Common use of TO BE COMPLETED BY PARTICIPANT Clause in Contracts

TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Fax Number: Telephone Number: Type of order (Check Creation or Redemption please) (One Basket = 50,000 Shares) Creation: Redemption: # Of Baskets: Number: Order # Number written out: Please indicate Silver clearing agent: ¨ XX Xxxxxx ¨ Deutsche Bank ¨ HSBC ¨ Bank of Nova Scotia ¨ UBS If physical delivery, check here ¨ and contact XX Xxxxxx regarding settlement This Purchase or Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the iShares Silver 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 in such Depositary Trust Agreement (including, if this is a Purchase Order, the representations in Section 3.2 of the Depositary Trust Agreement).and in 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 Representative under the Authorized Participant Agreement and that he/she is authorized to deliver this Purchase or Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant acknowledges and agrees that that (1) once accepted by the Trustee, this Purchase or Redemption Order will become a legally binding contract for the delivery of the Basket Silver Amount per Basket, or the number of Baskets, indicated above, and that the final Basket Silver Amount will be announced at the conclusion of the trading day, and (2) any taxes (including Value Added Taxes) incurred in connection with this transaction will be the responsibility of, and will be reimbursed upon demand from the Custodian or the Trust by, the Authorized Participant. Date Authorized Person’s Signature

Appears in 4 contracts

Samples: Authorized Participant Agreement (iShares Silver Trust), Authorized Participant Agreement (iShares Silver Trust), Authorized Participant Agreement (iShares Silver Trust)

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TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: AP Unallocated Account Name: DTC Participant Number: Fax Telephone Number: Telephone Fax Number: Type of order (Check Creation or Redemption please) (One Basket CU = 50,000 Shares100,000 GLD) Creation: Redemption: Participant intends to sell or otherwise dispose of the units being created as soon, as is reasonably practicable. Creation of GLD’s Redemption of GLD’s # Of BasketsCreation Units (CU) Transacted: Number: Order # Number written out: Please indicate Silver clearing agent: ¨ XX Xxxxxx ¨ Deutsche Bank ¨ HSBC ¨ Bank of Nova Scotia ¨ UBS If physical delivery, check here ¨ and contact XX Xxxxxx regarding settlement This Purchase or Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the iShares Silver SPDR Gold 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 (including, if this is a Purchase Order, the representations in Section 3.2 of the Depositary Trust Agreement).and in and 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 Representative under the Authorized Participant Agreement and that he/she is authorized to deliver this Purchase or Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant acknowledges enters into this agreement based on an estimated Basket disseminated the previous business day and agrees that that (1) once accepted by recognizes the Trusteefinal Basket ounces of Gold represented will be decreased based on the Trusts daily accrual. When a Final NAV is calculated it will be disseminated to all Authorized Participants, and the Basket and or cash required for the creation/redemption order entered into on this Purchase or Redemption day will be finalized and this Order Form will become serve as a legally binding contract for the delivery of the Basket Silver Amount per Basket, or the number of Baskets, indicated above, and that the final Basket Silver Amount will be announced at the conclusion of the trading day, and (2) any taxes (including Value Added Taxes) incurred settlement in connection with this transaction will be the responsibility of, and will be reimbursed upon demand from the Custodian or the Trust by, the Authorized Participant2 business days. Date Authorized Person’s Signature

Appears in 1 contract

Samples: Amendment (SPDR Gold Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: Participant Unallocated Account Name: DTC Participant Number: Fax Telephone Number: Telephone Fax Number: Type of order (Check Creation or Redemption please) (One Basket CU = 50,000 Shares10,000 GLDW) Creation: Redemption: Participant intends to sell or otherwise dispose of the units being created as soon, as is reasonably practicable. Creation of GLDW’s Redemption of GLDW’s # Of BasketsCreation Units (CU) Transacted: Number: Order # Number written out: Please indicate Silver clearing agent: ¨ XX Xxxxxx ¨ Deutsche Bank ¨ HSBC ¨ Bank of Nova Scotia ¨ UBS If physical delivery, check here ¨ and contact XX Xxxxxx regarding settlement This Purchase or Redemption Order is subject to the terms and conditions of the Depositary Declaration of Trust Agreement of the iShares Silver World Currency Gold Trust as currently in effect and the Authorized Participant Agreement between the Authorized Participant, the Trustee Sponsor and the Sponsor Administrator named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement (including, if this is a Purchase Order, the representations in Section 3.2 of the Depositary Trust Agreement).and in 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 Representative under the Authorized Participant Agreement and that he/she is authorized to deliver this Purchase or Redemption Order to the Trustee Administrator on behalf of the Authorized Participant. The Authorized Participant acknowledges enters into this agreement based on an estimated Basket disseminated the previous business day and agrees that that (1) once accepted by recognizes the Trusteefinal Basket ounces of Gold represented will be decreased based on the Trust’s daily accrual. When a Final NAV is calculated it will be disseminated to all Authorized Participants, and the Basket and or cash required for the creation/redemption order entered into on this Purchase or Redemption day will be finalized and this Order Form will become serve as a legally binding contract for the delivery of the Basket Silver Amount per Basket, or the number of Baskets, indicated above, and that the final Basket Silver Amount will be announced at the conclusion of the trading day, and (2) any taxes (including Value Added Taxes) incurred settlement in connection with this transaction will be the responsibility of, and will be reimbursed upon demand from the Custodian or the Trust by, the Authorized Participant3 business days. Date Authorized Person’s Signature

Appears in 1 contract

Samples: Authorized Participant Agreement (World Currency Gold Trust)

TO BE COMPLETED BY PARTICIPANT. Name of Fund: Date: Time: Broker Name: Firm Name: Participant Unallocated Account Name: DTC Participant Number: Telephone Number: Fax Number: Telephone NumberFund Ticker: Type of order (Check Creation or Redemption please) (One Basket = 50,000 Shares) Creation: Redemption: Participant intends to sell or otherwise dispose of the units being created as soon, as is reasonably practicable. Creation of Shares Redemption of Shares # Of BasketsCreation Units (CU) Transacted: Number: Order # Number written out: Please indicate Silver Gold clearing agent: ¨ XX Xxxxxx ¨ Deutsche Check if HSBC Bank ¨ HSBC ¨ plc (required for SPDR® Long Dollar Gold Trust) Check if ICBC Standard Bank of Nova Scotia ¨ UBS If physical delivery, check here ¨ and contact XX Xxxxxx regarding settlement Plc Other (please specify clearing agent): This Purchase or Redemption Order is subject to the terms and conditions of the Depositary Declaration of Trust Agreement of the iShares Silver World Gold Trust as currently in effect and the Authorized Participant Agreement between the Authorized Participant, the Trustee Sponsor and the Sponsor Administrator named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement (including, if this is a Purchase Order, the representations in Section 3.2 of the Depositary Trust Agreement).and in 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 Representative under the Authorized Participant Agreement and that he/she is authorized to deliver this Purchase or Redemption Order to the Trustee Administrator on behalf of the Authorized Participant. The Authorized Participant acknowledges enters into this agreement based on an estimated Creation Unit disseminated the previous business day and agrees that that (1) once accepted by recognizes the Trusteefinal Creation Unit ounces of Gold represented will be decreased based on the Trust’s daily accrual. When a Final NAV is calculated it will be disseminated to all Authorized Participants, and the Creation Unit and or cash required for the creation/redemption order entered into on this Purchase or Redemption day will be finalized and this Order Form will become serve as a legally binding contract for the delivery of the Basket Silver Amount per Basket, or the number of Baskets, indicated above, and that the final Basket Silver Amount will be announced at the conclusion of the trading day, and (2) any taxes (including Value Added Taxes) incurred settlement in connection with this transaction will be the responsibility of, and will be reimbursed upon demand from the Custodian or the Trust by, the Authorized Participanttwo business days. Date Authorized Person’s Signature

Appears in 1 contract

Samples: Authorized Participant Agreement (World Gold Trust)

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TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Fax Number: Telephone Number: Type of order (Check Creation or Redemption please) (One Basket = 50,000 Shares) Creation: Redemption: # Of Baskets: Number: Order # Number written out: Please indicate Silver clearing agent: ¨ XX Xxxxxx ¨ Deutsche Bank ¨ HSBC ¨ Bank of Nova Scotia ¨ UBS If physical delivery, check here ¨ and contact XX Xxxxxx regarding settlement This Purchase or Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the iShares Silver 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 in such Depositary Trust Agreement (including, if this is a Purchase Order, the representations in Section 3.2 of the Depositary Trust Agreement).and Agreement). and in 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 Representative under the Authorized Participant Agreement and that he/she is authorized to deliver this Purchase or Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant acknowledges and agrees that that (1) once accepted by the Trustee, this Purchase or Redemption Order will become a legally binding contract for the delivery of the Basket Silver Amount per Basket, or the number of Baskets, indicated above, and that the final Basket Silver Amount will be announced at the conclusion of the trading day, and (2) any taxes (including Value Added Taxes) incurred in connection with this transaction will be the responsibility of, and will be reimbursed upon demand from the Custodian or the Trust by, the Authorized Participant. Date Authorized Person’s Signature

Appears in 1 contract

Samples: Custodian Agreement (iShares Silver Trust)

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