BANK NAME] [ADDRESS] [Form of] Single-Pay Contract To: [●] (the “Counterparty”) Attn: [●] Tel: [●] Fax: [●] From: [BANK NAME] Date: [●] Ref: [●]Single-Pay Contract • March 19th, 2012 • eUnits(TM) 2 Year U.S. Market Participation Trust 5: Upside to Cap / Buffered Downside
Contract Type FiledMarch 19th, 2012 CompanyThis Confirmation supplements, forms part of, and is subject to, the ISDA Master Agreement dated as of [●], as amended and supplemented from time to time (the “Agreement”), between you and us. All provisions contained in the Agreement govern this Confirmation except as expressly modified below.