CAPÍTULO VI: ANÁLISIS DE LA CONTABILIDAD DE
6.3 Mapfre y sus accionistas
6.3.8. Datos bursátiles
Total (Box A + B)
£
For2014/15tax year
£
For2015/16tax year
£
The Applicant offers to invest the following amount by way of subscription for New H Shares under the terms and conditions set out in the Securities Note:
Note: If Section IFA 3 below is completed, the amount inserted in Box C of this Section 2 must be the same amount as inserted in Box Z of Section IFA 3.
2
BOX A
BOX B
BOX C
APPLICATION
CREST
4
Participant Postcode Participant Address
Contact name for CREST queries Contact Telephone CREST Participant ID
Participant Name
If you wish your New H Shares to be issued electronically to a CREST account, please complete this Section 3
CREST Member Account ID
Participant Address
APPLICANT’S SIGNATURE
6
Bank Name
Bank Branch Address
Sort Code
nnnn
|
nnnn
|
nnnn
Account Numbernnnnnnnn
|
nnnnnnnn
Account Holder Name
Date Signed
IFA
1
Firm Name Contact Name Address AddressIntroductory commission will be paid, subject to the terms set out in the Securities Note, as follows: Initial commission: 2.25%
Trail commission: 0.25%per annum for up to four years
Insert the amount of any initial commission which you wish to waive and reinvest in New H Shares for the Applicant (this will be deducted from the initial introductory commission)
FSA Registration No. and Company Stamp Postcode Tel Fax E-mail % Address Address
FINANCIAL INTERMEDIARY’S DETAILS
IFA
2
FINANCIAL INTERMEDIARY’S COMMISSION
(DO NOT COMPLETE THIS SECTION IFA 2 IF SECTION IFA 3 IS TO BE COMPLETED) (TICK BOXES PLEASE)
Please complete this Section IFA 2 only if the financial intermediary firm named in Section IFA 1is permitted, under FCA Rules, to receive commission in respect of this application for New H Shares.
Signature
Authorised signatory for the firm named in Section IFA 1. Postcode
If commission is to be paid to an address other than the address given in Section IFA 1 (e.g. to a head office), please complete the boxes below:
The firm named in Section IFA 1 certifies that it is permitted under FCA Rules to receive payment of commission in relation to this application, and the advice given to the Investor in respect of it.
Note: This Section IFA 2 must be signed on behalf of the intermediary firm even where the firm wishes to waive its initial commission in favour of the Applicant.
The completed Application Form and cheque or baker’s draft should be sent to: The City Partnership (UK) Limited, Thistle House, 21 Thistle Street, Edinburgh EH2 1DF
3
Please complete this Section IFA 3 only if the financial intermediary firm named in Section IFA 1is not permitted, under FCA Rules, to receive commissionin respect of this application for New H Shares,andthe firm and the Investor wish the Company to facilitate the payment of adviser charges. If the facilitation of payment of adviser charges is not required, leave this Section IFA 3 blank.
Note: The amount inserted in Box Z of this Section IFA 3 must be the same amount as inserted in Box C of Section 2
If adviser charges are to be paid to an address other than the address given in Section IFA 1 (e.g. to a head office), please complete the boxes
The Investor named in Section 3 and the firm named in Section IFA 1 both confirm that: • the adviser charges specified in Box Y above have been agreed between them;
• if VAT is payable in respect of those adviser charges, and the amount specified in Box Y above is exclusive of VAT, the Company shall have no responsibility to pay such VAT in addition to the amount specified in Box Y above, and payment of such VAT will be the Applicant’s sole responsibility; • they each instruct the Company to pay the amount specified in Box Y above to the firm;
• such payment will not be required to be made prior to the allotment and issue to the Applicant of the New H Shares covered by this application; and • they understand and agree that only the amount specified in Box Z above will be invested in the Company for New H Shares, and that, for example,
tax relief will be available only in respect of the amount specified in Box Z above
Signature
Authorised signatory for the firm named in Section IFA 1
Signature
Investor Amount of payment accompanying this Application Form
£
Amount to be paid to the financial intermediary firm named in IFA 1 by way of adviser charges
£
Amount to be invested by the Applicant for New H Shares (X minus Y)
£
BOX X
BOX Y
BOX Z
Address
Address Postcode
A: Cheques should be made payable to: “Edge Performance VCT Offer Account”.
Q: Where should I send my application?
A: Your Application Form and cheque or banker’s draft should be sent to The City Partnership (UK) Limited, Thistle House, 21 Thistle Street, Edinburgh EH2 1DF.
Q: What happens after I invest?
A: Within 3 Business Days of receiving your Application Form, we will send you confirmation of receipt.
Q: When will my New H Shares be allotted to me?
A: For those Investors seeking income tax relief for the 2014/2015 tax year, New H Shares will be allotted by no later than 3 April 2015. For those Investors seeking income tax relief for the 2015/16 tax year, New H Shares will be allotted by no later than 5 Business Days after the date on which the Offer closes.
Q; When will I receive my share certificate?
A: Unless you have elected for your New H Shares to be issued in CREST, you should expect to receive your share certificate within 20 Business Days after the date of allotment.
Q: When will I receive my tax certificate?
A: You should expect to receive your tax certificate within 20 Business Days after the date of allotment.
If you have any further questions concerning your application, please contact The City Partnership (UK) Limited by telephone on 0131 243 7210 or by e-mail to [email protected]