EX-99.(D)(3) 5 d500306dex99d3.htm FORM OF CERTIFICATE FOR COMMON SHARES OF BENEFICIAL INTEREST. Form of Certificate for Common Shares of Beneficial Interest.

ORGANIZED AND EXISTING UNDER AND BY VIRTUE OF

THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS

 

Number    DOUBLELINE INCOME SOLUTIONS FUND    Shares                

COMMON SHARES(S) OF

   THIS CERTIFICATE IS TRANSFERABLE    CUSIP TO COME

BENEFICIAL INTEREST

   IN JERSEY CITY, NJ, NEW YORK, NY OR PITTSBURGH, PA    SEE REVERSE SIDE FOR
$0.00001 PAR VALUE PER SHARE       CERTAIN DEFINITIONS

This certifies that                     

is the owner of                                         

FULLY PAID AND NON-ASSESSABLE COMMON SHARES OF BENEFICIAL INTEREST OF

DOUBLELINE INCOME SOLUTIONS FUND, the said shares being issued, received and held under and subject to the terms and provisions of the Agreement and Declaration of Trust dated as of January 10, 2013, establishing the Fund, and all amendments thereto, copies of which are on file with the Secretary of The Commonwealth of Massachusetts, and the Fund’s Bylaws, and all amendments thereto. The said owner by accepting this certificate agrees to and is bound by all of the said terms and provisions. The common shares represented hereby are transferable in writing by the owner thereof in person or by attorney upon surrender of this certificate to the Fund, properly endorsed for transfer. This certificate is executed on behalf of the Trustees of the Fund as Trustees and not individually and the obligations hereof are not binding upon any of the Trustees, officers or shareholders of the Fund individually but are binding only upon the assets and property of the Fund. This certificate is not valid until countersigned and registered by the Transfer Agent and Registrar.

    WITNESS the seal of the Fund and the signatures of its duly authorized officers.

DATED:

 

 

      

 

TREASURER

     PRESIDENT        


The Fund will furnish a copy of the Agreement and Declaration of Trust and Bylaws to the holder of this certificate without charge upon written request.

EXPLANATION OF ABBREVIATIONS

The following abbreviations when used in the form of ownership on the face of this certificate shall be construed as though they were written out in full according to applicable laws or regulations. Abbreviations in addition to those appearing below may be used.

 

Abbreviation   Equivalent   Abbreviation   Equivalent
JT TEN   As joint tenants, with rights of survivorship   TEN IN COM   As tenants in common
  and not as tenants in common   TEN BY ENT   As tenants by the entireties
    UNIF TRANSFERS MIN ACT   Uniform Transfers to Minors Act
Abbreviation   Equivalent   Abbreviation   Equivalent
ADM   Administrator(s)   FDN   Foundation
  Administratrix   PL   Public Law
AGMT   Agreement   TR   (As) trustee(s) for, of
CUST   Custodian for   UA   Under Agreement
EST   Estate, Of estate of   UW   Under will of, Of will of,
EX   Executor(s), Executrix     Under last will & testament
FBO   For the benefit of    

Additional abbreviations may also be used though not in the above list.

TRANSFER FORM

For value received,                                  hereby sell, assign and transfer unto:

                                         (I/We)

PLEASE INSERT SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE

 

                                                                                                                                                                                                                             
                                             Please Print or Typewrite Name and Address (including postal Zip Code of Assignee)

    

                     Common Shares of Beneficial Interest represented by this Certificate, and do hereby irrevocably constitute and appoint

                                              Attorney, to transfer such beneficial interest on the books of the Fund named therein with full power of substitution in the premises.

Dated                             ,                 

 

    Signature(s)  

 

Signature Guaranteed By     (The signature of this assignment must correspond exactly with the name as written upon the face of this Certificate in every particular, without alteration or enlargement or any change whatsoever. If more than one owner, all must sign.)
(Signature must be guaranteed by a commercial    
bank or trust company or member firm of any national stock exchange.)    

IMPORTANT NOTICE

When you sign your name to the Transfer Form without filling in the name of your “Assignee” this certificate becomes fully negotiable, similar to a check endorsed in blank. Therefore, to safeguard a signed certificate, it is recommended that you fill in the name of the new owner in the “Assignee” space.

Alternatively, instead of using this Transfer Form, you may sign a separate “stock power” form and then mail the unsigned certificate and the signed “stock power” in separate envelopes. For added protection, use registered mail for a certificate.