FORM OF INSTRUCTIONS TO DEPOSITARY FOR WITHDRAWAL OF SHARES
EXHIBIT C
TO
FORM OF INSTRUCTIONS TO DEPOSITARY
FOR WITHDRAWAL OF SHARES
The Bank of New York
000 Xxxxxxx Xxxxxx
Xxx Xxxx, Xxx Xxxx 00000
Dear Sirs:
Pursuant to Section 2.5 of the Deposit Agreement dated as of ________________, 1989 (the “Deposit Agreement”) among Repsol, S.A. (“Repsol”), The Bank of New York, as Depositary, and the Holders of American Depositary Receipts, the following American Depositary Receipts evidencing American Depositary Shares are hereby surrendered to you against receipt of [Poliza / Polizas representing] [and] [shares of] the capital stock of Repsol pursuant to the Deposit Agreement:
American Depositary Receipt
Number of American Depositary
Certificate Number
Shares Evidenced Thereby
Please deliver [a Poliza / Polizas] corresponding the name[s] and amount[s] listed below to the address[es] indicated:
Name
Number of Shares
Deliver To
Please deliver the shares by delivering [physical certificates] [and] [Poliza / Polizas] representing such securities to the individuals named above in the amounts and locations indicated.
Thank you for your attention to this matter.
Yours very truly,
[Name of Depositor]
