Cross Receipt (Type 2)
Note: The following forms and documents are prepared by the above under the laws and practice prevailing as of [Date]. Seldom is a model form or document directly suitable to a transaction without adaptation to the particularities and circumstances of the matter.
Chapter 21 B. Forms and Documents
[Letterhead of Transfer Agent and Registrar]
In accordance with the instructions of XYZ Corporation, (the "Company"), we, as Transfer Agent and Registrar, deliver to you certificates for an aggregate of ______________ shares of Common Stock, $.01 par value, of the Company in the names and the denominations requested by you.
Very truly yours,
TRANSFER AGENT AND REGISTRAR
The undersigned hereby acknowledges receipt of certificates for an aggregate of ________ Common Shares referred to in the foregoing letter.
Dated: By: _________________________