Common use of OPTION TO ELECT REPAYMENT Clause in Contracts

OPTION TO ELECT REPAYMENT. The undersigned owner of this Security hereby irrevocably elects to have the Company repay the principal amount of this Security or portion hereof below designated at the applicable Repayment Price indicated on the fact hereof plus interest accrued to the applicable Repayment Date. Dated: ---------------- - ---------------------- Signature Sign exactly as name appears on the front of this Security [SIGNATURE GUARANTEE - required only if Securities are to be issued and delivered to other than the registered holder] Principal amount to be Fill in for repaid, if amount to be registration of repaid is less than the Securities if to be principal amount of this issued otherwise than to Security (principal amount registered holder: remaining must be an authorized denomination) U.S. $ Name: -------------------- --------------------- Address: ------------------ ------------------ (Please print name and address including zip code) SOCIAL SECURITY OR OTHER TAXPAYER ID NUMBER -------------------------- 18 -------------------- ABBREVIATIONS The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they were written out in full according to applicable laws or regulations:

Appears in 1 contract

Samples: Note Number (Ubs Americas Inc)

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OPTION TO ELECT REPAYMENT. The undersigned owner of this Security hereby irrevocably elects to have the Company repay the principal amount of this Security or portion hereof below designated at the applicable Repayment Price indicated on the fact face hereof plus interest accrued to the applicable Repayment Date. Dated: ---------------- - ---------------------- :______________ ____________________ Signature Sign exactly as name appears on the front of this Security [SIGNATURE GUARANTEE - required only if Securities are to be issued and delivered to other than the registered holder] Principal amount to be Fill in for repaid, if amount to be registration of repaid is less than the Securities if to be principal amount of this issued otherwise than to Security (principal amount to registered holder: remaining must be an authorized denomination) U.S. $ Name: -------------------- --------------------- :_________________ U.S.$______________ Address: ------------------ ------------------ :______________ ______________ (Please print name and address including zip code) SOCIAL SECURITY OR OTHER TAXPAYER ID NUMBER -------------------------- 18 -------------------- ABBREVIATIONS The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they were written out in full according to applicable laws or regulations:______________________

Appears in 1 contract

Samples: Paine Webber Group Inc

OPTION TO ELECT REPAYMENT. The undersigned owner of this Security hereby irrevocably elects to have the Company repay the principal amount of this Security or portion hereof below designated at the applicable Repayment Price indicated on the fact face hereof plus interest accrued to the applicable Repayment Date. Dated: ---------------- ------------------- - ---------------------- ------------------------- Signature Sign exactly as name appears on the front of this Security [SIGNATURE GUARANTEE - required only if Securities are to be issued and delivered to other than the registered holder] Principal amount to be Fill in for repaid, if amount to be registration of repaid is less than the Securities if to be principal amount of this issued otherwise than to Security (principal amount to registered holder: remaining must be an authorized denomination) U.S. $ U.S.$ Name: -------------------- --------------------- ------------------------ ------------------------ Address: ------------------ ------------------ ---------------------- ---------------------- (Please print name and address including zip code) SOCIAL SECURITY OR OTHER TAXPAYER ID NUMBER -------------------------- 18 -------------------- ---------------------- ------------------ ABBREVIATIONS The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they were written out in full according to applicable laws or regulations:

Appears in 1 contract

Samples: Note Number (Ubs Americas Inc)

OPTION TO ELECT REPAYMENT. The undersigned owner of this Security hereby irrevocably elects to have the Company repay the principal amount of this Security or portion hereof below designated at the applicable Repayment Price indicated on the fact face hereof plus interest accrued to the applicable Repayment Date. Dated: ---------------- - ---------------------- ------------------- -------------------------- Signature Sign exactly as name appears on the front of this Security [SIGNATURE GUARANTEE - required only if Securities are to be issued and delivered to other than the registered holder] Principal amount to be Fill in for repaid, if amount to be registration of repaid is less than the Securities if to be principal amount of this issued otherwise than to Security (principal amount to registered holder: remaining must be an authorized denomination) U.S. $ Name: -------------------- --------------------- U.S.$ --------------------- Address: ------------------ ------------------ (Please print name and address including zip code) SOCIAL SECURITY OR OTHER TAXPAYER ID NUMBER -------------------------- 18 -------------------- --------------------------- --------------------- ABBREVIATIONS The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they were written out in full according to applicable laws or regulations:

Appears in 1 contract

Samples: Note Number (Paine Webber Group Inc)

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OPTION TO ELECT REPAYMENT. The undersigned owner of this Security hereby irrevocably elects to have the Company repay the principal amount of this Security or portion hereof below designated at the applicable Repayment Price indicated on the fact face hereof plus interest accrued to the applicable Repayment Date. Dated: ---------------- - ---------------------- ------------------- ------------------------- Signature Sign exactly as name appears on the front of this Security [SIGNATURE GUARANTEE - required only if Securities are to be issued and delivered to other than the registered holder] Principal amount to be Fill in for repaid, if amount to be registration of repaid is less than the Securities if to be principal amount of this issued otherwise than to Security (principal amount to registered holder: remaining must be an authorized denomination) U.S. $ U.S.$ Name: -------------------- --------------------- ------------------------ ------------------------ Address: ------------------ ------------------ ---------------------- ---------------------- (Please print name and address including zip code) SOCIAL SECURITY OR OTHER TAXPAYER ID NUMBER -------------------------- 18 -------------------- ---------------------- ------------------ ABBREVIATIONS The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they were written out in full according to applicable laws or regulations:

Appears in 1 contract

Samples: Note Number (Paine Webber Group Inc)

OPTION TO ELECT REPAYMENT. The undersigned owner of this Security hereby irrevocably elects to have the Company repay the principal amount of this Security or portion hereof below designated at the applicable Repayment Price indicated on the fact face hereof plus interest accrued to the applicable Repayment Date. Dated: ---------------- - ---------------------- :______________ ____________________ Signature Sign exactly as name appears on the front of this Security [SIGNATURE GUARANTEE - required only if Securities are to be issued and delivered to other than the registered holder] Principal amount to be Fill in for repaid, if amount to be registration of repaid is less than the Securities if to be principal amount of this issued otherwise than to Security (principal amount to registered holder: remaining must be an authorized denomination) U.S. $ Name: -------------------- --------------------- :_________________ U.S.$______________ Address: ------------------ ------------------ :______________ ______________ (Please print name and address including zip code) SOCIAL SECURITY OR OTHER TAXPAYER ID NUMBER -------------------------- 18 -------------------- ______________________ --------------------- ABBREVIATIONS The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they were written out in full according to applicable laws or regulations:

Appears in 1 contract

Samples: Paine Webber Group Inc

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