EXHIBIT (a)(1)(B)
AGREEMENT OF ASSIGNMENT AND TRANSFER
FOR UNITS OF LIMITED PARTNERSHIP INTEREST IN
AMERICAN RETIREMENT VILLAS PROPERTIES III, L.P.
NOTE: IN ORDER TO VALIDLY TENDER YOUR UNITS, YOU MUST COMPLETE SIGN,
DATE AND RETURN THIS AGREEMENT OF ASSIGNMENT AND TRANSFER TO THE INFORMATION
AGENT IN THE ENCLOSED POSTAGE-PAID ENVELOPE OR BY FACSIMILE AT (000) 000-0000.
IF YOU DELIVER THE AGREEMENT OF ASSIGNMENT AND TRANSFER BY FACSIMILE, YOU MUST
ALSO RETURN THE ORIGINAL DOCUMENTS TO THE INFORMATION AGENT, WHICH ORIGINALS,
ONLY, MAY BE RECEIVED AFTER THE EXPIRATION DATE PROVIDED THAT THE FACSIMILE IS
RECEIVED PRIOR TO OR ON THE EXPIRATION DATE. IN ORDER TO AVOID THE IMPOSITION OF
BACKUP WITHHOLDING, TAX YOU MUST ALSO COMPLETE SIGN, DATE AND RETURN THE
SUBSTITUTE FORM W-9 AND FIRPTA AFFIDAVIT THAT IS INCLUDED IN THIS PACKAGE.
NOTE: IF LEGAL TITLE TO YOUR UNITS IS HELD THROUGH AN XXX, XXXXX OR
SIMILAR ACCOUNT, WE WILL SEND ON YOUR BEHALF A COPY OF YOUR COMPLETED AGREEMENT
OF ASSIGNMENT AND TRANSFER TO YOUR CUSTODIAN TO OBTAIN YOUR CUSTODIAN'S
CONFIRMATION. HOWEVER, IN THIS CASE, YOU SHOULD SEND YOUR COMPLETED AGREEMENT OF
ASSIGNMENT AND TRANSFER TO THE INFORMATION AGENT NOT LESS THAN ONE WEEK PRIOR TO
THE EXPIRATION DATE SO THAT WE HAVE TIME TO OBTAIN YOUR CUSTODIAN'S CONFIRMATION
PRIOR TO THE EXPIRATION DATE. YOU MAY ALSO SEND YOUR COMPLETED AGREEMENT OF
ASSIGNMENT AND TRANSFER TO YOUR CUSTODIAN TO OBTAIN YOUR CUSTODIAN'S
CONFIRMATION AND THEN MAIL OR DELIVER THE AGREEMENT OF ASSIGNMENT AND TRANSFER
TO THE INFORMATION AGENT AT THE ADDRESS OR FACSIMILE NUMBER SET FORTH BELOW
PRIOR TO THE EXPIRATION DATE.
NOTE: IF YOU WISH TO CONSENT TO THE MERGER PROPOSAL DESCRIBED IN THE
OFFER TO PURCHASE AND CONSENT SOLICITATION STATEMENT IN ADDITION TO TENDERING
YOUR UNITS, YOU MUST ALSO FILL OUT, SIGN AND RETURN THE GREEN CONSENT FORM THAT
IS INCLUDED IN THIS PACKAGE.
NOTE: IF YOU HAVE RECEIVED THIS AGREEMENT DIRECTLY FROM THE PURCHASER,
WE HAVE COMPLETED CERTAIN REQUIRED INFORMATION ON THE BACK PAGE OF THIS
AGREEMENT (SPECIFICALLY, CURRENT REGISTRATION, CUSTODIAN INFORMATION (IF ANY),
NUMBER OF UNITS HELD AND INVESTOR NUMBER). IF YOU HAVE RECEIVED THIS AGREEMENT
THROUGH YOUR CUSTODIAN, THIS INFORMATION WILL BE BLANK AND MUST BE PROVIDED BY
YOU.
NOTE: COMPLETION OF THE OFFER IS CONDITIONED UPON THE RECEIPT OF VALID
WRITTEN CONSENTS TO THE MERGER PROPOSAL BY UNITHOLDERS WHO COLLECTIVELY HOLD
MORE THAN 50% OF THE UNITS THAT ARE NOT HELD BY ARV OR ITS SUBSIDIARIES.
CONSEQUENTLY, IF YOU DECIDE TO TENDER YOUR UNITS BUT DO NOT ALSO DELIVER YOUR
CONSENT TO THE MERGER PROPOSAL PURSUANT TO THE ENCLOSED CONSENT FORM, YOUR
FAILURE TO CONSENT WILL REDUCE THE LIKELIHOOD THAT THE OFFER WILL BE COMPLETED
AND THAT WE WILL PURCHASE THE UNITS YOU MAY HAVE TENDERED.
1. Offer of Units; Agreement to Transfer
Upon the terms and subject to the conditions set forth in this
Agreement of Assignment and Transfer (this "Agreement"), I, the undersigned
Limited Partner (as defined in the Partnership Agreement that is defined below),
and/or assignee holder or beneficial owner, do hereby sell, assign, transfer,
convey and deliver ("Transfer") to ARVP III Acquisition, L.P. or its assignee or
assignees (such purchasing entity is hereafter referred to as "Purchaser"),
the number of units of limited partnership interest (including any
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certificates or depositary receipts evidencing such interests) (the "Units") in
American Retirement Villas Properties III, L.P., a California limited
partnership (the "Partnership") indicated on page 9 of this Agreement,
pursuant to this Agreement and the associated Offer to Purchase and Consent
Solicitation Statement (the "Offer to Purchase and Consent Solicitation
Statement"), dated March 24, 2004 (the "Offer Date"), as each may be
supplemented or amended, for a purchase price of $400 per Unit, in cash, subject
to adjustment as set forth in the Offer to Purchase and Consent Solicitation
Statement and below (the "Offer Price").
Notwithstanding any provision to the contrary, it is my understanding,
and I hereby acknowledge and agree, that, upon the terms and subject to the
conditions of this Agreement, Purchaser shall be entitled to receive (i) all
distributions of cash or other property from the Partnership attributable to the
Units that are declared or made on or after the Offer Date including, without
limitation, all distributions of cash from operations and capital proceeds,
without regard to whether the applicable sale, financing, refinancing or other
disposition took place before or after my Offer or the Transfer and (ii) all
proceeds that are paid on or after the Offer Date from or as a result of any
claim, litigation, class or derivative action brought by or for the benefit of
the Limited Partners with respect to the Units, regardless of when the claims
brought pursuant to such action accrued (the distributions or proceeds described
in (i) and (ii), collectively, a "Distribution"). To the extent that any
Distribution of cash is made or declared by the Partnership with respect to the
Units for any period commencing on or after the Offer Date and I receive such
Distribution, I understand that the amount of the Distribution per Unit will be
deducted from the cash price of $400 per Unit to be paid to me by Purchaser, as
described in the Offer to Purchase and Consent Solicitation Statement. It is
also my understanding, and I acknowledge and agree, that, subject to Purchaser's
payment to me for the Units Transferred hereby, the taxable income and taxable
loss attributable to the Transferred Units with respect to the taxable period in
which the Transfer occurs shall be allocated between me and Purchaser as
provided in the Limited Partnership Agreement of the Partnership, dated as of
June 28, 1989, as such agreement may be amended (the "Partnership Agreement"),
or in accordance with such other lawful allocation methodology as may be agreed
upon by the Partnership and Purchaser.
It is my intention that Purchaser succeed to my interest as a
substituted Limited Partner with respect to the Transferred Units and that
Purchaser will be treated as a Limited Partner of the Partnership with respect
to those Units for all purposes. Subject to, and effective upon, Purchaser's
payment to me for the Units Transferred hereby upon the terms of and subject to
the conditions of this Agreement and the Offer to Purchase and Consent
Solicitation Statement, I hereby Transfer to Purchaser all of my right, title
and interest in and to the Units and any and all Distributions declared or made
on or after the Offer Date, including, without limitation, all rights in, and
claims to, any Partnership profits and losses, cash distributions (other than
cash distributions as to which an adjustment in the price to be paid has been
made as described in the preceding paragraph), voting rights and other benefits
of any nature whatsoever distributable or allocable to the Units, or, if
applicable, in respect of my status as a Limited Partner, under the Partnership
Agreement or otherwise. This Transfer is made unconditionally (i) to the extent
that the rights appurtenant to the Units may be Transferred and conveyed without
the consent of the general partner of the Partnership (the "General Partner"),
and (ii) to the extent that the General Partner recognizes the transfer of those
Units to Purchaser for all purposes and will accept Purchaser as the substituted
Limited Partner in respect of the Transferred Units in accordance with the
Partnership Agreement.
I agree to pay any costs incurred by Purchaser in connection with the
enforcement of any of my obligations hereunder and to indemnify and hold
harmless Purchaser from and against all claims, damages, losses, obligations and
any responsibilities arising, directly or indirectly, out of my breach of any
agreements, representations and warranties made by me herein. Purchaser will be
entitled to recover from me all costs and expenses Purchaser incurs in
recovering any amounts due Purchaser from me under this Agreement, including
fees and expenses incurred in the collection process as well as reasonable
lawyers' fees and costs at trial and on appeal. I shall keep the terms of this
Agreement and all other
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dealings and communications between myself and Purchaser and our respective
representatives confidential. Notwithstanding the foregoing, I (and each
affiliate and person acting on my behalf) agree that I and any other party to
this Agreement (and each employee, representative, and other agent of such
party) may disclose to any and all persons, without limitation of any kind, the
tax treatment and tax structure of the transaction and all materials of any kind
(including opinions or other tax analyses) that are provided to me or such other
party or such person relating to such tax treatment and tax structure, except to
the extent necessary to comply with any applicable federal or state securities
laws. This authorization is not intended to permit disclosure of any other
information including, without limitation, (i) any portion of any materials to
the extent not related to the tax treatment or tax structure of the transaction,
(ii) the identities of participants or potential participants in the
transaction, (iii) the existence or status of any negotiations, (iv) any pricing
or financial information (except to the extent such pricing or financial
information is related to the tax treatment or tax structure of the transaction)
or (v) any other term or detail not relevant to the tax treatment or the tax
structure of the transaction.
2. Appointment as Attorney-In-Fact and Proxy
Effective upon Purchaser's payment for the Units Transferred hereby,
and subject to "THE TENDER OFFER -- Withdrawal Rights" section in the Offer to
Purchase and Consent Solicitation Statement, I hereby irrevocably constitute and
appoint Purchaser and its designees as my true and lawful attorneys-in-fact and
proxies with respect to the Units (and with respect to any and all other Units
or other securities issued or issuable in respect of such Unit on or after
Purchaser's Offer Date), each with full power of substitution, to the full
extent of my rights (such power of attorney and proxy being deemed to be an
irrevocable durable power coupled with an interest and being unaffected by my
disability, incapacity, dissolution, termination or bankruptcy), to (i) seek to
transfer ownership of such Units on the Partnership's books to Purchaser (and to
execute and to deliver any accompanying evidences of transfer and authenticity
which Purchaser, the Partnership or the General Partner may deem necessary or
appropriate in connection therewith, including, without limitation, any
documents or instruments required to be executed under a "Transferor's
(Seller's) Application for Transfer" created by the NASD, if required); (ii)
become a substituted Limited Partner; (iii) receive any and all Distributions
made or declared by the Partnership after the Offer Date; (iv) receive all
benefits and otherwise exercise all rights of beneficial ownership of such Units
in accordance with the terms of the Offer to Purchase and Consent Solicitation
Statement; (v) execute and deliver to the Partnership and/or the General Partner
(as the case may be) any notice required by section 6050K of the Internal
Revenue Code of 1986, as amended, or any successor provision, and a change of
address form instructing the Partnership to send any and all future
Distributions to which Purchaser is entitled pursuant to the terms of the Offer
to Purchase and Consent Solicitation Statement in respect of tendered Units to
the address specified in such form; (vi) endorse any check payable to me or upon
my order representing a distribution to which Purchaser is entitled pursuant to
the terms of the Offer to Purchase and Consent Solicitation Statement, in each
case on my behalf, in favor of Purchaser or any other payee Purchaser otherwise
designates; (vii) exercise all of my voting and other rights as any such
attorney-in-fact in its sole discretion may deem proper at any meeting of
Unitholders or any adjournment or postponement thereof, by written consent in
lieu of any such meeting or otherwise; (viii) act in such manner as any such
attorney-in-fact shall, in its sole discretion, deem proper with respect to the
Units; (ix) execute a loss and indemnity agreement relating to the Units on my
behalf if I fail to include my original certificate(s) (if any) representing the
Units with this Agreement; or (x) commence any litigation that Purchaser or its
designees, in its sole discretion, deems necessary to enforce any exercise of
Purchaser's or such designees' powers as my attorneys-in-fact as set forth
above.
Purchaser shall not be required to post bond of any nature in
connection with this power of attorney. Such appointment will be effective upon
receipt by Purchaser of this Agreement and Purchaser's payment for the Units
Transferred hereby. Upon such receipt, all prior proxies (other than the power
of attorney and proxy given as provided in the Consent Form completed by me)
given by me with respect to
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the Units that are the subject of the Offer will, without further action, be
revoked, and no subsequent proxies may be given (and if given will not be
effective).
3. Custodian Confirmation Required
IF LEGAL TITLE TO THE UNITS IS HELD THROUGH AN XXX, XXXXX OR OTHER
ACCOUNT, I UNDERSTAND THAT THIS AGREEMENT MUST BE CONFIRMED BY THE CUSTODIAN OF
SUCH ACCOUNT. FURTHERMORE, I HEREBY AUTHORIZE AND DIRECT THE CUSTODIAN OF MY
ACCOUNT TO CONFIRM THIS AGREEMENT.
4. Representations and Warranties
I hereby represent and warrant to Purchaser and the Partnership that
(i) I have received the Offer to Purchase and Consent Solicitation Statement;
(ii) I own the Units that are being Transferred hereby, either (x) of record and
beneficially or, (y) if the section below entitled "Beneficial Owners; Custodian
Information" is also completed, through an XXX, Xxxxx or similar account, (iii)
I have full right, power and authority to validly sell, assign, trade, transfer,
convey and deliver to Purchaser the Units; (iv) effective at the time that the
Units are accepted for payment by and Transferred to Purchaser, Purchaser will
acquire good, marketable and unencumbered title thereto, free and clear of all
options, liens, restrictions, charges, encumbrances, conditional sales
agreements or other obligations relating to the sale and transfer thereof, and
the Units will not be subject to any adverse claim; (v) I am a "United States
person," as defined in Section 7701(a)(30) of the United States Internal Revenue
Code of 1986, as amended (the "Internal Revenue Code"), or, if I am not a United
States person, I will provide a Form W-8BEN or a Form W-8ECI as provided in
Section 9 below; (vi) I own the Units being tendered within the meaning of Rule
14e-4 under the Exchange Act; and (vii) the tender of such Units complies with
Rule 14e-4.
I hereby also represent and warrant that the Transfer contemplated by
this Agreement would not (i) violate the registration requirements of the
Securities Act of 1933, as amended, or (ii) violate the laws of any state, or
the rules or regulations of any government agency (including those related to
suitability standards), applicable to such transfer.
I hereby also represent, warrant and confirm to Purchaser and the
Partnership that in entering into this Agreement and Transferring my Units, I
have not relied on any information of Purchaser (except for information
contained in the Offer to Purchase and Consent Solicitation) or any
representation of Purchaser, and that Purchaser has not given me any investment
advice nor have I compensated Purchaser in any manner.
I understand that the Offer Price may be more or less than the fair
market price of the Units or than prices recently quoted by secondary market
matching services. By Transferring my Units, I wish to have Purchaser bear all
future risks and uncertainties relating to the value of the Units.
I understand that my Transfer hereby is subject to certain conditions
for the benefit of Purchaser to Purchaser's offer as set forth in the Offer to
Purchase and Consent Solicitation Statement, including (i) the approval of the
Merger Proposal by Unitholders holding a majority of the Units that the General
Partner or its subsidiaries do not hold; (ii) the non-occurrence of certain
events before the Expiration Date (as defined in the Offer to Purchase and
Consent Solicitation Statement), such as legal or governmental actions that
would prohibit the purchase of Units or a material adverse change with respect
to the Partnership or its business; and (iii) after the Expiration Date and
before payment for the Units, the Purchaser's failure to receive any
governmental regulatory approvals necessary to complete the Offer, each as
provided in the Offer to Purchase and Consent Solicitation Statement.
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5. Release of General Partner
I hereby release and discharge the General Partner and its officers,
shareholders, directors, employees and agents from all actions, causes of
action, claims and demands I have, or may have, against the General Partner that
result from the General Partner's reliance on this Agreement or any of the terms
and conditions contained herein. I hereby indemnify and hold harmless the
Partnership from and against all claims, demands, damages, losses, obligations
and responsibilities arising, directly or indirectly, out of a breach of any one
or more of the representations and warranties set forth herein.
6. Offer Irrevocable; Subject to My Withdrawal Rights
I understand that my Transfer of Units hereby will be irrevocable by
me, subject to my withdrawal rights set forth in the section of the Offer to
Purchase and Consent Solicitation Statement, "THE TENDER OFFER -- Withdrawal
Rights." These rights include that I may withdraw any Units I have tendered
pursuant to the Offer to Purchase and Consent Solicitation Statement at any time
prior to the Expiration Date. After the Expiration Date, my Offer is firm and
irrevocable and may not be withdrawn until after May 24, 2004 (60 days from the
commencement of Purchaser's offer) and then only to the extent that tendered
Units have not been accepted for payment. For any withdrawal to be effective, I
understand that I must deliver to you or your agent a written notice of
withdrawal in the form accompanying this Agreement before May 5, 2004 (or such
other expiration date to which the Offer to Purchase and Consent Solicitation
Statement may be extended), at the address or facsimile number set forth in the
notice of withdrawal.
All authority herein conferred or agreed to be conferred to Purchaser
shall survive my death or incapacity and all of my obligations shall be binding
upon my heirs, personal representatives, successors and assigns.
Upon request, I will execute and deliver any additional documents
deemed by Purchaser and its designees to be necessary or desirable to complete
the assignment, transfer and purchase of the Units.
7. Payment Procedures
I hereby understand that on the terms of and subject to the conditions
in this Agreement and the Offer to Purchase and Consent Solicitation Statement,
payment by Purchaser for the Units Transferred hereby and accepted by Purchaser
will be made by check mailed to me, once (i) Purchaser receives receipt of the
Partnership's confirmation that the transfer of Units to Purchaser has been
effected and that Purchaser has been recognized as a substituted Limited Partner
with respect to the Units Transferred and (ii) the Units have been actually
Transferred to Purchaser. I further understand that the effective date of
transfer is established by the Partnership and may occur several weeks after the
date on which Purchaser receives confirmation from the Partnership of the
transfer of the Units to Purchaser. I hereby agree that Purchaser shall have no
liability for any damages that may be incurred by me as a result of any delay in
such payment caused by the Partnership's failure to promptly effect transfers. I
acknowledge that, notwithstanding the foregoing, Purchaser reserves the right,
in its sole discretion, to pay for the Units Transferred hereby prior to the
effective date of transfer established by the Partnership.
8. Termination
I hereby understand and agree that I may withdraw the Units being
Transferred hereby subject to my withdrawal rights as described in Section 6
herein and that Purchaser may, at its sole discretion, terminate this Agreement
(in whole or in part) prior to making payment for the Units in accordance with
the terms of and conditions to the Offer to Purchase and Consent Solicitation
Statement. If Purchaser does terminate this Agreement, I understand that (i)
Purchaser shall notify me promptly after such termination
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and return the Units to me or my custodian and (ii) Purchaser shall have no
liability for any damages incurred by me as a result of such termination.
9. Backup Withholding Tax
I understand and agree that in order to avoid the imposition of backup
withholding tax at the rate of 28% on payments of cash made to me pursuant to
Purchaser's Offer, I must provide my correct taxpayer identification number and
I must certify, on the Substitute Form W-9 included as part of this Agreement of
Assignment and Transfer, under penalties of perjury, that the taxpayer
identification number that I have provided is correct and that I am not subject
to backup withholding tax. I further understand that if I do not provide my
correct taxpayer identification number, or fail to provide the certifications
described above, then the Internal Revenue Service (the "IRS") may impose a
penalty on me, and I may be subject to backup withholding tax at the rate of
28%. If I am not a United States person, I will provide a Form W-8BEN or a Form
W-8ECI (available from ACS Securities Services, Inc. (the "Information Agent")
at 0-000-000-0000 (Toll Free)) in order to avoid backup withholding tax.
10. FIRPTA
I understand and agree that in order to avoid the imposition of
withholding tax at the rate of 10% on payments made to me pursuant to
Purchaser's offer as set forth in the Offer to Purchase and Consent Solicitation
Statement, I must provide certain certifications, on the FIRPTA Affidavit
included as part of this Agreement of Assignment and Transfer, under penalties
of perjury. I further understand that if I fail to provide such certifications,
then I may be subject to withholding tax at the rate of 10%.
11. Assignment and Disclaimer
I understand and agree that Purchaser may, without my consent, assign
all or some of its rights and delegate all or some of its duties arising out of
this Agreement to an affiliate. I hereby disclaim any contractual or other legal
relationship with the Information Agent, which merely has acted as a provider of
general information about this offering and other offerings. I understand that
the only party acquiring my Units, and participating in this Agreement, is
Purchaser.
12. Governing Law; Waiver of Trial By Jury
This Agreement shall be governed by and construed in accordance with
the laws of the State of California. I hereby waive any claim that any state or
federal court in the State of California is an inconvenient forum, and WAIVE ANY
RIGHT TO TRIAL BY JURY. I HEREBY SUBMIT TO THE JURISDICTION OF ANY COURT IN THE
STATE OF CALIFORNIA IN ANY SUIT OR PROCEEDING ARISING OUT OF OR RELATING TO THIS
AGREEMENT.
13. Withdrawal From Partnership
By executing this Agreement, I hereby acknowledge to the General
Partner and the Partnership that, to the extent I am a Limited Partner, I desire
to cease to be a Limited Partner as to the Units referenced herein and hereby
direct the General Partner to take all such actions as are necessary to
accomplish such cessation and to appoint Purchaser as my agent and
attorney-in-fact, to execute, swear to, acknowledge and file any document or to
amend the books and records of the Partnership as necessary or appropriate for
my ceasing to be a Limited Partner.
I HEREBY DIRECT AND INSTRUCT THE PARTNERSHIP AND THE GENERAL PARTNER
IMMEDIATELY UPON THEIR RECEIPT OF THIS AGREEMENT AND EFFECTIVE AS
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OF THE EXPIRATION DATE (I) TO AMEND THE BOOKS AND RECORDS OF THE PARTNERSHIP TO
CHANGE MY ADDRESS OF RECORD AND TO RECOGNIZE PURCHASER FOR THE PURPOSE OF
RECEIVING ALL FUTURE DISTRIBUTIONS AND ACKNOWLEDGE THE TRANSFER OF UNITS FROM ME
TO PURCHASER AT 000 XXXXXXX XXXXXX, XXXXX X-0, XXXXX XXXX, XX 00000 AND (II) TO
FORWARD ALL DISTRIBUTIONS WITH RESPECT TO THE UNITS DECLARED OR MADE ON OR AFTER
THE OFFER DATE AND OTHER INFORMATION TO BE RECEIVED BY ME TO PURCHASER TO THE
ADDRESS SET FORTH IN (I). TO THE EXTENT THAT ANY DISTRIBUTIONS ARE MADE BY THE
PARTNERSHIP WITH RESPECT TO THE UNITS ON OR AFTER THE OFFER DATE AND ARE
RECEIVED BY ME, I AGREE THAT PURCHASER WILL DEDUCT THE AMOUNT OF SUCH CASH
DISTRIBUTIONS FROM THE PRICE PURCHASER PAYS ME FOR MY TENDERED UNITS AND I WILL
DELIVER TO PURCHASER ANY SUCH NON-CASH DISTRIBUTIONS RECEIVED BY ME.
[remainder of page intentionally left blank; signature page appears after
"Instructions to Complete the Agreement of Assignment and Transfer"]
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INSTRUCTIONS TO COMPLETE THE AGREEMENT OF ASSIGNMENT AND TRANSFER
You must mail, or send by hand delivery, overnight courier or
facsimile, the executed original to the Information Agent, together with any
other documents that may be required by your broker or other nominee and that
have been delivered to you, any time prior to or on the Expiration Date (or such
other date to which the Offer to Purchase and Consent Solicitation Statement may
be extended):
ACS Securities Services, Inc.
Attn: American Retirement Villas Properties III, L.P.
0000 X. Xxxxxxx Xxxxxxxxxx
Xxxxxxxx 0, 0xx Xxxxx
Xxxxxx, XX 00000
Tel.: (000) 000-0000
Fax: (000) 000-0000
NOTE: IF YOU WISH TO CONSENT TO THE MERGER PROPOSAL DESCRIBED IN THE
OFFER TO PURCHASE AND CONSENT SOLICITATION STATEMENT IN ADDITION TO TENDERING
YOUR UNITS, YOU MUST ALSO FILL OUT, SIGN AND RETURN THE CONSENT FORM THAT IS
INCLUDED IN THIS PACKAGE. COMPLETION OF THE OFFER IS CONDITIONED UPON THE
RECEIPT OF VALID WRITTEN CONSENTS TO THE MERGER PROPOSAL BY UNITHOLDERS WHO
COLLECTIVELY HOLD MORE THAN 50% OF THE UNITS THAT ARE NOT HELD BY ARV OR ITS
SUBSIDIARIES. CONSEQUENTLY, IF YOU DECIDE TO TENDER YOUR UNITS BUT DO NOT ALSO
DELIVER YOUR CONSENT TO THE MERGER PROPOSAL PURSUANT TO THE ENCLOSED CONSENT
FORM, YOUR FAILURE TO CONSENT WILL REDUCE THE LIKELIHOOD THAT THE OFFER WILL BE
COMPLETED AND THAT WE WILL PURCHASE THE UNITS YOU MAY HAVE TENDERED.
A pre-addressed postage-paid envelope is enclosed for your convenience.
The method of delivery of this Agreement and all other required documents is at
your option and risk, and delivery will be deemed made only when actually
received by the Information Agent. If delivery is by mail, Purchaser recommends
registered mail with return receipt requested. If delivery is by facsimile, you
must also return the original documents, which originals, only, may be received
after the Expiration Date provided that the facsimile is received prior to or on
the Expiration Date. In all cases, you should allow sufficient time to ensure
timely delivery prior to May 5, 2004 (or such date as our Offer and Consent
Solicitation are extended). If you authorize the tender of your Units, all such
Units will be tendered unless otherwise indicated.
IF LEGAL TITLE TO YOUR UNITS IS HELD THROUGH AN XXX, XXXXX OR SIMILAR
ACCOUNT, WE WILL SEND ON YOUR BEHALF A COPY OF SUCH COMPLETED MATERIALS TO YOUR
CUSTODIAN TO OBTAIN YOUR CUSTODIAN'S CONFIRMATION. HOWEVER, IN THIS CASE, YOU
SHOULD SEND YOUR COMPLETED MATERIALS TO THE INFORMATION AGENT NOT LESS THAN ONE
WEEK PRIOR TO THE EXPIRATION DATE SO THAT WE HAVE TIME TO OBTAIN SUCH
CONFIRMATION PRIOR TO THE EXPIRATION DATE. YOU MAY ALSO SEND YOUR COMPLETED
AGREEMENT OF ASSIGNMENT AND TRANSFER TO YOUR CUSTODIAN TO OBTAIN YOUR
CUSTODIAN'S CONFIRMATION AND THEN RETURN THE AGREEMENT OF ASSIGNMENT AND
TRANSFER TO THE INFORMATION AGENT PRIOR TO THE EXPIRATION DATE.
Upon receipt of your Agreement, the Information Agent will determine if
the documentation is complete. If it is not, you will receive a telephone call
or a letter from the Information Agent highlighting the information or documents
that we need to process the Agreement. Please respond promptly, as your failure
to do so can add weeks to the processing time.
IF YOU HAVE QUESTIONS REGARDING THE TRANSFER OF YOUR UNITS OR NEED
ASSISTANCE COMPLETING THIS FORM, PLEASE CALL THE INFORMATION AGENT AT (866)
275-3707.
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If you are a Beneficial Owner of Record, you should:
1. COMPLETE and SIGN this Agreement;
2. Indicate number of Units owned and/or to be sold; and
3. Return this Agreement in the envelope provided.
If legal title to your Units is held through an XXX, Xxxxx or similar account,
you should:
1. COMPLETE and SIGN this Agreement;
2. Indicate number of Units owned and/or to be sold; and
3. Return this Agreement in the envelope provided, together with any
other documents your Custodian may require and/or has delivered
to you.
Note: the Information Agent will work directly with your Custodian to get the
necessary custodial confirmation and then forward your check to your XXX, Xxxxx
or other account
If you own the Units through Joint Ownership, you should:
1. ALL owners of record must COMPLETE and SIGN this Agreement;
2. Indicate number of Units owned and/or to be sold; and
3. Return this Agreement in the envelope provided.
If any owner is Deceased, you should:
1. Enclose a certified copy of the death certificate;
2. If ownership is other than joint tenants with right of
survivorship, please provide a letter of testamentary or
administration, current within 6 months, showing your beneficial
ownership or executor capacity (in addition to a copy of the
death certificate);
3. COMPLETE and SIGN this Agreement;
4. Indicate number of Units owned and/or to be sold; and
5. Return this Agreement in the envelope provided.
If you are a Corporation, you should:
1. Enclose a CORPORATE RESOLUTION showing authorized signatory;
2. COMPLETE and SIGN this Agreement;
3. Indicate number of Units owned and/or to be sold; and
4. Return this Agreement in the envelope provided.
If you are a Trust, Profit Sharing or Pension Plan, you should:
1. Enclose the title, signature and other applicable pages of your
trust, profit sharing or other agreement showing authorized
signatory;
2. COMPLETE and SIGN this Agreement;
3. Indicate number of Units owned and/or to be sold; and
4. Return this Agreement in the envelope provided.
IN ORDER TO AVOID THE IMPOSITION OF BACKUP WITHHOLDING TAX, YOU MUST ALSO
COMPLETE SIGN, DATE AND RETURN THE SUBSTITUTE FORM W-9 AND FIRPTA AFFIDAVIT THAT
IS INCLUDED IN THIS PACKAGE.
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AS THE TRANSFEROR, YOU MUST COMPLETE ALL ITEMS IN THIS SECTION TO THE
EXTENT APPLICABLE OR NOT ALREADY COMPLETED.
I hereby make application to transfer and assign to Purchaser, as set
forth herein, and for Purchaser to succeed to such rights and interests as a
substituted Limited Partner, successor in interest and assignee.
RECORD AND BENEFICIAL OWNERS
I desire to sell _________ Units(1)
Circle One: U.S. Citizen Resident Alien
Non-Resident Alien
BENEFICIAL OWNERS HOLDING UNITS THROUGH CUSTODIANS
Please check this box if legal title to your Units is held through an XXX, Xxxxx
or similar account (the "Custodian"). [ ]
I desire to sell _________ Units(1)
The undersigned hereby authorizes, instructs and directs the Custodian
to take all actions necessary to tender in the Offer the number of Units
indicated above held by the Custodian for the account of the undersigned, on the
terms and subject to the conditions set forth in the Offer to Purchase and
Consent Solicitation Statement and this Agreement of Assignment and Transfer,
including by confirming the Agreement of Assignment and Transfer and any other
documents requested by Purchaser to effect and record the tender of my Units in
the Offer and by discussing the ownership or status of my Units to be tendered
in the Offer directly with Purchaser or Purchaser's agents, including the
Information Agent:
PLEASE ALSO COMPLETE AND RETURN WITH THIS AGREEMENT OF ASSIGNMENT AND
TRANSFER ANY ADDITIONAL DOCUMENTS THAT YOUR CUSTODIAN MAY REQUIRE IN CONNECTION
WITH THE TENDER OF YOUR UNITS AND THAT HAVE BEEN DELIVERED TO YOU.
CERTIFICATION
I hereby certify and represent that I have possession of valid title
and all requisite power to assign such interests and that the assignment is in
accordance with applicable laws and regulations and further certify, under
penalty of law, the following:
Reason for Transfer: Sale (for consideration)
TAX CERTIFICATION
Under penalty of perjury, I certify that the statements in Sections 9
and 10 of this Agreement are true, complete and correct.
-------------------
(1) Unless otherwise indicated, it will be assumed that all of your Units are
intended to be tendered.
10
SIGNATURE CERTIFICATION/ POWER OF ATTORNEY
As set forth in Section 2 of this Agreement, I hereby irrevocably
constitute and appoint Purchaser as my true and lawful agent, attorney-in-fact
and proxy with respect to the Units, with full power of substitution. This must
be signed by the registered holder(s) exactly as the name(s) appear(s) on the
Partnership records. Persons who sign as a representative or in any fiduciary
capacity must indicate their capacity when signing and must present satisfactory
evidence of their authority to so act.
YOUR SIGNATURE
________________________________
Date:
CO-TRANSFEROR'S SIGNATURE (IF APPLICABLE)
________________________________
Date:
If signature is by trustee(s), executor(s), administrator(s),
guardian(s), attorney(s)-in-fact, agent(s), officer(s) or a corporation or
another acting in a fiduciary or representing capacity, please provide the
following information:
Name(s): _______________________
Capacity: (Full Title): _______________________
CUSTODIAN'S CONFIRMATION (IF APPLICABLE)
________________________________
Date:
11
PAYER'S NAME: ARVP III ACQUISITION, L.P.
SUBSTITUTE Part I - Taxpayer
Form W-9 identification number for
Department of the Treasury all accounts, enter
Internal Revenue Service taxpayer identification Social Security Number
number in the box at the _______________________
Payer's Request for Taxpayer right. (For most
Identification Number (TIN) individuals this is your OR
social security number.
If you do not have a Employer Identification
number, see Obtaining a Number
Number in the enclosed ________________________
Guidelines). Certify by
signing below.
Note: If the account is
in more than one name,
see the chart in the (if awaiting TIN write
enclosed Guidelines to "Applied For")
determine which number
to give the payer.
Certification - Under penalty of perjury, I certify that:
1. The number shown on this form is my correct Taxpayer Identification
Number (or I am awaiting for a number to be issued to me), and
2. I am not subject to backup withholding either because I have not been
notified by the Internal Revenue Service ("IRS") that I am subject to backup
withholding as a result of a failure to report interest or dividends, or the IRS
has notified me that I am no longer subject to backup withholding.
3. I am a U.S. person (including a U.S. resident alien).
Certification Instructions - You must cross out item (2) above if you have been
notified by the IRS that you are subject to backup withholding because of under
reporting interest or dividends on your tax return. However, if after being
notified by the IRS that you are subject to backup withholding, you received
another notification from the IRS that you are no longer subject to backup
withholding, do not cross out item (2). (Also see the instructions in the
enclosed Guidelines).
SIGNATURE:________________________________________DATE:_________________________
NOTE: FAILURE TO COMPLETE THIS FORM MAY RESULT IN BACKUP WITHHOLDING OF 28%
OF ANY PAYMENTS MADE TO YOU PURSUANT TO THE MERGER.
PLEASE REVIEW THE ENCLOSED GUIDELINES FOR CERTIFICATION OF TAXPAYER
IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 FOR ADDITIONAL DETAILS.
12
FIRPTA AFFIDAVIT
Section 1445 of the Internal Revenue Code provides that a transferee (buyer) of
a U.S. real property interest must withhold tax if the transferor (seller) is a
foreign person. For U.S. tax purposes (including section 1445), the owner of a
disregarded entity (which has legal title to a U.S. real property interest under
local law) will be the transferor of the property and not the disregarded
entity. To inform the transferee that withholding of tax is not required upon
the disposition of one or more partnership units in American Retirement Villas
Properties III, L.P. ("Units"), the undersigned hereby certifies the following:
1. The name of the owner of the Units (if the Units are owned by a
disregarded entity, then provide the name and address of the owner of the entity
instead) on whose behalf this certification is being provided (the "Owner") is:
_____________________________________.
2. The Owner is not a disregarded entity as defined in Treasury Regulation
Section 1.1445-2(b)(2)(iii).
3. The Owner is not: (i) a nonresident alien individual for purposes of
United States Federal income taxation, or (ii) a foreign partnership, foreign
trust or estate (as those terms are defined in the Internal Revenue Code and
Income Tax Regulations).
4. The Owner's U.S. taxpayer identification number is:
Social Security Number
______________________
or
Employer Identification Number
______________________
5. The Owner's home address, if the Owner is an individual, or office
address, if the Owner is an entity, is:________________________________________
_______________________________________________________________________________.
The undersigned understands that this certification may be disclosed to the
Internal Revenue Service by the transferee and that any false statement
contained herein could be punished by fine, imprisonment, or both.
Under penalties of perjury, I declare that I have examined this certification
and to the best of my knowledge and belief it is true, correct, and complete,
and, if the Owner is an entity, I further declare that I have authority to sign
this document on behalf of the Owner.
Owner's Name:
Signature:_________________________________Date:________________________________
Title:
13
FULL NAME OF PARTNERSHIP:
AMERICAN RETIREMENT VILLAS PROPERTIES III, L.P.
