To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase ______ shares of the [Title of Warrant Securities] (the "Warrant Securities") of the Company and represents that he has tendered payment for such Warrant Securities [in United States dollars] [in applicable currency] [in cash] [by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] to the order of Credit Suisse First Boston (USA), Inc., c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date: Name: ------------------- ------------------------- Address ------------------------- ----------------------- (Insert Social Security or Other Identifying Number of Holder) ------------------------------ Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------
Appears in 2 contracts
Samples: Debt Warrant Agreement (Credit Suisse First Boston Usa Inc), Debt Warrant Agreement (Credit Suisse First Boston Usa Inc)
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrantsthe right, evidenced represented by this Warrant Certificate, to purchase ______ receive Class A ordinary shares of the [Title of Warrant Securities] (the "Warrant Securities") of the Company and represents that he has tendered herewith tenders payment for such Warrant Securities [in United States dollars] [in applicable currency] [in cash] [by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] Class A ordinary shares to the order of Credit Suisse First Boston Finnovate Acquisition Corp. (USA), Inc., c/o [insert name and address of Warrant Agent], the “Company”) in the amount of __________ $[●] in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities a certificate for such Class A ordinary shares be in fully registered form in the authorized denominationsname of [●], registered in whose address is [●] and that such names and Class A ordinary shares be delivered all as specified in accordance with the instructions set forth belowto [●] whose address is [●]. [If the said number of Warrants exercised Class A ordinary shares is less than all of the Warrants evidenced herebyClass A ordinary shares purchasable hereunder, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby balance of such Class A ordinary shares be issued registered in the name of [●], whose address is [●] and that such Warrant Certificate be delivered to [●], whose address is [●]. In the event that the Warrant has been called for redemption by the Company pursuant to Section 6 of the Warrant Agreement and the Company has required cashless exercise pursuant to Section 6.3 of the Warrant Agreement, the number of Class A ordinary shares that this Warrant is exercisable for shall be determined in accordance with subsection 3.3.1(b) and Section 6.3 of the Warrant Agreement. In the event that the Warrant is to be exercised on a “cashless” basis pursuant to Section 7.4 of the Warrant Agreement, the number of Class A ordinary shares that this Warrant is exercisable for shall be determined in accordance with Section 7.4 of the Warrant Agreement. In the event that the Warrant may be exercised, to the extent allowed by the Warrant Agreement, through cashless exercise (i) the number of Class A ordinary shares that this Warrant is exercisable for would be determined in accordance with the relevant section of the Warrant Agreement which allows for such cashless exercise and (ii) the holder hereof shall complete the following: The undersigned hereby irrevocably elects to exercise the right, represented by this Warrant Certificate, through the cashless exercise provisions of the Warrant Agreement, to receive Class A ordinary shares. If said number of shares is less than all of the Class A ordinary shares purchasable hereunder (after giving effect to the cashless exercise), the undersigned unless otherwise specified requests that a new Warrant Certificate representing the remaining balance of such Class A ordinary shares be registered in the instructions below.name of [●], whose address is [●] and that such Warrant Certificate be delivered to [●], whose address is [●]. Date: Name, 2021 (Signature) (Address) (Tax Identification Number) Signature Guaranteed: ------------------- ------------------------- Address ------------------------- ----------------------- THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (Insert Social Security or Other Identifying Number of HolderBANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM, PURSUANT TO S.E.C. RULE 17Ad-15 (OR ANY SUCCESSOR RULE) ------------------------------ Signature Guaranteed Signature ---------------------------- --------------------------------------- UNDER THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED). EXHIBIT B LEGEND “THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR ANY STATE SECURITIES LAWS, AND MAY NOT BE OFFERED, SOLD, TRANSFERRED OR OTHERWISE DISPOSED OF UNLESS REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, AND ANY APPLICABLE STATE SECURITIES LAWS OR AN EXEMPTION FROM REGISTRATION IS AVAILABLE. IN ADDITION, SUBJECT TO ANY ADDITIONAL LIMITATIONS ON TRANSFER DESCRIBED IN THE LETTER AGREEMENT BY AND AMONG FINNOVATE ACQUISITION CORP. (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bankTHE “COMPANY”), trust company or member broker of the New York, Midwest or Pacific Stock ExchangeFINNOVATE SPONSOR L.P. AND THE OTHER PARTIES THERETO. THE SECURITIES REPRESENTED HEREBY MAY NOT BE SOLD OR TRANSFERRED PRIOR TO THE DATE THAT IS AFTER THE DATE UPON WHICH THE COMPANY COMPLETES ITS INITIAL BUSINESS COMBINATION (AS DESCRIBED IN THE WARRANT AGREEMENT REFERRED TO HEREIN) The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------EXCEPT TO A PERMITTED TRANSFEREE (AS DEFINED IN SECTION 2.6 OF THE WARRANT AGREEMENT) WHO AGREES IN WRITING WITH THE COMPANY TO BE SUBJECT TO SUCH TRANSFER PROVISIONS. SECURITIES EVIDENCED HEREBY AND CLASS A ORDINARY SHARES OF THE COMPANY ISSUED UPON EXERCISE OF SUCH SECURITIES SHALL BE ENTITLED TO REGISTRATION RIGHTS UNDER A REGISTRATION RIGHTS AGREEMENT TO BE EXECUTED BY THE COMPANY.” NO. WARRANT
Appears in 2 contracts
Samples: Warrant Agreement (Finnovate Acquisition Corp.), Warrant Agreement (Finnovate Acquisition Corp.)
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase ______ shares of the [Title of Warrant Securities] (the "Warrant Securities") of the Company IndyMac Bancorp, Inc. and represents that he has tendered payment for such Warrant Securities [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA)IndyMac Bancorp, Inc., c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: Name: ------------------- ------------------------- Name ------------------------------------- ------------------------------ Address ------------------------- ----------------------- -------------------------------------------- -------------------------- (Insert Social Security or Other Identifying Number of Holder) ------------------------------ ---------------------------------- Signature Guaranteed -------------------------------------------- Signature ---------------------------- --------------------------------------- ------------------------- (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific York Stock Exchange) The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ --------------------------------------------------------------------- --------------------------------------------------------------------- --------------------------------------------------------------------- --------------------------------------------------------------------- By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at --------------------------------------------------------------------- --------------------------------------------------------------------- --------------------------------------------------------------------- --------------------------------------------------------------------- [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificates evidencing unexercised Warrants -- complete as appropriate.]
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase __________ shares of the [Title of Warrant Securities] (the "Warrant Securities") of the Company Union Planters Corporation and represents that he has tendered payment for such Warrant Securities in Dollars [in United States dollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA), Inc.Union Planters Corporation, c/o [insert name and address of Warrant Agent], in the amount of _______________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: _________________ Name: ------------------- ------------------------- Address ------------------------- ----------------------- _________________________________ ______________________________ Address: ______________________________ (Insert Social Security or Other other Identifying Number of Holder) ------------------------------ Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------)
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase ______ shares of the [Title of Warrant Securities] (the "Warrant Securities") of the Xxxxx Fargo & Company and represents that he has tendered payment for such Warrant Securities [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA), Inc.Xxxxx Fargo & Company, c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: Name: ------------------- ------------------------- _________________________ Name _____________________________ ________________________________ Address ------------------------- ----------------------- __________________________ (Insert Social Security or Other Identifying Number of Holder) ------------------------------ __________________________ Signature Guaranteed ____________________ Signature ---------------------------- --------------------------------------- ------------------------- (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest York or Pacific Chicago Stock Exchange) The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificates evidencing unexercised Warrants -- complete as appropriate.]
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase _________ shares of the [Title of Warrant Securities] (the "Warrant Securities") of the Company Norwest Corporation and represents that he has tendered payment for such Warrant Securities [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA), Inc.Star Banc Corporation, c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date: Name: ------------------- ------------------------- Address ------------------------- ----------------------- . ____________________________________ Address_______________________________ (Insert Social Security or Other Identifying Number of Holder) ------------------------------ _______________________________ Signature Guaranteed Signature ---------------------------- --------------------------------------- ____________________ Signature_____________________________ (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificates evidencing unexercised Warrants --complete as appropriate.]
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase _________ shares of the [Title of Warrant Securities] (the "Warrant Securities") of the Company Xxxxxx Xxxxxx Corporation and represents that he has tendered payment for such Warrant Securities [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA), Inc.Xxxxxx Xxxxxx Corporation, c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: Name: ------------------- ------------------------- _________________________ Name ________________________________ ________________________________ Address ------------------------- ----------------------- _____________________________ (Insert Social Security or Other Identifying Number of Holder) ------------------------------ _____________________________ Signature Guaranteed _________________________ Signature ---------------------------- --------------------------------------- ____________________________ (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificates evidencing unexercised Warrants -- complete as appropriate.]
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase ________ shares principal amount of the [Title of Warrant Securities] (the "Warrant Securities") of the Company Star Banc Corporation and represents that he has tendered payment for such Warrant Securities in [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA), Inc.Star Banc Corporation, c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in [bearer] [fully registered registered] form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If However, unless otherwise designated by the number of Warrants exercised is less than all Company, Warrant Securities in bearer form shall be delivered to or upon the order of the Warrants evidenced hereby, the undersigned requests that a new holder of such Warrant Certificate representing only outside the remaining Warrants evidenced hereby be issued United States and delivered to the undersigned unless otherwise specified in the instructions belowits possessions.] DateDated: ___________________ Name: ------------------- ------------------------- Address ------------------------- ----------------------- ______________________________________________ __________________________ Address___________________________________________ (Insert Social Security or Other Identifying Number ___________________________________________ of Holder) ------------------------------ Signature___________________________________ [If registered Warrant -- [If registered Warrant -- Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in all __________________________] respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) )] The Warrants evidenced hereby may be exercised at the following addressesaddress: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificate evidencing unexercised Warrants -- complete as appropriate.]
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise ______________ Warrants, evidenced by this Warrant Certificate, to purchase _________ shares principal amount of the [Title of Warrant Securities] (the "Warrant Securities") of the Company Fingerhut Companies, Inc. and represents that he has tendered payment for such Warrant Securities in [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA)Fingerhut Companies, Inc., c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: Name: ------------------- ------------------------- Name ----------------------- ----------------------------------- Address ------------------------- ----------------------- ------------------------------ -------------------------------- (Insert Social Security or Other Identifying Number of Holder) Signature ------------------------------ Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in all respects to name of holder ------------------------------ as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific York Stock Exchange) )] The Warrants warrants evidenced hereby may be exercised at the following addressesaddress: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ --------------------------------------------------- --------------------------------------------------- --------------------------------------------------- --------------------------------------------------- By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at --------------------------------------------------- --------------------------------------------------- --------------------------------------------------- --------------------------------------------------- [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificate evidencing unexercised Warrants -- complete as appropriate.] Assignment
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase ______ shares principal amount of the [Title of Warrant Securities] (the "Warrant Securities") of the X.X. Xxxxxx Company and represents that he has tendered payment for such Warrant Securities in [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA), Inc.[____________________], c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: Name: ------------------- ------------------------- ______________________ Name ___________________________________ ______________________________ Address ------------------------- ----------------------- ________________________________ (Insert Social Security or Other Identifying Number of Holder) ------------------------------ ________________________________ Signature ___________________________ Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in ___________________________ all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) )] The Warrants warrants evidenced hereby may be exercised at the following addressesaddress: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificate evidencing unexercised Warrants -- complete as appropriate.] Assignment
Appears in 1 contract
Samples: Warrant Agreement (Fuller H B Co)
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase _________ shares of the [Title of Warrant Securities] (the "Warrant Securities") of the Company United HealthCare Corporation and represents that he has tendered payment for such Warrant Securities [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [transfer in immediately available funds] to the order of Credit Suisse First Boston (USA), Inc.United HealthCare Corporation, c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: Name: ------------------- ------------------------- -------------------------- (Please Print) Address ------------------------- ----------------------- -------------------------------- (Insert Social Security or Other Identifying Number of Holder) ------------------------------ Signature Guaranteed ------------------------------------------- Signature ---------------------------- --------------------------------------- ([For registered Warrants -- Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) The Warrants evidenced hereby This Warrant may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ By mail atat [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificates evidencing unexercised Warrants - complete as appropriate.] ASSIGNMENT (Form of assignment to be executed if Warrant Holder desires to transfer Warrant) FOR VALUE RECEIVED, ___________ hereby sells, assigns and transfers unto: ------------------------------------------------------ ------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------------------------- Print or Type Name -------------------------------------------------------------------------------- Xxxxxx Xxxxxxx -------------------------------------------------------------------------------- Xxxx Xxxxx Zip Code -------------------------------------------------------------------------------- Social Security or other Identifying Number the right represented by the within Warrant to purchase _____ Shares of Common Stock ($_____ par value) of United HealthCare Corporation to which the within Warrant relates and appoints ______________ attorney to transfer such right on the books of the Warrant Agent with full power of substitution in the premises. Dated:_____________ ----------------------------------- Signature (Signature must conform in all respects to name of holder as specified on the face of the Warrant) Signature Guaranteed
Appears in 1 contract
Samples: Warrant Agreement (Uhc Capital I)
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise Warrants, evidenced by this Warrant Certificate, to purchase $__________ Warrants, evidenced by this Warrant Certificate, to purchase ______ shares principal amount of the [Title of Warrant SecuritiesNotes] (the "Warrant SecuritiesNotes") of the Company Avaya Inc. and represents that he has tendered payment for such Warrant Securities Notes [in United States dollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case,] [by bank wire transfer] [in immediately available funds] to the order of Credit Suisse First Boston (USA), Inc., Avaya Inc. c/o [insert name and address of Warrant Agent], in the amount of __$________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities Notes be in [bearer form in the authorized denominations] [fully registered form in the authorized denominations, registered in such names and delivered aid delivered] all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned undersigned, unless otherwise specified in ;n the instructions below.] Date. Dated: Name: ------------------- ------------------------- Name --------------------------- ----------------------------- (Please Print) Address ------------------------- ----------------------- (Insert --------------------------------- ---------------------- Social Security or Other other Identifying Number of Holder) ------------------------------ -------------------------- Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) ------------------------ The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ at: ------------------------------------------------------------- ------------------------------------------------------------- ------------------------------------------------------------- ------------------------------------------------------------- By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at --------------------------------------------------------------------- --------------------------------------------------------------------- --------------------------------------------------------------------- --------------------------------------------------------------------- [Instructions as to form and delivery of Warrant Notes and, if applicable, Warrant Certificates evidencing unexercised Warrants -- complete as appropriate.] [If Registered Warrant]
Appears in 1 contract
Samples: Warrant Agreement (Avaya Inc)
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase _________ shares principal amount of the [Title of Warrant Securities] (the "Warrant Securities") of the Company Xxxxxx Xxxxxx Corporation and represents that he has tendered payment for such Warrant Securities in [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA), Inc.Xxxxxx Xxxxxx Corporation, c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: Name: ------------------- ------------------------- Name ----------------------------- ------------------------------ Address ------------------------- ----------------------- ----------------------------------- --------------------------- (Insert Social Security or Other Identifying Number --------------------------- of Holder) ------------------------------ A-4 Signature ----------------------------------- Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in ------------------------ all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) )] The Warrants warrants evidenced hereby may be exercised at the following addressesaddress: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------------ ------------------------------------------------------------ ------------------------------------------------------------ ------------------------------------------------------------ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at ------------------------------------------------------------ ------------------------------------------------------------ ------------------------------------------------------------ ------------------------------------------------------------ [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificate evidencing unexercised Warrants -- complete as appropriate.]
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase ______ shares $ principal amount of the [Title of Warrant Securities] (the "Warrant Securities") of the Company Xxxxxx Xxxxxx Companies Inc. and represents that he has tendered payment for such Warrant Securities [in United States dollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case,] [by bank wire transfer] [in immediately available funds] to the order of Credit Suisse First Boston (USA), Xxxxxx Xxxxxx Companies Inc., c/o [insert name and address of Warrant Agent], in the amount of __________ $ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions instruction below.] Date. Dated: Name: ------------------- ------------------------- Address ------------------------- ----------------------- ______________________________ (Please Print) Address___________________________ ________________________________ (Insert Social Security or Other Identifying Number of Holder) ------------------------------ __________________________________ Signature_________________________ The Warrants evidenced hereby may be exercised at the following addresses: By hand at__________________________________________ __________________________________________ __________________________________________ __________________________________________ By mail at__________________________________________ __________________________________________ __________________________________________ __________________________________________ [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificates evidencing unexercised Warrants--complete as appropriate.] Assignment (Form of Assignment To Be Executed if Holder Desires To Transfer Warrants Evidenced Hereby) FOR VALUE RECEIVED hereby sells, assigns and transfers unto ________________________________________________________________________________ (Please print name and address including zip code) ________________________________________________ (Please insert social security or other identifying number) ________________________________________________________________________________ the Warrants represented by the within Warrant Certificate and does hereby irrevocably constitute and appoint Attorney, to transfer said Warrant Certificate on the books of the Warrant Agent with full power of substitution in the premises. Dated: ________________________________________________ Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, the American, Midwest or Pacific Stock Exchange.) The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------Signature Guaranteed:
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, Warrants evidenced by this Warrant Certificate, to purchase _________ shares of the [Title of Warrant Securities] (the "Warrant Securities") of the Company Alexander & Alexander Services Inc. and represents that he has tendered payment for such Warrant Securities [in United States dollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [], in immediately available funds] , to the order of Credit Suisse First Boston (USA), Alexander & Alexander Services Inc., c/o [insert name and address of Warrant Agent], in the amount of __________ (currency) in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form and in the authorized denominations, registered in such names and delivered delivered, all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: Name: ------------------- ------------------------- Name ________________________ (Please Print) _________________________ Address ------------------------- ----------------------- (Insert ______________________ Social Security Number or ______________________ Other Identifying Number of Holder) ------------------------------ ______________________ Holder Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) _____________________ The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ ____________________________________________ -------------------------------------------- -------------------------------------------- By mail atat ____________________________________________ -------------------------------------------- -------------------------------------------- [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificates evidencing unexercised Warrants -- complete as appropriate.] *Certificate for Delivery of Bearer Warrant Securities ALEXANDER & ALEXANDER SERVICES INC. Warrant Securities TO: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------Alexander & Alexander Services Inc. c/o as Trustee
Appears in 1 contract
Samples: Alexander & Alexander Services Inc
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase _________ shares of the [Title of Warrant Securities] (the "Warrant Securities") of the Company Fingerhut Companies, Inc. and represents that he has tendered payment for such Warrant Securities [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA)Fingerhut Companies, Inc., c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: Name: ------------------- ------------------------- ___________________________ Name __________________________________ __________________________________ Address ------------------------- ----------------------- _______________________________ (Insert Social Security or Other Identifying Number of Holder) ------------------------------ _______________________________ Signature Guaranteed _________________________ Signature ---------------------------- --------------------------------------- ____________________________ (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific York Stock Exchange) The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificates evidencing unexercised Warrants -- complete as appropriate.]
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase ______ shares principal amount of the [Title of Warrant SecuritiesSecurities ] (the "Warrant Securities") of the Company K. Hovnanian Enterprises, Inc. and represents that he has tendered payment for xxxxxxx xxx such Warrant Securities in Dollars [in United States dollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA)K. Hovnanian Enterprises, Inc., c/o , [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in fully registered form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date: Name: ------------------- ------------------------- Address ------------------------- ----------------------- . Dated:_____________________ Name ____________________________________ Address__________________________________ (Insert Social Security or Other Identifying Number of __________________________________ Holder) ------------------------------ Signature________________________________ [If registered Warrant -- [If registered Warrant -- Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in all _____________________________] respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific Stock Exchange) Exchanges] The Warrants evidenced hereby may be exercised at the following addresses: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ ___________________________________ ___________________________________ ___________________________________ ___________________________________ By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at ___________________________________ ___________________________________ ___________________________________ ___________________________________ [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificated evidencing unexercised Warrants -- complete as appropriate.]
Appears in 1 contract
To Be Executed Upon Exercise of Warrant. The undersigned hereby irrevocably elects to exercise __________ Warrants, evidenced by this Warrant Certificate, to purchase ________ shares principal amount of the [Title of Warrant Securities] (the "Warrant Securities") of the Company IndyMac Bancorp, Inc. and represents that he has tendered payment for such Warrant Securities in [in United States dollarsDollars] [in applicable currency] [in cash] [cash or by certified check or official bank check or by bank wire transfer, in each case] [by bank wire transfer] [in immediately available funds] funds to the order of Credit Suisse First Boston (USA)IndyMac Bancorp, Inc., c/o [insert name and address of Warrant Agent], in the amount of __________ in accordance with the terms hereof. The undersigned requests that said principal amount of Warrant Securities be in [bearer] [fully registered registered] form in the authorized denominations, registered in such names and delivered all as specified in accordance with the instructions set forth below. [However, unless otherwise designated by the Company, Warrant Securities in bearer form shall be delivered to or upon the order of the holder of such Warrant Certificate only outside the United States and its possessions.] If the number of Warrants exercised is less than all of the Warrants evidenced hereby, the undersigned requests that a new Warrant Certificate representing the remaining Warrants evidenced hereby be issued and delivered to the undersigned unless otherwise specified in the instructions below.] Date. Dated: Name: ------------------- ------------------------- Name --------------------------- -------------------------------- Address ------------------------- ----------------------- ---------------------------------- ----------------------------- (Insert Social Security or Other Identifying Number of HolderNumber) ------------------------------ Signature --------------------------- [If Registered Warrant -- [If registered Warrant - Signature Guaranteed Signature ---------------------------- --------------------------------------- (Signature must conform in all respects to name of holder as ] specified on the face of this ------------------------------------- Warrant Certificate and must bear a signature guarantee by a bank, trust company or member broker of the New York, Midwest or Pacific York Stock Exchange) )] The Warrants warrants evidenced hereby may be exercised at the following addressesaddress: By hand at ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ ---------------------------------------------------- ---------------------------------------------------- ---------------------------------------------------- ---------------------------------------------------- By mail at: ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------at ---------------------------------------------------- ---------------------------------------------------- ---------------------------------------------------- ---------------------------------------------------- [Instructions as to form and delivery of Warrant Securities and, if applicable, Warrant Certificate evidencing unexercised Warrants -- complete as appropriate.] [If registered Warrant] Assignment
Appears in 1 contract