NOTARIAL SEAL. Notary Public
NOTARIAL SEAL. Notary Public COMMISSION EXPIRES - 68 - STATE OF_______________) ) ss: CITY OF________________) On the _____ day of ____________, 1997, before me personally came ______________, to me known, who, being by me duly sworn, did depose and say that he is ____________________ of _____________________________, one of the parties described in and which executed the foregoing instrument, and that he signed his name thereto by authority of the Board of Directors. Notarial Seal Notary Public COMMISSION EXPIRES EXHIBIT A FORMS OF CERTIFICATION EXHIBIT A-1 FORM OF CERTIFICATE TO BE GIVEN BY PERSON ENTITLED TO RECEIVE BEARER SECURITY OR TO OBTAIN INTEREST PAYABLE PRIOR TO THE EXCHANGE DATE CERTIFICATE Insert title or sufficient description of Securities to be delivered This is to certify that, as of the date hereof, and except as set forth below, the above-captioned Securities held by you for our account (i) are owned by person(s) that are not citizens or residents of the United States, domestic partnerships, domestic corporations or any estate or trust the income of which is subject to United States federal income taxation regardless of its source ("United States person(s)"), (ii) are owned by United States person(s) that are (a) foreign branches of United States financial institutions (financial institutions, as defined in United States Treasury Regulations Section 1.165- 12(c)(1)(v) are herein referred to a "financial institutions") purchasing for their own account or for resale, or (b) United States person(s) who acquired the Securities through foreign branches of United States financial institutions and who hold the Securities through such United States financial institutions on the date hereof (and in either case (a) or (b), each such United States financial institution hereby agrees, on its own behalf or through its agent, that you may advise CRIIMI MAE Inc. or its agent that such financial institution will comply with the requirements of Section 165(j)(3)(A), (B) or (C) of the United States Internal Revenue Code of 1986, amended, and the regulations thereunder), or (iii) are owned by United States or foreign financial institution(s) for purposes of resale during the restricted period (as defined in United States Treasury Regulations Section 1.163-5(c)(2)(i)(D)(7)), and, in addition, if the owner is a United States or foreign financial institution described in clause (iii) above (whether or not also described in clause (i) or (ii)), this is to further certify tha...
NOTARIAL SEAL. Notary Public My Commission Expires: STATE OF NEW YORK ) ) ss. NEW YORK COUNTY ) At The City of New York, on this ____ day of _________,2000 before me, a Notary Public in and for the County and State of New York, personally appeared _________________________ and ____________________, the _____________________ and __________________, respectively, of [trustee] ___, to me personally known, who respectively executed, and affixed and attested the corporate seal on, the foregoing instrument on behalf of said corporation, and severally acknowledged the same to be their free act and deed in their said capacities and the free act and deed of [Trustee}.
NOTARIAL SEAL. EXHIBIT A
