By: Name. Title: Date: ---------------------------------------------------
By: Name. Title:________________________ (If the Undersigned is a corporation, partnership or fiduciary, the title of the person signing on behalf of the Undersigned must be stated.) ANNEX C -- Form of Surrender Certificate In connection with the certification contemplated by Section 12.2 or 14.3(9) relating to compliance with certain restrictions relating to transfers of Restricted Securities, such certification shall be provided substantially in the form of the following certificate, with only such changes thereto as shall be approved by the Company and Xxxxxxx, Xxxxx & Co.: CERTIFICATE MERCURY INTERACTIVE CORPORATION 4.75% CONVERTIBLE NOTES DUE JULY 1, 2007 This is to certify that as of the date hereof with respect to U.S. $______ principal amount of the above-captioned securities surrendered on the date hereof (the "Surrendered Securities") for registration of transfer, or for conversion or repurchase where the securities issuable upon such conversion or repurchase are to be registered in a name other than that of the undersigned Holder (each such transaction being a "transfer"), the undersigned Holder (as defined in the Indenture) certifies that the transfer of Surrendered Securities associated with such transfer complies with the restrictive legend set forth on the face of the Surrendered Securities for the reason checked below: _________ The transfer of the Surrendered Securities complies with Rule 144A under the Securities Act; or _________ The transfer of the Surrendered Securities complies with Rule 144 under the United States Securities Act of 1933, as amended (the "Securities Act"); or _________ The transfer of the Surrendered Securities has been made to an institution that is an "accredited investor" within the meaning of Rule 501(a)(1), (2), (3) or (7) under the Securities Act in a transaction exempt from the registration requirements of the Securities Act and a signed letter containing certain representations and agreements relating to restrictions on transfer of the Securities (and if such transfer is for an aggregate principal amount less than $250,000, an opinion of counsel acceptable to the Company if requested by the Company, that such transfer is exempt from registration; or _________ The transfer of the Surrendered Securities has been made pursuant to an exemption from registration under the Securities Act and an opinion of counsel has been delivered to the Company with respect to such transfer. [to come] [Name of Holder] Dated: _______________...
By: Name. Title:_______________________ Date:________________________ Acknowledged and approved: [FEDERAL HOME LOAN BANK OF] ______________________________ By:______________________________ Name:____________________________ Title:___________________________ Date:____________________________ EXHIBIT F FORM OF SECURITY RELEASE CERTIFICATION --------------------------------------
Examples of By: Name in a sentence
UNITED STATES OF AMERICA Two Witnesses: 1/ (Name) By: Contracting Officer (Title) (Address) (Purchaser) 2/ By: (Name) (Address) (Title) (Business Address) I,3/ , certify that I am the Secretary of the corporation named as Purchaser herein; that who signed this contract on behalf of Purchaser, was then of the corporation; that the contract was duly signed for and in behalf of the corporation by authority of its governing body, and is CORPORATE SEAL 4/ within the scope of its corporate powers.
Dated: [ ], 2023 The Board of Trustees, Western North Carolina Conference, United Methodist Church, Inc., a North Carolina non-profit corporation By: Name: Xxxx X.
Dated: FEDERAL HOME LOAN MORTGAGE CORPORATION By: Name: Title: Certificate of Authentication This is the Note for the obligations designated on the face hereof and referred to in the within- mentioned Securities Documents.
By: Name: Title: PARTICIPANT’S ACCEPTANCE The undersigned hereby accepts the foregoing option and agrees to the terms and conditions thereof.
By: Name: Title: Dated: TRUSTEE’S CERTIFICATE OF AUTHENTICATION U.S. BANK NATIONAL ASSOCIATION as Trustee, certifies that this is one of the Notes described in the within-named Indenture.
More Definitions of By: Name
By: Name. [ ] Title: Administrative Trustee THE BANK OF NEW YORK, AS PROPERTY TRUSTEE (As Transfer Agent and Registrar) By: Name: Title: RECEIVED AND ACCEPTED: THE DEPOSITORY TRUST COMPANY By Authorized Officer EXHIBIT C THIS CERTIFICATE IS NOT TRANSFERABLE Certificate Number Number of Common Securities C-1 Certificate Evidencing Common Securities of PSO Capital I [ ]% Common Securities (liquidation amount $25 per Common Security) PSO Capital I, a statutory business trust created under the laws of the State of Delaware (the "Trust") hereby certifies that Public Service Company of Oklahoma (the "Holder") is the registered owner of ______________________________________ (_______________) common securities of the Trust representing undivided beneficial interests in the assets of the Trust and designated the [ ]% Common Securities (liquidation amount $25 per Common Security) (the "Common Securities"). In accordance with Section 510 of the Trust Agreement (as defined below) the Common Securities are not transferable and any attempted transfer hereof shall be void. The designations, rights, privileges, restrictions, preferences and other terms and provisions of the Common Securities are set forth in, and this certificate and the Common Securities represented hereby are issued and shall in all respects be subject to the terms and provisions of, the Amended and Restated Trust Agreement of the Trust dated as of [ ], 1997, as the same may be amended from time to time (the "Trust Agreement"), including the designation of the terms of the Common Securities as set forth therein. The Trust will furnish a copy of the Trust Agreement to the Holder without charge upon written request to the Trust at its principal place of business or registered office. Upon receipt of this certificate, the Holder is bound by the Trust Agreement and is entitled to the benefits thereunder.
By: Name. Title: Address: 00 Xxxxxxx Xxxxxx Xxx Xxxx, Xxx Xxxx 00000
By: Name. Title: Attest: ______________________________ Name: Title:
By: Name. Title: (If the Undersigned is a corporation, partnership or fiduciary, the title of the person signing on behalf of the Undersigned must be stated.)
By: Name. Title: Address: 11 Hanover Square New York, New York 10005
By: Name. Title: (If the Undersigned is a corporation, partnership or fiduciary, the title of the person signing on behalf of the Undersigned must be stated.) UNRESTRICTED SECURITIES CERTIFICATE (For removal of Securities Act Legends pursuant to Section 305(c) of the Indenture) First Union National Bank, as Security Registrar 123 Xxxxx Xxxxx Xxxxxx Xxxxxxxxxxxx, XX 00000 Xx: 7.75% Debentures due June 1, 2011 of Radian Group Inc. (the "Securities") Reference is made to the Indenture, dated as of May 29, 2001 (the "Indenture"), between Radian Group Inc. (the "Company") and First Union National Bank, as Trustee. Terms used herein and defined in the Indenture or in Regulation S or Rule 144 or Rule 144A under the U.S. Securities Act of 1933, as amended (the "Securities Act") are used herein as so defined. This certificate relates to U.S. $__________ principal amount of Securities, which are evidenced by the following certificate(s) (the "Specified Securities"): CUSIP No(s).___________________________ CERTIFICATE No(s).____________________ The person in whose name this certificate is executed below (the "Undersigned") hereby certifies that either (i) it is the sole beneficial owner of the Specified Securities or (ii) it is acting on behalf of all the beneficial owners of the Specified Securities and is duly authorized by them to do so. Such beneficial owner or owners are referred to herein collectively as the "Owner". If the Specified Securities are represented by a Global Security, they are held through the Depositary or an Agent Member in the name of the Undersigned, as or on behalf of the Owner. If the Specified Securities are not represented by a Global Security, they are registered in the name of the Undersigned, as or on behalf of the Owner. The Owner has requested that the Specified Securities be exchanged for Securities bearing no Securities Act Legend pursuant to Section 305(c) of the Indenture. In connection with such exchange, the Owner hereby certifies that the exchange is occurring after a holding period of at least two years (computed in accordance with paragraph (d) of Rule 144) has elapsed since the Specified Securities were last acquired from the Company or from an affiliate of the Company, whichever is later, and the Owner is not, and during the preceding three months has not been, an affiliate of the Company. The Owner also This certificate and the statements contained herein are made for your benefit and the benefit of the Company and the Purchasers. D...
By: Name. Its: ______________________ Dated: ____________________ NOTE: The above signatory should correspond exactly with the name on the face of the attached Warrant or with the name of the assignee appearing in the assignment form below.