Proof Of Claim And Release Form - New York District Court Page 2

Download a blank fillable Proof Of Claim And Release Form - New York District Court in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Proof Of Claim And Release Form - New York District Court with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

PART II. SCHEDULE OF TRANSACTIONS IN BARCLAYS AMERICAN DEPOSITARY SHARES
A. Number of Barclays ADS held at the close
Proof Enclosed?
of trading on July 9, 2007:
Y
N
B. Purchases or acquisitions of Barclays ADS between July 10, 2007 and September 25, 2012, inclusive:
PURCHASES
Total Purchase or
Acquisition Price (Excluding
Commissions, Taxes
Proof of
Trade Date(s) of Shares
Number of Shares
and Fees) Please round off
Purchase
(List Chronologically)
Purchased or Acquired
to the nearest whole dollar
Enclosed?
M M
D
D
Y
Y
Y
Y
/
/
.
Y
1.
$
00
N
/
/
.
Y
2.
$
00
N
/
/
.
Y
3.
$
00
N
/
/
.
Y
4.
$
00
N
/
/
.
Y
5.
$
00
N
IMPORTANT: (i) If any purchase listed covered a “short sale,” please mark Yes:
Yes
(ii) If you received shares through an acquisition or merger, please identify the date, the share amount and the company acquired:
M M
D
D
Y
Y
Y
Y
Merger Shares:
Company:
C. Sales of Barclays ADS between July 10, 2007 and September 25, 2012, inclusive:
SALES
Total Sales Price
(Excluding Commissions,
Taxes and Fees)
Proof of
Trade Date(s) of Shares
Number of Shares
Please round off to
Sales
(List Chronologically)
Sold
the nearest whole dollar
Enclosed?
M M
D
D
Y
Y
Y
Y
/
/
.
Y
1.
$
00
N
/
/
.
Y
2.
$
00
N
/
/
.
Y
3.
$
00
N
/
/
.
Y
4.
$
00
N
/
/
.
Y
5.
$
00
N
D. Number of Barclays ADS held at the close
Proof Enclosed?
of trading on June 27, 2012:
Y
N
E. Number of Barclays ADS held at the close
Proof Enclosed?
of trading on September 25, 2012:
Y
N
IF YOU NEED ADDITIONAL SPACE TO LIST YOUR TRANSACTIONS PLEASE PHOTOCOPY THIS PAGE,
WRITE YOUR NAME ON THE COPY AND FILL THIS CIRCLE:
IF YOU DO NOT FILL IN THIS CIRCLE THESE ADDITIONAL PAGES MAY NOT BE REVIEWED.
YOU MUST READ AND SIGN THE RELEASE ON PAGE 5. FAILURE TO SIGN THE RELEASE
MAY RESULT IN A DELAY IN PROCESSING OR THE REJECTION OF YOUR CLAIM.
*BARCLAYSFOURTH*
4

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 4