Special Payment Instructions. (If applicable—see item 4 of Instructions) To be completed ONLY if cash payments are to be mailed to a recipient OTHER than the registered holder(s). Stock must be properly assigned and signatures guaranteed. For additional payment instructions, please attach additional sheet. Mail cash payments to (please print): Name: Address: (Zip Code) * The Medallion Signature Guarantee, above, must also be completed if you designate Special Payment Instructions.
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Samples: Merger Agreement (Mercantile Bankshares Corp), Merger Agreement (Mercantile Bankshares Corp), Merger Agreement (Mercantile Bankshares Corp)
Special Payment Instructions. (If applicable—applicable — see item 4 of Instructions) To be completed ONLY if cash payments are to be mailed to a recipient OTHER than the registered record holder(s). Stock must be properly assigned and signatures guaranteed. For additional payment instructions, please attach additional sheet. Mail cash payments to (please print): Name: Address: (Zip Code) * The Medallion Signature Guarantee, above, must also be completed if you designate Special Payment Instructions.:
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