Common use of TO BE COMPLETED BY TRUSTEE Clause in Contracts

TO BE COMPLETED BY TRUSTEE. This certifies that the above order has been: Accepted by the Trustee Declined by the Trustee – Reason: Final # of Canadian Dollars Final # of FXC Shares Final Cash Due to Trustee Final Cash Due to AP Date Time Authorized Signature of Trustee CONTACT INFORMATION FOR ORDER EXECUTION: Telephone order number: (718) 315 - 7500 Fax order number: (732) 667 - 9478 / Alt. Fax: (718) 315 - 3080 Custodian Instructions (000-000-0000) / SWIFT XXXXXX0X Participant must complete all items in Part I. The Trustee and/or Transfer Agent, in their discretion may reject any order not submitted in complete form.

TO BE COMPLETED BY TRUSTEE. This certifies that the above order has been: Accepted by the Trustee Declined by the Trustee – Reason: Final # of Canadian Dollars Final Cash Due to Trustee Final # of FXC Shares Final Cash Due to Trustee Final Cash Due to AP Date Time Authorized Signature of Trustee CONTACT INFORMATION FOR ORDER EXECUTION: Telephone order number: (718) 315 - 7500 Fax order number: (732) 667 - 9478 / Alt. Fax: (718) 315 - 3080 Custodian Instructions (000-000-0000) / SWIFT XXXXXX0X Participant must complete all items in Part I. The Trustee and/or Transfer Agent, in their discretion may reject any order not submitted in complete form.