Common use of TO BE COMPLETED BY PARTICIPANT Clause in Contracts

TO BE COMPLETED BY PARTICIPANT. Date: Broker Name: DTC Participant Number: Telephone Number: Time: Firm Name: Fax Number: (One Basket = 50,000 FXY Shares) Number of Baskets Surrendered: Order # Number written out: This Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Japanese Yen Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Japanese Yen Amount disseminated the previous business day and recognizes the final Basket Japanese Yen Amount represented will be decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final NAV will be disseminated to all Authorized Participants, and the Basket Japanese Yen Amount required for the Redemption Order entered into on this day will be finalized and this Redemption Order will serve as a legally binding contract for settlement on the third New York business day following the date hereof, unless that day is not a business day in Japan, in which case settlement will be the next following day that is a business day in both New York and Japan. Date Authorized Person’s Signature

Appears in 4 contracts

Samples: Participant Agreement (Currencyshares Japanese Yen Trust), Participant Agreement (Currencyshares Japanese Yen Trust), Participant Agreement (Currencyshares Japanese Yen Trust)

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TO BE COMPLETED BY PARTICIPANT. Date: Broker Name: DTC Participant Number: Telephone Number: Time: Firm Name: Fax Number: (One Basket = 50,000 FXY Shares) Number of Baskets SurrenderedTransacted: Order # Number written out: This Redemption Purchase Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Japanese Yen Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Purchase Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Japanese Yen Amount disseminated the previous business day and recognizes the final Basket Japanese Yen Amount represented will be decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final NAV will be disseminated to all Authorized Participants, and the Basket Japanese Yen Amount required for the Redemption Purchase Order entered into on this day will be finalized and this Redemption Purchase Order will serve as a legally binding contract for settlement on the third New York business day following the date hereof, unless that day is not a business day in Japan, in which case settlement will be the next following day that is a business day in both New York and Japan. Date Authorized Person’s Signature

Appears in 4 contracts

Samples: Participant Agreement (Currencyshares Japanese Yen Trust), Participant Agreement (Currencyshares Japanese Yen Trust), Participant Agreement (Currencyshares Japanese Yen Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Fax Number: Telephone Number: Time: Firm Name: Fax Type of Order (Check Creation or Redemption): Creation of FXY Redemption of FXY Number of Creation Units (CU) Transacted (One CU = 50,000 FXY): Number: (One Basket = 50,000 FXY Shares) Number of Baskets SurrenderedWritten Out: Order # Number written out: This Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares CurrencyShares® Japanese Yen Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such the Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Japanese Yen Amount disseminated the previous business day and recognizes the final Basket Japanese Yen Amount represented will be increased or decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final Final NAV will be disseminated to all Authorized Participants, and the Basket Japanese Yen Amount and Transaction Fee required for the Redemption Order creation/redemption order entered into on this day will be finalized and this Redemption Order will serve as a legally binding contract for settlement on in 2 business days or as otherwise set forth in the third New York business day following the date hereof, unless that day is not a business day in Japan, in which case settlement will be the next following day that is a business day in both New York and JapanParticipant Agreement. Date Authorized Person’s Signature

Appears in 4 contracts

Samples: Participant Agreements (Currencyshares Australian Dollar Trust), Participant Agreements (Currencyshares British Pound Sterling Trust), Participant Agreements (Currencyshares Euro Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Telephone Fax Number: Time: Firm Name: Fax Telephone Number: (One Basket = 50,000 FXY FXCH Shares) Number of Baskets Surrendered: Order # Number written out: This Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Japanese Yen CurrencyShares® Chinese Renminbi Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Japanese Yen Chinese Renminbi Amount disseminated the previous business day and recognizes the final Basket Japanese Yen Chinese Renminbi Amount represented will be decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final NAV will be disseminated to all Authorized Participants, and the Basket Japanese Yen Chinese Renminbi Amount required for the Redemption Order entered into on this day will be finalized and this Redemption Order will serve as a legally binding contract for settlement on the third New York business day following the date hereof, unless that day is not a business day in JapanChina, in which case settlement will be the next following day that is a business day in both New York and JapanChina. Date Authorized Person’s Signature

Appears in 2 contracts

Samples: Participant Agreement (Currencyshares Chinese Renminbi Trust), Participant Agreement (Currencyshares Chinese Renminbi Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Telephone Fax Number: Time: Firm Name: Fax Telephone Number: (One Basket = 50,000 FXY FXCH Shares) Number of Baskets SurrenderedTransacted: Order # Number written out: This Redemption Purchase Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Japanese Yen CurrencyShares® Chinese Renminbi Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Purchase Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Japanese Yen Chinese Renminbi Amount disseminated the previous business day and recognizes the final Basket Japanese Yen Chinese Renminbi Amount represented will be decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final NAV will be disseminated to all Authorized Participants, and the Basket Japanese Yen Chinese Renminbi Amount required for the Redemption Purchase Order entered into on this day will be finalized and this Redemption Purchase Order will serve as a legally binding contract for settlement on the third New York business day following the date hereof, unless that day is not a business day in JapanChina, in which case settlement will be the next following day that is a business day in both New York and JapanChina. Date Authorized Person’s Signature

Appears in 2 contracts

Samples: Participant Agreement (Currencyshares Chinese Renminbi Trust), Participant Agreement (Currencyshares Chinese Renminbi Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Broker Name: DTC Participant Number: Telephone Number: Time: Firm Name: Fax Number: Type of Order (Check Creation or Redemption): Creation of FXY Redemption of FXY Number of Creation Units (CU) Transacted (One Basket CU = 50,000 FXY Shares) FXY): Number: Number of Baskets SurrenderedWritten Out: Order # Number written out: This Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares CurrencyShares® Japanese Yen Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such the Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Japanese Yen Amount disseminated the previous business day and recognizes the final Basket Japanese Yen Amount represented will be increased or decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final Final NAV will be disseminated to all Authorized Participants, and the Basket Japanese Yen Amount and Transaction Fee required for the Redemption Order creation/redemption order entered into on this day will be finalized and this Redemption Order will serve as a legally binding contract for settlement on in 2 business days or as otherwise set forth in the third New York business day following the date hereof, unless that day is not a business day in Japan, in which case settlement will be the next following day that is a business day in both New York and JapanParticipant Agreement. Date Authorized Person’s Signature

Appears in 1 contract

Samples: Participant Agreements (Currencyshares Swiss Franc Trust)

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TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Telephone Fax Number: Time: Firm Name: Fax Telephone Number: (One Basket = 50,000 FXY FX[ ] Shares) Number of Baskets SurrenderedTransacted: Order # Number written out: This Redemption Purchase Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Japanese Yen Hong Kong Dollar Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Purchase Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Japanese Yen Hong Kong Dollar Amount disseminated the previous business day and recognizes the final Basket Japanese Yen Hong Kong Dollar Amount represented will be decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final NAV will be disseminated to all Authorized Participants, and the Basket Japanese Yen Hong Kong Dollar Amount required for the Redemption Purchase Order entered into on this day will be finalized and this Redemption Purchase Order will serve as a legally binding contract for settlement on the third New York business day following the date hereof, unless that day is not a business day in JapanHong Kong, in which case settlement will be the next following day that is a business day in both New York and JapanHong Kong. Date Authorized Person’s Signature

Appears in 1 contract

Samples: Currencysharessm Hong (CurrencyShares Hong Kong Dollar Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Telephone Fax Number: Time: Firm Name: Fax Telephone Number: (One Basket = 50,000 FXY FX[ ] Shares) Number of Baskets Surrendered: Order # Number written out: This Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Japanese Yen Hong Kong Dollar Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Japanese Yen Hong Kong Dollar Amount disseminated the previous business day and recognizes the final Basket Japanese Yen Hong Kong Dollar Amount represented will be decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final NAV will be disseminated to all Authorized Participants, and the Basket Japanese Yen Hong Kong Dollar Amount required for the Redemption Order entered into on this day will be finalized and this Redemption Order will serve as a legally binding contract for settlement on the third New York business day following the date hereof, unless that day is not a business day in JapanHong Kong, in which case settlement will be the next following day that is a business day in both New York and JapanHong Kong. Date Authorized Person’s Signature

Appears in 1 contract

Samples: Currencysharessm Hong (CurrencyShares Hong Kong Dollar Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Broker Name: DTC Participant Number: Telephone Number: Time: Firm Name: Fax Number: Type of order (Check Creation or Redemption please) (One Basket CU = 50,000 FXY SharesFXY) Number Creation of Baskets SurrenderedFXY’s # Of Creation Units (CU) Transacted: Order # Redemption of FXY’s Number: Number written out: This Redemption Purchase Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Japanese Yen Currency Trust as currently in effect and the Authorized Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth Forth in such Depositary Trust Agreement and such the Authorized Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person Representative under the Authorized Participant Agreement and that he/she is authorized to deliver this Redemption Purchase Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Japanese Yen Amount amount disseminated the previous business day and recognizes the final Basket ounces of Japanese Yen Amount represented will be decreased based on the Trust’s Trusts daily accrual. At the conclusion of the trading day a final Final NAV will be disseminated to all Authorized Participants, and the Basket Japanese Yen Amount amount required for the Redemption Order creation/redemption order entered into on this day will be finalized and this Redemption Order Form will serve as a legally binding contract for settlement on the third New York in 3 business day following the date hereof, unless that day is not a business day in Japan, in which case settlement will be the next following day that is a business day in both New York and Japandays. Date Authorized Person’s Signature

Appears in 1 contract

Samples: Participant Agreement (Currencyshares Japanese Yen Trust)

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