ISTLOGOIllinois Stock Transfer Company

209 W. Jackson Blvd.
Suite 903
Chicago, IL 60606

office (312) 427-2953
toll free (800) 757-5755
fax (312) 427-2879

Forms

Dear Shareholder:

The following forms are available for you to download to you printer to save you the mailing time of us sending the forms from our office to your home or business.

In order to view and print these forms, you must have the free Adobe Acrobat Reader installed on your PC. Click on the following Acrobat Reader icon to download and install this software now.

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All original forms must be delivered directly to us with original signatures, and if applicable, original medallion guarantees. Faxes are unacceptable unless noted below.  We will also be glad to send you these forms by mail if that will help you. Also, many of these forms are available in generic form from your own local financial institution or broker.

Sincerely

Illinois Stock Transfer Company
Printable Forms:

Change of Address Notification form (Fax Acceptable)

Affidavit of Domicile form

Substitute W-9 (Domestic holders)
W-9 Letter / Instructions (Front / Back) / W-9 Form
Form W-8BEN (PDF) - Foreign Status of Beneficial Owner for United States Tax Witholding
Letter / Instructions / W-8BEN Form
Form W-8ECI (PDF) - Certificate of Foreign Person's Claim for Exemption From Withholding on Income Effectively Connected With the Conduct of a Trade or Business in the United States
Letter / Instructions / W-8ECI Form
Form W-8EXP (PDF) - Certificate of Foreign Government or Other Foreign Organization for United States Tax Withholding
Letter / Instructions / W-8EXP Form
Form W-8IMY (PDF) - Certificate of Foreign Intermediary, Foreign Partnership, or Certain U.S. Branches for United States Tax Withholding
Letter / Instructions / W-8MY Form