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EXHIBIT 99.8
THIRD AMENDMENT TO TRUST AGREEMENT BETWEEN
FIDELITY MANAGEMENT TRUST COMPANY AND
GENENTECH, INC.
THIS THIRD AMENDMENT, dated as of the eighth day of May, 1996, by and
between Fidelity Management Trust Company (the "Trustee") and Genentech, Inc.
(the "Sponsor");
WITNESSETH:
WHEREAS, the Trustee and the Sponsor heretofore entered into a trust
agreement dated July 1, 1991, with regard to the Genentech, Inc. Tax Reduction
Investment Plan (the "Plan"), and subsequently amended said trust agreement as
of May 1, 1994 and as of December 1, 1995 (said trust agreement as amended being
referred to herein as the "Trust Agreement"); and
WHEREAS, the Trustee and the Sponsor now desire to amend said Trust
Agreement as provided for in Section 15 thereof;
NOW THEREFORE, in consideration of the above premises the Trustee and
the Sponsor hereby amend the Trust Agreement by;
(1) Amending Section 5 by insetting a new Section 5(b) and
renumbering all subsequent sections accordingly:
(b) Member Withdrawal or Distribution Requests. The
Sponsor hereby directs that, pursuant to the Plan, a Member
withdrawal or distribution request (in-service or full
withdrawal) may be made by the Member via telephone and the
Trustee shall process such request only after the identity of
the Member is verified by use of a personal identification
number ("PIN") and social security number. The Trustee shall
process such withdrawal in accordance with the written
guidelines in the Plan, a copy of which has been provided to
the Trustee, and in the Plan's summary plan description
("SPD"), a copy of which has been provided to the Trustee by
the Sponsor.
(2) Amending and restating Section 6(e), in its entirety, as
follows:
(e) Sponsor Stock. Trust investments in Sponsor Stock
shall be made via the Genentech Stock Fund (the "Stock Fund")
which shall consist of shares of Sponsor
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Stock and short-term liquid investments, including Fidelity
Institutional Cash Portfolios: Money Market Portfolio: Class A
or such other Mutual Fund or commingled money market pool as
agreed to by the Sponsor and Trustee, necessary to satisfy the
Fund's cash needs for transfers and payments. A cash target
range shall be maintained in the Stock Fund. Such target range
may be changed as agreed to in writing by the Sponsor and the
Trustee. The Trustee is responsible for ensuring that the
actual cash held in the Stock Fund falls within the agreed
upon range over time. Each Member's proportional interest in
the Stock Fund shall be measured in units of participation,
rather than shares of Sponsor Stock. Such units shall
represent a proportionate interest in all of the assets of the
Stock Fund, which includes shares of Sponsor Stock, short-term
investments and at times, receivables for dividends and/or
Sponsor Stock sold and payables for Sponsor Stock purchased. A
Net Asset Value ("NAV") per unit will be determined daily for
each unit outstanding of the Stock Fund. The return earned by
the Stock Fund will represent a combination of the dividends
paid on the shares of Sponsor Stock held by the Stock Fund,
gains or losses realized on sales of Sponsor Stock,
appreciation or depreciation in the market price of those
shares owned, and interest on the short-term investments held
by the Stock Fund. Dividends received by the Stock Fund shall
be reinvested by the Trustee in additional shares of Sponsor
Stock. Investments in Sponsor Stock shall be subject to the
following limitations:
(i) Acquisition Limit. Pursuant to the Plan, the
Trust may be invested in Sponsor Stock to the extent necessary
to comply with investment directions under Section 6(c) of
this Agreement.
(ii) Fiduciary Duty of Committee. The Committee shall
continually monitor the suitability under the fiduciary duty
rules of section 404(a)(1) of ERISA (as modified by section
404(a)(2) of ERISA) of acquiring and holding Sponsor Stock.
The Trustee shall not be liable for any loss, or by reason of
any breach, which arises from the directions of the Committee
with respect to the acquisition and holding of Sponsor Stock,
unless the actions to be taken under those directions would be
prohibited by the foregoing
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fiduciary duty rules or would be contrary to the terms of the
Plan or this Agreement.
(iii) Execution of Purchases and Sales.
(A) Purchases and sales of Sponsor Stock (other
than for exchanges) shall be made on the open market on the
date on which the Trustee receives from the Sponsor in good
order all information and documentation necessary to
accurately effect such purchases and sales (or, in the case of
purchases, the subsequent date on which the Trustee has
received a wire transfer of the funds necessary to make such
purchases). Exchanges of Sponsor Stock shall be made in
accordance with the Telephone Exchange Guidelines attached
hereto as Schedule "F". Such general rules shall not apply in
the following circumstances:
(1) If the Trustee is unable to determine
the number of shares required to be purchased or sold on such
day; or
(2) If the Trustee is unable to purchase or
sell the total number of shares required to be purchased or
sold on such day as a result of market conditions; or
(3) If the Trustee is prohibited by the
Securities and Exchange Commission, the New York Stock
Exchange, or any other regulatory body from purchasing or
selling any or all of the shares required to be purchased or
sold on such day.
In the event of the occurrence of the circumstances described
in (1), (2), or (3) above, the Trustee shall purchase or sell
such shares as soon as possible thereafter and shall determine
the price of such purchases or sales to be the average
purchase or sales price of all such shares purchased or sold,
respectively. The Trustee may follow directions from the
Committee to deviate from the above purchase and sale
procedures provided that such direction is made in writing by
the Committee.
(B) Purchases and Sales from or to Sponsor.
If directed by the Sponsor in writing prior to the trading
date, the Trustee may purchase or sell Sponsor
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Stock from or to the Sponsor if the purchase or sale is for
adequate consideration (within the meaning of section 3(18) of
ERISA) and no commission is charged. If Sponsor contributions
or contributions made by the Sponsor on behalf of the Members
under the Plan are to be invested in Sponsor Stock, the
Sponsor may transfer Sponsor Stock in lieu of cash to the
Trust. In either case, the number of shares to be transferred
will be determined by dividing the total amount of Sponsor
Stock to be purchased or sold by the closing price of the
Sponsor Stock on any national securities exchange on the
trading date.
(C) Use of an Affiliated Broker. The Sponsor
hereby directs the Trustee to use Fidelity Brokerage Services,
Inc. ("FBSI") to provide brokerage services in connection with
any purchase or sale of Sponsor Stock in accordance with
directions from Members. FBSI shall execute such directions
directly or through its affiliate, National Financial Services
Company ("NFSC"). The provision of brokerage services shall be
subject to the following:
(1) As consideration for such brokerage
services, the Sponsor agrees that FBSI shall be entitled to
remuneration under this authorization provision in the amount
of three and one-half cents ($.035) commission on each share
of Sponsor Stock. Any change in such remuneration may be made
only by a signed agreement between Sponsor and Trustee.
(2) Following the procedures set forth in
Department of Labor Prohibited Transaction Class Exemption
86-128, the Trustee will provide the Sponsor with the
following documents: (1) a description of FBSI's brokerage
placement practices; (2) a copy of PTCE 86-128; and (3) a form
by which the Sponsor may terminate this authorization to use a
broker affiliated with the Trustee in accordance with
subsection (iv) below. The Trustee annually will provide the
Sponsor with this termination form, and an annual report which
summarizes all securities transaction-related charges incurred
by the Plan and the Plan's annualized turnover rate.
(3) Any successor organization of FBSI,
through reorganization, consolidation, merger or
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similar transactions, shall, upon consumption of such
transaction, become the successor broker in accordance with
the terms of this authorization provision.
(4) The Trustee and FBSI shall continue to
rely on this authorization provision until notified to the
contrary as provided for herein. The Sponsor reserves the
right in its sole discretion to terminate this authorization
upon sixty (60) days prior written notice to FBSI (or its
successor) and the Trustee, in accordance with Section 13 of
this Agreement.
(iv) Securities Law Reports. The Committee
shall be responsible for filing all reports required under
Federal or state securities laws with respect to the Trust's
ownership of Sponsor Stock, including, without limitation, any
reports required under section 13 or 16 of the Securities
Exchange Act of 1934, and shall immediately notify the Trustee
in writing of any requirement to stop purchases or sales of
Sponsor Stock pending the filing of any report. The Trustee
promptly shall provide to the Committee such accurate and
complete information on the Trust's ownership of Sponsor Stock
as the Committee may reasonably request in order to file such
reports and otherwise to comply with Federal or state
securities laws.
(v) Voting and Tender Offers. Notwithstanding
any other provision of this Agreement, the provisions of this
Section shall govern the voting and tendering of Sponsor
Stock. The Sponsor, after consultation with the Trustee, shall
provide and pay for all printing, mailing, tabulation and
other costs associated with the voting and tendering of
Sponsor Stock.
(A) Voting.
(1) With respect to Pass-Through Issues
(as hereinafter defined), all Sponsor Stock in the Trust shall
be voted, tendered or exchanged in accordance with the
following provisions. For purposes of this Agreement, a
"Pass-Through Issue" with respect to Sponsor Stock is an issue
that concerns:
(i) the voting of shares of Sponsor
Stock with respect to the approval or
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disapproval of any corporate merger or consolidation,
recapitalization, reclassification, liquidation, dissolution,
sale of substantially all assets of a trade or business or any
transaction which the Committee determines, in its discretion,
to be similar to the foregoing;
(ii) any tender or exchange offer
for Sponsor Stock or any transaction that the Committee
determines, in its discretion, to be similar to the foregoing;
(iii) any proposal by a shareholder
pursuant to Rule 14a-8 under the 1934 Act;
(iv) any election contest governed
by Rule 14a-11 under the 1934 Act;
(v) any proposal with respect to
which there is any "solicitation in opposition" (within the
meaning of Rule 14a-6 under the 1934 Act); or
(vi) any such other event that the
Committee designates a Pass-Through Issue.
(2) For purposes of this Agreement,
each Member (or if deceased, his or her Beneficiary) shall be
a named fiduciary (within the meaning of, but not limited to,
sections 402(a) and 403(a) (1) of ERISA) with respect to
Pass-Through Issues for all shares of Sponsor Stock as to
which the Member has the right of direction with respect to
voting, tender, and any other rights appurtenant to such
Sponsor Stock. That named fiduciary status shall apply with
respect to Pass-Through Issues for all shares of Sponsor Stock
allocable to the Member's Account.
(3) In implementing the provisions of
this Agreement relating to voting of Sponsor Stock, each
appropriate fiduciary shall take all steps necessary or
appropriate to ensure that each Member's (or, if deceased, his
or her Beneficiary's) instructions shall be kept in strictest
confidence and shall not be divulged or released to any
person, except as provided in the next sentence, including any
officers, directors or employees of the Sponsor or any
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Affiliate. To the extent necessary for the operation of these
provisions, however, the instructions may be provided to a
record keeper, auditor or other person providing services to
the Trust if the person (a) is not the Sponsor or an Affiliate
and (b) agrees not to divulge the instructions to any other
person.
(4) Notwithstanding any contrary
provision of this Agreement, whenever any proxies or consents
are solicited from the holders of Sponsor Stock with respect
to Pass-Through Issues, the Trustee shall exercise voting or
other rights solely as directed in written instructions timely
received from Members (or, if deceased, their Beneficiaries)
and in accordance with this provision. Each Member (or, if
deceased, his or her Beneficiary) shall have the right, with
respect to Pass-Through Issues, to instruct the Trustee in
writing as to the manner in which to vote those shares at any
stockholders' meeting of the issuer of Sponsor Stock, or the
manner in which the Trustee shall give or withhold consent
with respect to the shares. The following procedures shall
apply:
(i) The Sponsor shall use its best
efforts to timely distribute or cause to be distributed to
each Member (or, if deceased, his or her Beneficiary) such
information concerning Pass-Through Issues as will be
distributed to stockholders of the issuer of Sponsor Stock in
connection with any stockholders' meeting or any solicitation
of voting or consents, together with a request for
confidential instructions to the Trustee or its designee on
how shares of Sponsor Stock shall be voted on each such matter
or how consents shall be given or withheld.
(ii) The Trustee shall pool the
results of instructions received from all Members to whose
Accounts fractional shares of Sponsor Stock are allocable and
shall vote or otherwise act accordingly with respect to those
shares on Pass-Through Issues.
(iii) In the case of a deceased
Member who has more than one Beneficiary, the Trustee shall
vote or otherwise act on Pass-Through Issues in accordance
with the instructions of the Member's Beneficiaries in respect
of the shares allocable to
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the deceased Member's Account in proportion to the
Beneficiaries' respective interests in the Member's Account in
accordance with rules established by the Committee.
(iv) If no instructions are
received with respect to shares of Sponsor Stock allocable to
a Member's Account, those shares shall not be voted nor shall
any other actions be taken under this provision with respect
to the shares on Pass-Through Issues.
(B) Tender Offers.
(1) Notwithstanding any contrary
provision of this Agreement, whenever any tender or exchange
offer is made for shares of Sponsor Stock or any transaction
occurs that the Committee determines, in its discretion, to be
similar to the foregoing, the Trustee shall tender or exchange
shares of Sponsor Stock (or refrain from tendering or
exchanging Sponsor Stock) solely as directed in written
instructions timely received from Members (or, if deceased,
their Beneficiaries) and in accordance with this provision.
(2) Each Member (or, if deceased,
his or her Beneficiary) shall have the right, with respect to
shares of Sponsor Stock allocable to his or her Account, to
instruct the Trustee in writing as to the manner in which to
respond to a tender or exchange offer or similar transaction
with respect to those shares. The following procedures shall
apply:
(i) The Sponsor shall use its
best efforts to timely distribute or cause to be distributed
to each Member (or, if deceased, his or her Beneficiary) such
information as will be distributed to stockholders of the
issuer of Sponsor Stock in connection with any such tender or
exchange offer, together with a request for confidential
instructions to the Trustee or its designee to respond to the
tender or exchange offer.
(ii) If, and to the extent that
the Trustee shall not have timely received instructions from
any Member (or, if deceased, his or her Beneficiary) with a
right to instruct under the
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Plan, such person shall be deemed to have timely instructed
the Trustee not to tender or exchange the relevant shares of
Sponsor Stock.
(iii) The Trustee shall pool
the results of instructions received from all Members to whose
Accounts fractional shares of Sponsor Stock are allocable and
shall respond to such tender or exchange offer accordingly
with respect to those shares.
(iv) In the case of a deceased
Member who has more than one Beneficiary, the Trustee shall
respond to such tender or exchange offer in accordance with
the instructions of the Member's Beneficiaries in respect of
the shares allocable to the deceased Member's Account in
proportion to the Beneficiaries' respective interests in the
Member's Account in accordance with rules established by the
Committee.
(v) Shares of Sponsor Stock
allocated to a Member's Account with respect to which no
timely instructions are furnished shall be treated as shares
with respect to which instructions not to tender or exchange
have been timely furnished.
(vi) An instruction by a Member
to the Trustee to tender shares of Sponsor Stock credited to
the Member's account shall not be considered a written
election under the Plan by the Member to withdraw, or have
distributed, any or all of his or her withdrawable shares. The
Trustee shall credit to each Member's account from which the
tendered shares were taken the proceeds received by the
Trustee in exchange for the shares of Sponsor Stock tendered
from that Account. Pending receipt of directions from the
Member, in accordance with Schedule "F", as to which of the
remaining investment options the proceeds shall be invested
in, the Trustee shall invest the proceeds in the Mutual Fund
described in Schedule "C".
(vi) Shares Credited. For all purposes of this
Section (including, without limitation, investment and
reinvestment of assets in Member's accounts and voting,
tendering or exchanging of Sponsor Stock), the
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number of shares of Sponsor Stock deemed "credited",
"allocable" or "reflected" to a Member's account shall be
determined as of the relevant Valuation Date (as defined
hereinbelow for purposes of this Section). Such valuation date
shall be the date on which occur the transactions effectuating
such investment or reinvestment, or, in the case of voting,
tendering or exchanging, the date on which falls the record
date fixed for such purposes of such voting, tendering or
exchanging.
(vii) General. With respect to the right to vote with
respect to Pass-Through Issues, the right to tender or
exchange and the right to withdraw shares previously tendered,
in the case of Sponsor Stock credited to a Member's
proportional interest in the Stock Fund, the Trustee shall
follow the directions of the Member. The Trustee shall have no
duty to solicit directions from Members. With respect to all
rights other than the right to vote with respect to Pass-
Through Issues, the right to tender or exchange and the right
to withdraw shares previously tendered, and in the case of
Sponsor Stock (if any) not credited to Members' accounts, the
Trustee shall follow the written direction of the Committee.
However, if the Committee shall fail to give, or shall notify
the Trustee in writing of its decision not to give, timely
written instructions to the Trustee, the Trustee shall
exercise such rights and powers in its sole discretion.
(viii) Conversion. All provisions in this Section
6(e) shall also apply to any securities received as a result
of a conversion of Sponsor Stock.
(3) Amending and restating Section 6(f), in its entirety, to read as
follows:
(f) General Purposes Notes. The Administrator shall act as the
Trustee's agent for the Member's loan notes and as such shall (i)
collect and remit all principal and interest payments to the Trustee
and (ii) keep the proceeds of such loans separate from the other assets
of the Administrator and clearly identify such assets as Plan assets.
To originate a Member loan, the Member shall notify the Trustee of the
request by use of the Trustee's Telephone Exchange System. The Trustee
shall determine, based on the
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current value of the Member's Account on the date of the request and
the guidelines in the Plan and SPD, provided by the Sponsor to the
Trustee, the amount available for the loan. The Member shall then
direct the Trustee regarding the amount to be borrowed and the term or
period for repayment. Based on the most recent interest rate supplied
by the Sponsor in accordance with the terms of the Plan, the Trustee
shall advise the Member of such interest rate, as well as the
installment payment amounts. The Trustee shall distribute the loan note
with the proceed check to the Member. The Trustee shall also distribute
truth-in-lending disclosure, borrowers memorandum and loan agreement
terms to the Member. To facilitate recordkeeping, the Trustee may
destroy the original of any promissory note made in connection with a
loan to a Member under the Plan, provided that the Trustee first
creates a duplicate by a photographic or optical scanning or other
process yielding a reasonable facsimile of the promissory note and the
Member's signature thereon, which duplicate may be reduced or enlarged
in size from the actual size of the original promissory note. The
provisions of this Section 6(f) shall not apply to any Member loans
with a term of fifteen (15) years, which shall be governed solely by
the provisions of Section 6(g) below.
(4) Amending Section 6 by inserting a new Section 6(g) and renumbering
existing sections accordingly:
(g) Home Loans. The Administrator shall act as the Trustee's
agent for the purpose of holding all trust investments in Member loan
notes and related documentation and as such shall (i) collect and
remit all principal and interest payments to the Trustee and (ii) keep
the proceeds of such loans separate from the other assets of the
Administrator and clearly identify such assets as Plan assets. To
originate a Member loan, the Member shall notify the Trustee of the
request by use of the Trustee's Telephone Exchange System. The Trustee
shall determine, based on the current value of the Member's Account on
the date of the request and the guidelines in the Plan and SPD,
provided by the Sponsor to the Trustee, the amount available for the
loan. The Member shall then direct the Trustee regarding the amount to
be borrowed and the term or period for repayment. Based on the most
recent interest rate supplied by the Sponsor in accordance with the
terms of the Plan, the Trustee shall advise the Member of such
interest rate, as well as the installment payment amounts. The Trustee
shall forward the employee certificate attached
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hereto in Schedule "G" to the Member for execution and submission for
approval to the Administrator. The Administrator shall have the
responsibility for approving the loan and instructing the Trustee of
such approval via remote access. Subject to receipt of the foregoing
approval, the Trustee shall distribute the loan note with the proceed
check to the Member. The Trustee shall also distribute truth-in-lending
disclosure, borrowers memorandum and loan agreement terms to the
Member. To facilitate recordkeeping, the Trustee may destroy the
original of any promissory note made in connection with a loan to a
Member under the Plan, provided that the Trustee first creates a
duplicate by a photographic or optical scanning or other process
yielding a reasonable facsimile of the promissory note and the Member's
signature thereon, which duplicate may be reduced or enlarged in size
from the actual size of the original promissory note. In all cases, if
the Administrator is able to approve the request, such approval shall
be made within 30 days of the Member's initial request (the origination
date).
(5) Amending and restating the third bullet under the "Processing"
section of Schedule "A" to read as follows:
* Daily processing of in-service withdrawals via telephone due
to specific circumstances previously authorized by the
Sponsor; Members may initiate the hardship withdrawal process
via telephone as directed and approved by the Sponsor.
(6) Amending the "Processing" section of Schedule "A" to include the
following new bullet points:
* Enroll new Members via telephone; provide confirmation of
enrollment within five (5) business days of the request.
* Daily processing of changes of deferral percentages; prepare
and mail to the Member a confirmation of telephonic
instructions relative to deferral percentages within five (5)
business days of the Member's instructions.
(7) Amending Schedule "B" to reflect the addition of the following
fees:
Withdrawals by Phone: $15.00 per withdrawal.
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Enrollments by Phone: $5.00 per non-active employee
residing on Fidelity's
participant recordkeeping
system.
Genentech Loan Fees: $50.00 loan set-up fee per
loan account (this fee shall
be paid by the Member,
Fidelity will credit the fee
back to Genentech).
In addition, Schedule "B" is also amended by deleting the current
provision on "Member Loan Fees" and replacing it in its entirety with the
following:
Member Loan Fees: Establishment fee of $35.00
per loan account; annual fee
of $15.00 per loan account.
(8) Amending and restating Schedule "F" in its entirety as attached
hereto, and adding as a new Schedule "G" the Schedule "G" as attached
hereto.
IN WITNESS WHEREOF, the Trustee and the Sponsor have caused this Third
Amendment to the Trust Agreement to be executed by their duly authorized
officers effective as of the day and year first above written.
GENENTECH, INC. FIDELITY MANAGEMENT TRUST COMPANY
By: /s/ XXXXX XXXXX By: /s/ AUTHORIZED SIGNATORY 5/14/96
-------------------------- -------------------------------
Date Vice President Date
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SCHEDULE "F"
TELEPHONE EXCHANGE PROCEDURES
The following telephone exchange procedures are currently employed by Fidelity
Institutional Retirement Services Company (FIRSCO).
Telephone exchange hours are 8:30 a.m. (ET) to 8:00 p.m. (ET) on each business
day. A "business day" is any day on which the New York Stock Exchange is open.
FIRSCO reserves the right to change these telephone exchange guidelines at its
discretion (provided that FIRSCO will not eliminate procedures or services
without the consent of the Sponsor).
MUTUAL FUND
EXCHANGES BETWEEN MUTUAL FUNDS
Members may call on any business day to exchange between the mutual
funds. If the request is received before 4:00 p.m. (ET), it will receive
that day's trade date. Calls received after 4:00 p.m. (ET) will be
processed on a next day basis.
SPONSOR STOCK FUND
I. EXCHANGES BETWEEN MUTUAL FUNDS AND SPONSOR STOCK FUND
Members may call on any business day to exchange between the mutual
funds and the Sponsor Stock Fund. If the request is received before
4:00 p.m. (ET), it will receive that day's trade date. Calls received
after 4:00 p.m. (ET) will be processed on a next day basis.
II. EXCHANGE RESTRICTION
It is the intention of the Trustee to maintain a sufficient liquidity
reserve in the Sponsor Stock Fund to meet exchange, redemption or
withdrawal requests. However, if there is insufficient liquidity in the
Sponsor Stock Fund to allow for same day exchanges, the Trustee will be
required to sell shares of Sponsor Stock to meet the exchange requests.
If this occurs, the subsequent exchange into other Plan investment
options will take place three
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(3) business days later. This allows for settlement of the stock trade
at the custodian and the corresponding transfer to the Trustee.
OTHER SERVICES
I. ACCOUNT BALANCE INFORMATION AND INVESTMENT DATA
Members may call on any business day to receive account balance
information and NAV data.
II. CHANGES IN FUTURE CONTRIBUTION ALLOCATIONS
Members may call on any business day to change the allocation of future
contributions, effective the next business day.
GENENTECH, INC. FIDELITY MANAGEMENT TRUST COMPANY
By: /s/ XXXXX XXXXX By: /s/ XXXXX BERKEWITCZ 5/14/96
-------------------------- -------------------------------
Date Vice President Date
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SCHEDULE "G"
GENENTECH, INC.
TAX REDUCTION INVESTMENT PLAN
EMPLOYEE CERTIFICATION
(PLAN LOAN TO PURCHASE NEW PRINCIPAL RESIDENCE)
Employee Name ________________________
Current Residence Address ________________________
Home Telephone Number ________________________
New Principal Residence Address ________________________
I, the undersigned employee of Genentech and participant in the Plan named
above, hereby certify that:
(a) I am applying for a loan from my account under the Plan
with a term of more than five (5) years and not more than fifteen (15)
years;
(b) I will use the proceeds of the loan to purchase a dwelling
unit which (within a reasonable period of time after I receive the loan
proceeds) will be MY NEW PRINCIPAL RESIDENCE; and
(c) I have attached to this Certification a copy of the signed
contract of sale for my purchase of my NEW PRINCIPAL RESIDENCE.
__________________________________________ ________________________
Employee Signature Date
Received by Payroll_______________________ ________________________
Initials Date
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