EX-99.D.6 2 d314129dex99d6.htm FORM OF SUBSCRIPTION CERTIFICATE FOR RIGHTS OFFERING

Form of Subscription Certificate for Rights Offering

DNP SELECT INCOME FUNDI NC. SUBSCRIPTION CERTIFICATE Investor ID Number THIS SUBSCRIPTION CERTIFICATE, INCLUDING THE ACCOMPANYING INSTRUCTIO NS, SHOULD BE READ CAREFULLY BEFORE THIS SUBSCRIPTIO N CERTIFICATE ISC OMPLETED. DNP Select Income Fund Inc. “ ( the Fund”) is issuing transferable rights (each, a “Right”)t o its sharehol ders ofr ecor d as of 5: 00 p.m. , N ewY ork Cit y time on August 23, 2012 (the “Record Date”) entitl ing t h e holders of those Rights to subscribe t ( he “Rights Offerin g”) for shares of h t e Fund’s common stock e ( ach, a “Share”). Such shareholders willr eceive 1 Right for each Share owned on the Record Date. A Rights holder may purchase 1 new Share for every 8 Rights held (the “Pri mary Subscription”) ata n estimated subscription price of $X.XX per Share. For a more complete description of the terms and conditions of the Rights Offering, please refer to the Prospectus dated XXXXX X, 2012 (th e “ Prospect us”), which is incorporated herein by reference. Copieso f h t e Prospectus are available upon request from the information agent, Georgeson, n I c. (see below). You are encour aged to contact Georgeson, n I c. f i you have any quest ionsa boutt he Rights Offe ir ng. I hereby ir evocably subscrib e for h t e number of Shares indicated ont his certificate upon the terms and conditions specifie d in the Prospectus e r lating thereto. Receipt of the Prospectus s i hereby acknowledged. If the box on Line 4 s i checked, I hereby authoriz e the sale of the number of Shares ndicated i on this certif ic at e upon the terms and conditions specified in the Prospectu s e r lating thereto. Please complete t h e back if you would li ke t o t r ansfer ownership or request special mailing. A Si gn atu re: Thisf or m must bes igned by ther egistered holder(s) exactly as t heir name(s) appears on th e certificate(s) or by pe rso n(s) auth or ze i dt o sign onb ehalf of the registered ho lder(s) byd ocu men ts t ran smitted herewith. X Signatureof Share holder Date Da ytime Te lepho ne # X Signatureo f Share holder Date Da ytime Te lepho ne # PLEASE CERTI FY YOURT AXP AYER IDENTI FICATION NUMBER (TIN ) BY COMPLETING THE IN FORMA TION IN BOX NU MB ER FON THER EVERSE SID E. SEE INSTRUCTIONS ON THE REVERSE SIDE B PRIM ARY SU BSCRIPTION SHARES TO SU BSCRIBE WHOLE SHARES C OVER- S UBSCRIPT O I N FOR SHA RES WHOLE SHARES D RIGHTS OFFERED FOR SA LE WHOLE SHARES ENCLOSEDI S MY CHECK FOR $ SUBSCRIPTION CERTIFICATE NUMBER CUSIP NUMBER PRIMARY SHARES TO SUBSCRIBE RIGHTS RECORD DATE SHARES SUBSCRIPTION DNP SELECTFOR INCOME RIGHTS FUND OFFERING INC. XXXX XX, 2012 A. Number of Shares subscribed for through h t e Primary Subscription ( n ot o t exceed one Share f o r every XX Rights held): Shares B. Number of Shares subscribed for through t h e Over-Subscription Privilege (Only avail able f i h t e Primary Subscription Rights are exercised n i u f ll): Shares C. Tota l Subscri ption Pric e (sum lines A and B multiplied by $XX.XX, t h e estimated Subscription Price): $ D. Meth od of Payment, check (1) or (2: ) (1) Certif iedor Cashier’s checko rm oney order payable o t C omputershare (actin g on behalf of ComputershareT r u st Company,N .A) . or (2) Personal checkp ayable to Computershare. f I your f u nds do not clear yourb ank before 5:00 p.m., New York City time onS epte mber 21, 2012, your request o f r Shares will not be accepted. INFORMATION AGENT 199 WaterS r t eet, 26th Floor New York, NY 1 0038 Banks and Brokers Call: 2 ( 12) 440-9800 Al O thers Toll Free: 800-676-0194 SUBSCRIP TION TO PURCHASE SHARESO F DNPS ELECT INCOME FUND INC. RETURNT O: COMPUTERSHARE WHERET O FORWARD YOUR TRANSMITTAL MATERIALS By Mail : ByO vernig ht Courie ro r By Hand Compute r s hare Computershare Attn : Corporate Actio n Dept. Attn :C orporate Acti on Dept . , 27th Floor P.O.B ox 3301 480 Washingto nB oulevard South Hackensack, NJ 07606 Jers ey City, NJ 07310 THIS RIG HTS OFFERING EXPIRES AT 5:00 P.M., NEW YORK CITY TIME, ON SEPTEMBER 21, 2012 (UNLESS EXTENDED) ANDT HIS SUBSCRIP-TIONC ERTIFICATE ISV OID THEREAFTER.

F SUBSTITUTE FORM Internal W-9 Revenue – Department Service of the Treasury, GSpecial Transfer Instructions and Signature Guarantee Medallion Payer’s Request for Taxpayer Identification Number (TIN) If you want your DNP Select Income Fund Inc. Rights to be transferred or issued in another FIL LI N th espa ce below. name,fill in this section with the information for the new account name. You must also complete Pa r t 1 – PLEA SE PR OVI DE YO U R TAXP AYE R th e Transfer Reason box below in Instruction 7. ID ENTIFIC ATIO N NUM BER (“ TIN”) IN THE BOX AT THE RIGHT AND CE RTIFYB Y SI GNINGA ND DAT IN GBEL OW Under penalties of perjury. I certify Name (Please Print First, Middle & Last Name) (T itle of Officer Signing this G uarantee) th at: EXEMPTP AYEE 1. The number shown on this form is my correct taxpayer identification Address (Number and Street) (N ame of Guarantor—Please Print) numb er (or I am wait ing for a Plea se check approp ri ateb ox: number to be issued to me), and Indiv id ual/ sole pro prie tor (C ity, State & Zip Code) (A ddress of Guarantor Firm) 2. I am not subject to backu p wit hholding because: (a ) I am C Corp ora tio n S Corporatio n exempt from backup withholding, or (b )I have not been (T ax Identification Number) notified by the Internal Revenue Partnership Service (IRS) that I am subject to Tru st/estate backup withholding as a result of a fa ilu re to report all inte rest or The Number of Rights transferred: dividends, o r (c) th e I RS has Limi ted lia bili ty co mpan y. Enter th e taxc la ssif ication notified me t hat I am no longer (C=C Corpora tio n, S=S Corporati on,P =Partnership) subject to backup withholding, and HSpecial Mailing Instructions Ente ra ppropria te tax cla ssific atio n here Fill in ONLY if mailing to someone other than the undersigned or to the undersigned at an 3. I am a U.S. citizen or other U.S. person (including a U.S. address other than that shown on the front of this card. re sident alien). Other Mail Share(s) and refund check(s) to: See enclosed Instru ctio ns Certification instructions. You must cross out item 2 above if you have been notified by th e IRS that you are currently subject to backup withholding because you have failed to Name (Please Print First, Middle & Last Name) re port all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and Address (Number and Street) generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. Signature Date Rev. January 2011 (C ity, State & Zip Code) COMPLETEA LL APPLICABLE SECTIONS OF THIS FORM USING THE INSTRUCTIONS BELOW. A Sig n and date Box 1 andi nclude your day time phonen umber. B Place an X in the box andf ill int hen umber of whole Shares you wish to subscribe for under th e Primary Subscription. C Pla ce an X in th e box and fill in the number of whole Shares you wish to over subscribe for under the Over-Subscription Privilege. (Only available if Primary Subscripti onR ights are ful y exercised). D Pla ce an X in the box and filli n the number of rights you wisht o offer fors ale . E Rights carda nd calculation section for dete rminin g your Primary/Over-Subscription Privileges. F PLEASE SIGN IN BOX 6 TO CERTIFY YOUR TAXPAYER ID OR SOCIAL SECURITY NUMBER if you are a U.S. Taxpayer. If the Taxpayer ID or Social Security Number is incorrect or bla nk, write the corrected number in Box 6 and sign to certify. Please note that Computershare may withhold 28% of your proceeds as required by the IRS if the Taxpayer ID or Social Security Number is notc ertified on our records. To avoid back up withholding, you are required to fully and accurately complete the Substitute Form W-9. For addit io nal in structions, please see the “Importan tT ax Inform at ion” document. Note: You are required to check the appropria te box for your sta tu s (In dividual/Sole proprietor, Corporatio n, etc.) to avoid withhold ing. If you are a non—U.S. Taxpayer, please complete and return form W-8BEN. G If you want your Rights to be tr ansferred or issued in another name, fill in Box 7 above. Signatu re(s) in Box 7 above must be medallion guarante ed. To complete your transfer request you must also in dicate below a Transfer Reason by executing the Transfer Reason box below. Transfer Reason1—Che ck on ly one : Allt ransfers will be assumed to be Gifts if no reason is provided. If we receive documentation (e .g., death certi ficate) in dicati ng that ther egistered shareowner is deceased, the transfer reason will default to Death. ?Gift Dateo f Gift2: / / (Gift applies to certificates only) ?PrivateS ale Dateo f Sale3: / / Value perS hare: USD . ?Death Dateo f Death 3: / / Value perS hare4: USD . ?Noneo f the above5: (P lease specify) 1 Youm ay wisht oc onsult w ith your tax advisor on the definition and tax impli cations for each type of transfer. 2 If not provided, gift date fo r certi ficates wil default to the date that thet ransfer is processed. For book entry shares, the gift datew ill always bet hed ate that the tr ansfer is processed. 3 Date of Sale/Death will default to the date that th e tr ansfer is processed unless provided. For transfers due to death, date of death will defa ult t o the date indicate d in the documents (e.g., death certificate) received with the transfer instructions, if any. 4 Required to dete rmine cost basis to be applied per beneficiary. 5 Existing cost basis of shares will be carried over to the new account. H the Fill in fr onto Box ft 8 his if, mailin card. g to someone other than th e undersigned or to the undersigned at an address other than that shown on THIS RIGHTS OFFERING HAS BEEN QUALIF IE D OR IS BELIE VED TO BE EXEMPT FROM QUALIFICATION ONLY UNDER THE FEDERAL LAWS OF THE UNITED STATES AND THE LAWS OF THE STATES IN THE UNITED STATES. RESIDENTS OF OTHER JURISDICTIONS MAY NOT PURCHASE THE SECURITIES OFFERED HEREBY UNLESS THEY CERTIFY THAT THEIR PURCHASES OF SUCH SECURITIES ARE EFFECTED IN ACCORDANCE WITH THE APPLICABLE LAWS OF SUCH JURISDICTIONS. THIS RIGHTS OFFERING EXPIRES AT 5:00 P.M., NEW YORK CIT Y TIME, ON September 21, 2012 (U NLESS EXTENDED) ANDT HIS SUBSCRIP TION CERTIF IC ATEI SV OID THEREAFTER.