SETTLEMENT INSTRUCTIONS. The undersigned Holder directs that a certificate or book-entry interest for shares of Common Stock deliverable upon settlement on or after the Stock Purchase Date of the Purchase Contracts underlying the number of Equity Security Units evidenced by this Equity Security Units Certificate be registered in the name of, and delivered, together with a check in payment for any fractional share, to the undersigned at the address indicated below unless a different name and address have been indicated below. If shares are to be registered in the name of a Person other than the undersigned, the undersigned will pay any transfer tax payable incident thereto. Dated: Signature: ----------------------- ------------------------- Signature Guarantee: --------------- (if assigned to another person) If shares are to be registered in the REGISTERED HOLDER name of and delivered to a Person other than the Holder, please (i) print such Please print name and address of Person's name and address and (ii) Registered Holder: provide a guarantee of your signature: Name Name Address Address Social Security or other Taxpayer Identification Number, if any
Appears in 2 contracts
Samples: Purchase Contract Agreement (El Paso Corp/De), Purchase Contract Agreement (El Paso Corp/De)
SETTLEMENT INSTRUCTIONS. The undersigned Holder directs that a certificate or book-entry interest for shares of Common Stock deliverable upon settlement on or after the Stock Purchase Date of the Forward Purchase Contracts underlying the number of Equity Security Units Stripped DECS evidenced by this Equity Security Units Stripped DECS Certificate be registered in the name of, and delivered, together with a check in payment for any fractional share, to the undersigned at the address indicated below unless a different name and address have been indicated below. If shares are to be registered in the name of a Person other than the undersigned, the undersigned will pay any transfer tax payable incident thereto. Dated: _________________ Signature: ----------------------- ------------------------- _________________________________________ Signature Guarantee: --------------- _______________________________ (if assigned to another person) If shares are to be registered in the REGISTERED HOLDER name of and delivered to a Person other than the Holder, please (i) print such Please print name and address of Person's name and address and (ii) Registered Holder: provide a guarantee of your signature: Name Name Address Address Social Security or other Taxpayer Identification Number, if any
Appears in 1 contract
SETTLEMENT INSTRUCTIONS. The undersigned Holder directs that a certificate or book-entry interest for shares of Common Stock deliverable upon settlement on or after the Stock Purchase Date of the Forward Purchase Contracts underlying the number of Stripped Equity Security Units evidenced by this Stripped Equity Security Units Certificate be registered in the name of, and delivered, together with a check in payment for any fractional share, to the undersigned at the address indicated below unless a different name and address have been indicated below. If shares are to be registered in the name of a Person other than the undersigned, the undersigned will pay any transfer tax payable incident thereto. Dated: ___________________ Signature: ----------------------- ------------------------- _________________________________ Signature Guarantee: --------------- ________________________ (if assigned to another person) If shares are to be registered in the REGISTERED HOLDER name of and delivered to a Person other than the Holder, please (i) print such Please print name and address of Person's ’s name and address and (ii) Registered Holder: provide a guarantee of your signature: Name Name Address Address Social Security or other Taxpayer Identification Number, if any
Appears in 1 contract
Samples: Forward Purchase Contract Agreement (American Electric Power Co Inc)
SETTLEMENT INSTRUCTIONS. The undersigned Holder directs that a certificate or book-entry interest for shares of Common Stock deliverable upon settlement on or after the Stock Purchase Date of the Forward Purchase Contracts underlying the number of Equity Security Stripped Units evidenced by this Equity Security Stripped Units Certificate be registered in the name of, and delivered, together with a check in payment for any fractional share, to the undersigned at the address indicated below unless a different name and address have been indicated below. If shares are to be registered in the name of a Person other than the undersigned, the undersigned will pay any transfer tax payable incident thereto. Dated: Signature: ----------------------- ------------------------- -------------- ------------------------------------------ Signature Guarantee: --------------- ------------------------------- (if assigned to another person) If shares are to be registered in the REGISTERED HOLDER name of and delivered to a Person other than the Holder, please (i) print such Please print name and address of Person's name and address and (ii) Registered Holder: provide a guarantee of your signature: Name Name Address Address Social Security or other Taxpayer Identification Number, if any
Appears in 1 contract
Samples: Forward Purchase Contract Agreement (Aep Capital Trust Iii)
SETTLEMENT INSTRUCTIONS. The undersigned Holder directs that a certificate or book-entry interest for shares of Common Stock deliverable upon settlement on or after the Stock Purchase Date of the Forward Purchase Contracts underlying the number of Equity Security Units evidenced by this Equity Security Units Certificate be registered in the name of, and delivered, together with a check in payment for any fractional share, to the undersigned at the address indicated below unless a different name and address have been indicated below. If shares are to be registered in the name of a Person other than the undersigned, the undersigned will pay any transfer tax payable incident thereto. Dated: ______________________ Signature: ----------------------- ------------------------- _________________________ Signature Guarantee: --------------- _______________ (if assigned to another person) If shares are to be registered in the REGISTERED HOLDER name of and delivered to a Person other than the Holder, please (i) print such Please print name and address of Person's ’s name and address and (ii) Registered Holder: provide a guarantee of your signature: REGISTERED HOLDER Please print name and address of Registered Holder: Name Name Address Address Social Security or other Taxpayer Identification Number, if any
Appears in 1 contract
Samples: Forward Purchase Contract Agreement (American Electric Power Co Inc)
SETTLEMENT INSTRUCTIONS. The undersigned Holder directs that a certificate or book-entry interest for shares of Common Stock deliverable upon settlement on or after the {Initial} {Subsequent} Stock Purchase Date of the Stock Purchase Contracts underlying the number of Normal Common Equity Security Units evidenced by this Normal Common Equity Security Units Unit Certificate be registered in the name of, and delivered, together with a check in payment for any fractional share, to the undersigned at the address indicated below unless a different name and address have been indicated below. If shares are to be registered in the name of a Person other than the undersigned, the undersigned will pay any transfer tax payable incident thereto. ______________________________________ Dated: Signature: ----------------------- ------------------------- Signature Signature Guarantee: --------------- _________________ (if assigned to another person) If shares are to be registered in the REGISTERED HOLDER name of and delivered to a Person other than the Holder, please (i) print such Please print name and address of Person's name and address and (ii) Registered Holder: provide a guarantee of your signature: Name Name Address Address Social Security or other Taxpayer Identification Number, if any:
Appears in 1 contract
SETTLEMENT INSTRUCTIONS. The undersigned Holder directs that a certificate or book-entry interest for shares of Common Stock deliverable upon settlement on or after the Stock Purchase Date of the Forward Purchase Contracts underlying the number of Equity Security Units evidenced by this Equity Security Units Certificate be registered in the name of, and delivered, together with a check in payment for any fractional share, to the undersigned at the address indicated below unless a different name and address have been indicated below. If shares are to be registered in the name of a Person other than the undersigned, the undersigned will pay any transfer tax payable incident thereto. Dated: ______________________ Signature: ----------------------- ------------------------- _________________________ Signature Guarantee: --------------- _______________ (if assigned to another person) If shares are to be registered in the REGISTERED HOLDER name of and delivered to a Person other than the Holder, please (i) print such Please print name and address of Person's ’s name and address and (ii) Registered Holder: provide a guarantee of your signature: REGISTERED HOLDER Please print name and address ofRegistered Holder: Name Name Address Address Social Security or other Taxpayer Identification Number, if any
Appears in 1 contract
Samples: Forward Purchase Contract Agreement (American Electric Power Co Inc)
SETTLEMENT INSTRUCTIONS. The undersigned Holder directs that a certificate or book-entry interest for shares of Common Stock deliverable upon settlement on or after the Stock Purchase Date of the Forward Purchase Contracts underlying the number of Equity Security Units evidenced by this Equity Security Units Certificate be registered in the name of, and delivered, together with a check in payment for any fractional share, to the undersigned at the address indicated below unless a different name and address have been indicated below. If shares are to be registered in the name of a Person other than the undersigned, the undersigned will pay any transfer tax payable incident thereto. Dated: Signature: ----------------------- ------------------------- ------------------- ------------------------------- Signature Guarantee: --------------- ---------------------- (if assigned to another person) If shares are to be registered in the REGISTERED HOLDER name of and delivered to a Person other than the Holder, please (i) print such Please print name and address of print such Person's name and address Registered Holder: and (ii) Registered Holder: provide a guarantee of your signature: Name Name Address Address Social Security or other Taxpayer Identification Number, if any
Appears in 1 contract
Samples: Forward Purchase Contract Agreement (Aep Capital Trust Iii)
SETTLEMENT INSTRUCTIONS. The undersigned Holder directs that a certificate or book-entry interest for shares of Common Stock deliverable upon settlement on or after the Stock Purchase Date of the Forward Purchase Contracts underlying the number of Stripped Equity Security Units evidenced by this Stripped Equity Security Units Certificate be registered in the name of, and delivered, together with a check in payment for any fractional share, to the undersigned at the address indicated below unless a different name and address have been indicated below. If shares are to be registered in the name of a Person other than the undersigned, the undersigned will pay any transfer tax payable incident thereto. Dated: Signature: ----------------------- ------------------------- ------------------- ---------------------------------------- Signature Guarantee: --------------- ------------------------------- (if assigned to another person) If shares are to be registered REGISTERED HOLDER in the REGISTERED HOLDER name of and delivered to a Person other than the Holder, Please print name and address of please (i) print such Please print name and address of Person's Registered Holder: name and address and (ii) Registered Holder: provide a guarantee of your signature: Name Name Address Address Social Security or other Taxpayer Identification Number, if any
Appears in 1 contract
Samples: Forward Purchase Contract Agreement (Aep Capital Trust I)
SETTLEMENT INSTRUCTIONS. The undersigned Holder directs that a certificate or book-entry interest for shares of Common Stock deliverable upon settlement on or after the Stock Purchase Date of the Forward Purchase Contracts underlying the number of Equity Security Units evidenced by this Equity Security Units Certificate be registered in the name of, and delivered, together with a check in payment for any fractional share, to the undersigned at the address indicated below unless a different name and address have been indicated below. If shares are to be registered in the name of a Person other than the undersigned, the undersigned will pay any transfer tax payable incident thereto. Dated: Signature: ----------------------- ------------------------- ------------------------- Signature Guarantee: --------------- _______________ (if assigned to another person) If shares are to be registered in the name of REGISTERED HOLDER name of and delivered to a Person other than the Holder, please (i) print such Person's name Please print name and address of Person's name and address and (ii) Registered Holder: provide a guarantee of Registered Holder: your signature: Name Name Address Address Social Security or other Taxpayer Identification Number, if any
Appears in 1 contract
Samples: Forward Purchase Contract Agreement (Aep Capital Trust I)