![]() | PURSUANT TO THE OFFER TO PURCHASE DATED |
LETTER OF TRANSMITTAL | DECEMBER 15, 2016 |
Regular Mail Priority Income Fund, Inc. c/o Behringer Investor Services P.O. Box 219768 Kansas City, MO 64121-3650 | Overnight Mail Priority Income Fund, Inc. c/o Behringer Investor Services 430 West 7th Street Kansas City, MO 64105-1407 | |
TOTAL SHARES TO BE TENDERED: | NOTE: SIGNATURES MUST BE PROVIDED BELOW PLEASE READ THE ACCOMPANYING INSTRUCTIONS CAREFULLY | |
![]() | PURSUANT TO THE OFFER TO PURCHASE DATED |
LETTER OF TRANSMITTAL | DECEMBER 15, 2016 |
IMPORTANT: Please sign exactly as your name is printed (or corrected) above, and insert your Taxpayer Identification Number or Social Security Number in the space provided below your name. For joint owners, each joint owner must sign (See Instruction 1). | SIGNATURE BOX | |
Signature of Owner_____________________________________ Date ________________ Social Security Number or Taxpayer Identification Number ______________________________________________ Signature of Owner_____________________________________ Date _________________ Social Security Number or Taxpayer Identification Number ______________________________________________ | ||
![]() | PURSUANT TO THE OFFER TO PURCHASE DATED |
LETTER OF TRANSMITTAL | DECEMBER 15, 2016 |
1 | IMPORTANT: To be completed ONLY if the Purchase Price is to be made payable in the name of someone other than the name(s) of the registered holder(s), or if the payment of the Purchase Price is to be delivered by mail to an address different than the address(es) of the registered holder(s) provided on the application accepted by the Company in connection with the purchase of the Shares, or if the Purchase Price is to be made payable by wire. | SPECIAL REGISTRATION AND PAYMENT INSTRUCTIONS (SEE INSTRUCTIONS 1, 3, 5 AND 6) | ||
oCheck here and fill out the wire transfer instructions below to receive the Purchase Price via wire transfer | ||||
Bank________________________________________________________________________ ABA Routing Number___________________________________________________________ Account Holder________________________________________________________________ Account Number_______________________________________________________________ Reference: Priority Income Fund, Inc. o Check here to receive the Purchase Price via check Name of Registered Holder_______________________________________________________ Mailing Address________________________________________________________________ City, State, Zip_________________________________________________________________ Social Security Number (or) Tax Identification Number_________________________________ (In Addition, Complete Substitute Form W-9) | ||||
2 | By executing this Letter of Transmittal, the undersigned hereby delivers to the Company in connection with the Offer to Purchase the number of shares of common stock indicated in the box entitled “Total Shares to be Tendered”. | SIGN HERE TO TENDER YOUR SHARES (SEE INSTRUCTIONS 1 AND 3) (IN ADDITION, COMPLETE SUBSTITUTE FORM W-9) | ||
Signature of Registered Holder______________________________Date____________________ Name (please print)______________________________________________________________ Signature of Registered Holder______________________________Date____________________ Name (please print)_____________________________________________________________ Capacity (list full title)___________________________________________________________ Mailing Address________________________________________________________________ City, State, Zip__________________________________________________________________ Social Security Number (or) Tax Identification Number_________________________________ | ||||
![]() | PURSUANT TO THE OFFER TO PURCHASE DATED |
LETTER OF TRANSMITTAL | DECEMBER 15, 2016 |
3 | SIGNATURE(S) GUARANTEED BY: (TO BE COMPLETED ONLY IF REQUIRED BY INSTRUCTIONS 1 AND 3) | |||
The undersigned hereby guarantees the signature(s) which appear(s) on this Letter of Transmittal for Shares tendered pursuant to this Letter of Transmittal. Name of Institution Issuing Guarantee____________________________________________ Authorized Signature By_______________________________________________________ Title________________________________________________________________________ Address of Guaranteeing Firm___________________________________________________ City, State, Zip_______________________________________________________________ Dated_______________________________________________________________________ (Please place Medallion Signature Guarantee seal(s) below) | ||||
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LETTER OF TRANSMITTAL | |
1. | Guarantee of Signatures. Signatures on this Letter of Transmittal must be guaranteed in Box 3 in accordance with Rule 17Ad-15 (promulgated under the Securities Exchange Act of 1934, as amended) by an eligible guarantor institution which is a participant in a stock transfer association recognized program, such as a firm that is a member of a registered national securities exchange, a member of the Financial Industry Regulatory Authority, by a commercial bank or trust company having an office or correspondent in the United States or by an international bank, securities dealer, securities broker or other financial institution licensed to do business in its home country (an “Eligible Institution”) unless (i) the Letter of Transmittal is signed by the registered holder(s) of the Shares tendered therewith and such holder(s) have not completed Box 1 “Special Registration and Payment Instructions” above or (ii) the Shares described above are delivered for the account of an Eligible Institution. IN ALL OTHER CASES ALL SIGNATURES MUST BE GUARANTEED BY AN ELIGIBLE INSTITUTION. |
2. | Delivery of Letter of Transmittal. This Letter of Transmittal properly completed and duly executed, should be sent by mail or courier or delivered by hand to the Company, in each case at the address set forth on the front page on this Letter of Transmittal, in order to make an effective tender. |
3. | Signatures on this Letter of Transmittal, Powers of Attorney and Endorsements. |
(a) | If this Letter of Transmittal is signed by the registered holder(s) of the Shares to be tendered, the signature(s) of the holder on this Letter of Transmittal must correspond exactly with the name(s) on the application accepted by the Company in connection with the purchase of the Shares, unless such Shares have been transferred by the registered holder(s), in which event this Letter of Transmittal should be signed in exactly the same form as the name on the last transferee indicated on the stock ledger maintained in book-entry form by DST Systems, Inc., the Company’s transfer agent. |
(b) | If any Shares tendered with this Letter of Transmittal are owned of record by two or more joint owners, all such owners must sign this Letter of Transmittal |
(c) | If this Letter of Transmittal is signed by a trustee, executor, administrator, guardian, attorney-in-fact, officer of a corporation or other person acting in a fiduciary or representative capacity, such person must so indicate when signing, and proper evidence satisfactory to the Company of their authority to so act must be submitted. |
(d) | If this Letter of Transmittal is signed by a person other than the registered holder(s) of the Shares listed, the Letter of Transmittal must be endorsed or accompanied by appropriate stock powers, in either case signed exactly as the name(s) of the registered holder(s) appear(s) on the application accepted by the Company in connection with the purchase of the Shares. Signatures must be guaranteed in Box 3 by an Eligible Institution (unless signed by an Eligible Institution). |
4. | Withholding. The Company is entitled to deduct and withhold from the Purchase Price otherwise payable to any holder of Shares whose Shares are accepted for purchase by the Company any amounts that the Company is required to deduct and withhold with respect to the making of such payment under the Internal Revenue Code of 1986, as amended (the “Code”), or any provision of state, local or foreign tax law. To the extent that amounts are withheld, the withheld amounts shall be treated for all purposes as having been paid and issued to the holder of Shares in respect of which such deduction and withholding was made. |
5. | Transfer Taxes. The Company will pay any transfer taxes payable on the transfer to it of Shares purchased pursuant to the Offer; provided, however, that if payment of the Purchase Price is to be made to, or (in the circumstances permitted by the Offer) unpurchased Shares are to be registered in the name(s) of, any person(s) other than the registered owner(s), the amount of any transfer taxes(whether imposed on the registered owner(s) or such other person(s)) payable on account of the transfer to such person(s) will be deducted from the Purchase Price unless satisfactory evidence of the payment of such taxes, or exemption therefrom, is submitted herewith. |
6. | Special Registration and Payment Instructions and Special Delivery Instructions. If the Purchase Price is to be paid and issued to a person other than the person(s) signing the Letter of Transmittal, then Box 1 must be completed. If the Purchase Price is to be mailed or wired to someone other than the person(s) signing the Letter of Transmittal, or to the person(s) signing the Letter of Transmittal at an address other than that shown above, then Box 1 must be completed. |
7. | Determinations of Validity. All questions as to the form of documents and the validity of Shares will be resolved by the Company in tis sole discretion, whose determination shall be |
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LETTER OF TRANSMITTAL ![]() | |
8. | Requests for Assistance or Additional Copies. Requests for assistance or for additional copies of this Letter of Transmittal may be directed to the Company at the address or the telephone number set forth on the cover page of this Letter of Transmittal. Stockholders who do not own Shares directly may also obtain such information and copies from their broker, dealer, commercial bank, trust company or other nominee. Stockholders who do not own Shares directly are required to tender their Shares through their broker, dealer, commercial bank, trust company or other nominee and should NOT submit this Letter of Transmittal to the Company. |
9. | Backup Withholding. Each holder that desires to tender Shares must, unless an exemption applies, provide the Company with the holder’s taxpayer identification number on the Substitute Form W-9 set forth in this Letter of Transmittal, with the required certifications being made under penalties of perjury. If the holder is an individual, the taxpayer identification number is his or her social security number. If the Company is not provided with the correct taxpayer identification number, the holder may be subject to a $50 penalty imposed by the Internal Revenue Service in addition to being subject to backup withholding. |
Form W-9 (Rev. December 2014) Department of the Treasury Internal Revenue Service | Request for Taxpayer Identification Number and Certification | Give Form to the requester. Do not send to the IRS. | |||||
Print or type See Specific Instructions on page 2. | 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. | ||||||
2 Business name/disregarded entity name, if different from above | |||||||
3 Check appropriate box for federal tax classification; check only one of the following seven boxes: | 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code (if any) (Applies to Accounts maintained outside the U.S) | ||||||
Individual/sole proprietor or single-member LLC | C Corporation | S Corporation | Partnership | Trust/estate | |||
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) u Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single-member owner. Other (see instructions) u | |||||||
5 Address (number, street, and apt. or suite no.) | Requester's name and address (optional) | ||||||
6 City, state, and ZIP code | |||||||
7 List account number(s) here (optional) | |||||||
Part I | Taxpayer Identification Number (TIN) | ||||||||||||||||||
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. | |||||||||||||||||||
Social security number | |||||||||||||||||||
- | - | ||||||||||||||||||
or | |||||||||||||||||||
Employer identification number | |||||||||||||||||||
- | |||||||||||||||||||
Part II | Certification | ||
Under penalties of perjury, I certify that: | |||
1. | The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and | ||
2. | I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) 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 all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and | ||
3. | I am a U.S. citizen or other U.S. person (defined below); and | ||
4. | The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. | ||
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report 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 generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. | |||
Sign Here | Signature of U.S. person u | Date u | ||
Cat. No. 10231X | Form W-9 (Rev. 12-2014) | |||
Form W-9 (Rev. 12-2014) | Page 2 |
• | An individual who is a U.S. citizen or U.S. resident alien; |
• | A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; |
• | An estate (other than a foreign estate); or |
• | A domestic trust (as defined in Regulations section 301.7701-7). |
• | In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity; |
• | In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and |
• | In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust. |
Form W-9 (Rev. 12-2014) | Page 3 |
• | Generally, individuals (including sole proprietors) are not exempt from backup withholding. |
• | Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. |
• | Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions. |
• | Corporations are not exempt from backup withholding with respect to attorneys' fees or gross proceeds paid to attorneys, and corporations that |
IF the payment is for | THEN the payment is exempt for |
Interest and dividend payments | All exempt payees except for 7 |
Broker transactions | Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. |
Barter exchange transactions and patronage dividends | Exempt payees 1 through 4 |
Payments over $600 required to be reported and direct sales over $5,0001 | Generally, exempt 2 payees 1 through 52 |
Payments made in settlement of payment card or third party network transactions | Exempt payees 1 through 4 |
Form W-9 (Rev. 12-2014) | Page 4 |
Form W-9 (Rev. 12-2014) | Page 5 |
What Name and Number To Give the Requester | |||
For this type of account: | Give name and SSN of: | ||
1 | Individual | The individual | |
2 | Two or more individuals (joint account) | The actual owner of the account or, if combined funds, the first individual on the account1 | |
3 | Custodian account of a minor (Uniform Gift to Minors Act) | The minor2 | |
4 | a.Theusual revocable savings trust (grantor is also trustee) | The grantor-trustee1 | |
b. So-called trust account that is not a legal or valid trust under state law | The actual owner1 | ||
5 | Sole proprietorship or disregarded entity owned by an individual | The owner3 | |
6 | Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A)) | The grantor* | |
For this type of account: | Give name and EIN of: | ||
7 | Disregarded entity not owned by an individual | The owner | |
8 | A valid trust, estate, or pension trust | Legal entity4 | |
9 | Corporation or LLC electing corporate status on Form 8832 or Form 2553 | The corporation | |
10 | Association, club, religious, charitable, educational, or other tax-exempt organization | The organization | |
11 | Partnership or multi-member LLC | The partnership | |
12 | A broker or registered nominee | The broker or nominee | |
13 | Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments | The public entity | |
14 | Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(i)(B)) | The trust | |
• | Protect your SSN, |
• | Ensure your employer is protecting your SSN, and |
• | Be careful when choosing a tax preparer. |