Form of Certificate to be Delivered in Connection with Transfers to IAIs. [Date] Star Gas Partners, L.P. Star Gas Finance Company c/o Union Bank of California, N.A. [Address] [Address] [Address] Ladies and Gentlemen: This certificate is delivered to request a transfer of $ principal amount of the 10 1/4% Senior Notes due 2013 (the “Securities”) of Star Gas Partners, L.P. and Star Gas Finance Company (together, the “Issuers”). Upon transfer, the Securities would be registered in the name of the new beneficial owner as follows: Name: Address: Taxpayer ID Number: The undersigned represents and warrants to you that:
Form of Certificate to be Delivered in Connection with Transfers to IAIs. [Date] Avis Budget Finance plc 0 Xxxxxx Xxx Xxxxxxxxxx, XX 00000 Attention: Treasurer Facsimile: 000-000-0000 Deutsche Bank AG, London Branch Winchester House 1 Great Xxxxxxxxxx Xxxxxx Xxxxxx XX0X 0XX Xxxxxx Xxxxxxx Attention: TAS (Debt & Agency Services) Fax: +00 000 000 0000 Re: Avis Budget Finance plc Ladies and Gentlemen: This certificate is delivered to request a transfer of €[_________] principal amount of the 4.750% Senior Notes due 2026 (the “Notes”) of Avis Budget Finance plc (the “Issuer”). Upon transfer, the Notes would be registered in the name of the new beneficial owner as follows: Name: __________________________Address:_________________________Taxpayer ID Number: __________________ The undersigned represents and warrants to you that:
Form of Certificate to be Delivered in Connection with Transfers to IAIs. [Date] Avis Budget Car Rental, LLC 0 Xxxxxx Xxx Xxxxxxxxxx, XX 00000 Attention: Treasurer Facsimile: 000-000-0000 Deutsche Bank Trust Company Americas c/o DB Services Americas, Inc. 0000 Xxxx Xxxxxxx, Xxxxx 000 Xxxxxxxxxxxx, XX 32256Attn: Transfer Department Re: Avis Budget Care Rental, LLC and Avis Budget Finance, Inc. Ladies and Gentlemen: This certificate is delivered to request a transfer of $[_________] principal amount of the 5.25% Senior Notes due 2025 (the “Notes”) of Avis Budget Car Rental, LLC (the “Company”) and Avis Budget Finance, Inc. (together with the Company, the “Issuers”). Upon transfer, the Notes would be registered in the name of the new beneficial owner as follows: Name: Address: Taxpayer ID Number: The undersigned represents and warrants to you that:
Form of Certificate to be Delivered in Connection with Transfers to IAIs. [Date] The Bank of New York Trust Company, N.A. 200 Xxxx Xxxxxx, Xxxxx 0000 Xxxxxxx, Xxxxxxxx 00000 Attention: Corporate Trust Administration Re: Conexant Systems, Inc. Floating Rate Senior Secured Notes, Series A, due 2010 Ladies and Gentlemen: This certificate is delivered to request a transfer of $ principal amount of the Floating Rate Senior Secured Notes, Series A, due 2010 (the “Securities”) of Conexant Systems, Inc. (the “Company”). Upon transfer, the Securities would be registered in the name of the new beneficial owner as follows: Name: Address: Taxpayer ID Number: 50 The undersigned represents and warrants to you that:
Form of Certificate to be Delivered in Connection with Transfers to IAIs. [Date] The Bank of New York Mellon Trust Company, N.A. 0 Xxxxx XxXxxxx Xxxxxx; Xxxxx 0000 Xxxxxxx, XX 00000 Attention: Global Corporate Trust Re: Libbey Glass Inc. Senior Secured Notes, Series A, due 2015 Ladies and Gentlemen: This certificate is delivered to request a transfer of $ principal amount of the Senior Secured Notes, Series A, due 2015 (the “Securities”) of Libbey Glass Inc. (the “Company”). Upon transfer, the Securities would be registered in the name of the new beneficial owner as follows: Name: Address: Taxpayer ID Number: The undersigned represents and warrants to you that:
Form of Certificate to be Delivered in Connection with Transfers to IAIs. [Date] U.S. Bank National Association Corporate Trust Services 0xx Xxxxx XXXX/XXXX Xxxx Xx. Xxxx, MN 55107 Re: Deluxe Corporation 6.000% Senior Notes due 2020 Ladies and Gentlemen: This certificate is delivered to request a transfer of $ principal amount of the 6.000% Senior Notes due 2020 (the “Securities”) of Deluxe Corporation (the “Company”). Upon transfer, the Securities would be registered in the name of the new beneficial owner as follows: Name: Address: Taxpayer ID Number: The undersigned represents and warrants to you that:
Form of Certificate to be Delivered in Connection with Transfers to IAIs. [Date] IAA Spinco Inc. Two Wxxxxxxxx Xxxxxxxxx Xxxxxx, Xxxxx 000 Xxxxxxxxxxx, Xxxxxxxx Attention: Sidney Peryar Facsimile: (000) 000-0000 U.S. Bank National Association 60 Xxxxxxxxxx Xxxxxx, EP-MN-WS3D Saint Pxxx, MN 55107-2292 Attn: [Rxxx Xxxxxxxx] Re: IAA Spinco Inc. Ladies and Gentlemen: This certificate is delivered to request a transfer of $[_________] principal amount of the 5.500% Senior Notes due 2027 (the “Notes”) of IAA Spinco Inc. (the “Company”). Upon transfer, the Notes would be registered in the name of the new beneficial owner as follows: Name: Address: Taxpayer ID Number: The undersigned represents and warrants to you that:
Form of Certificate to be Delivered in Connection with Transfers to IAIs. [Date] SunTrust Bank Corporate Trust Division 000 Xxxxxx Xxxxxx Xxxxx 8th Floor Nashville, TN 37219 Attention: Xxxxx Xxxxxxxx, First Vice President Re: Community Health Systems, Inc.
Form of Certificate to be Delivered in Connection with Transfers to IAIs. [Date] The Bank of New York Mellon Trust Company, N.A.
Form of Certificate to be Delivered in Connection with Transfers to IAIs. [Date] Star Gas Partners, L.P. Star Gas Finance Company c/o Union Bank of California, N.A. [Address] [Address] [Address] Ladies and Gentlemen: This certificate is delivered to request a transfer of $_________ principal amount of the 10 1/4% Senior Notes due 2013 (the “Securities”) of Star Gas Partners, L.P. and Star Gas Finance Company (together, the “Issuers”). Upon transfer, the Securities would be registered in the name of the new beneficial owner as follows: Name: ____________________________ Address: __________________________ Taxpayer ID Number: _______________ The undersigned represents and warrants to you that:
