes: Coupon for the amount due in accordance with the Terms and Conditions of the said Notes. This Coupon is payable to bearer, separately negotiable and subject to such Terms and Conditions of the Note to which it appertains, under which it may become void before its due date. Coupon No. F Coupon due in [ ] [20[ ]] [SEAL] ATTEST: TOYOTA MOTOR CREDIT CORPORATION By: Authorized Officer By: Authorized Officer (Reverse of Coupon) ISSUING AND PRINCIPAL PAYING AGENT AND AGENT BANK JPMorgan Chase Bank, N.A. Txxxxxx Xxxxx 0 Xxxxxx Xxxx Street London E1W 1YT PAYING AGENT J.X. Xxxxxx Bank Luxembourg S.A. 6 xxxxx xx Xxxxxx X-2633 Senningerberg (Municipality of Niederanven) Luxembourg and/or such other or further Agent and other or further Paying Agents and/or specified offices as may from time to time be duly appointed by the Company and notice of which has been given to the Noteholders.
