EXHIBIT (a)(1)(E)
AFFIDAVIT AND INDEMNITY AGREEMENT
STATE OF _________________ )
) SS:
COUNTY OF _____________________ )
________________________________ ("Deponents") being duly sworn, depose(s) and
says:
(1) Deponent(s) are of legal age, resides at______________________________
________________________________________________, are entitled to the
possession, and are the legal and beneficial owner(s), of ________ UNITS of
URBAN IMPROVEMENT FUND LIMITED-1973, a limited partnership, represented by
Certificate number____________ (if not known, this will be filled in from the
partnership records).
(2) The Original was acquired by Deponent(s) on or
about______________________, and has been lost by Deponent(s) since that time.
(3) No Transfer Application has been signed by or on behalf of Deponent(s)
with respect to the Original.
(4) Deponent(s) have made, or caused to be made, diligent search for the
Original and has/have been unable to find or recover the same. Deponent(s) have
not sold, assigned, pledged, transferred, deposited under any agreement, or
hypothecated the Original or any interest therein, or signed any power of
attorney or other authorization respecting the same which is now outstanding and
in force, or otherwise disposed of the same; and no person, firm, corporation,
agency or government other than Deponent(s) have or has asserted any right,
title, claim, equity or interest in, to or respecting the Original or the
proceeds thereof.
(5) Deponent(s) hereby requests and this Affidavit and Indemnity Agreement
is made for the purpose of inducing the Partnership, its transfer agents,
registrars and trustees, depositaries, redemption, fiscal and paying agents, (i)
to refuse to recognize any person other than Deponent(s) as the owner(s) of the
Original and to refuse to make any payment, transfer, registration, delivery or
exchange called for by Original to any person other than Deponent(s) and to
refuse to take any other action pursuant to the request or demand of any person
other than Deponent(s), and (ii) to issue a new or duplicate or definitive
security or other instrument in substitution for the Original.
(6) If Deponent(s) should find or recover the original, Deponent(s) will
immediately surrender the same to the Partnership for cancellation without
requiring any consideration therefore.
Affidavit And Indemnity Agreement
Page 2
(7) Deponent(s) agree in consideration of compliance with the foregoing
request, (and if more than one, jointly and severally), to indemnify and hold
harmless the Partnership, any person, firm or corporation now or hereafter
acting as its transfer agent, registrar, trustee, depositary, redemption, fiscal
or paying agent, or in any other capacity, also any successors in any such
capacities and any surety, their respective successors and assigns, hereinafter
collectively called "Obligees," from and against any and all liability, loss,
damage and expense in connection with, or arising out of, their compliance with
the request of Deponent(s) herein set forth, and further agree to furnish to the
above-described Obligees, without any expense to them, a bond of indemnity, in
such form and amount as said Obligees may require, with satisfactory surety or
sureties, in case this Affidavit and Indemnity Agreement should not at any time,
for any reason in the opinion of said Obligees or any of them, afford sufficient
protection.
Signed by Deponent(s) this _____ day of__________________________________, 2003.
____________________________
Medallion Signature Guarantee Unitholder
____________________________
Medallion Signature Guarantee Unitholder
