EX-99.(A)(1)(V) 6 d773414dex99a1v.htm FORM OF NOTICE OF WITHDRAWAL OF TENDER Form of Notice of Withdrawal of Tender

Notice of Withdrawal of Tender

Regarding Units in AMG Pantheon Fund, LLC

Tendered Pursuant to the Offer to Repurchase

Dated December 21, 2022

The Offer and withdrawal rights will expire on January 23, 2023

and this Notice of Withdrawal must be received by

the Fund’s Administrator, either by e-mail, mail or fax, by 11:59 p.m.,

Eastern Time, on January 23, 2023, unless the Offer is extended

Complete this Notice of Withdrawal and follow the transmittal

instructions included herein

 

Regular Mail

AMG Pantheon Fund, LLC

P.O. Box 534417

Pittsburgh, Pennsylvania 15253-4426

   E-mail: Pantheontenders2image@bnymellon.com

Fax: (833) 286-8165

Overnight Mail   

AMG Pantheon Fund, LLC

4400 Computer Drive

Westborough, Massachusetts 01581

   FOR ADDITIONAL INFORMATION CALL:

(877) 355-1566

You are responsible for confirming that this Notice is received timely by AMG Funds LLC, the Fund’s administrator. To assure good delivery, please send this page to AMG Funds LLC and not to your financial advisor. If you fail to confirm receipt of this Notice, there can be no assurance that your withdrawal will be honored by the Fund.

Ladies and Gentlemen:

Please withdraw the tender previously submitted by the undersigned in a Letter of Transmittal.

 

Fund Name:    
Fund Account #:    
Account Name/Registration:    
Telephone Number:    
SSN or Tax ID:    

The undersigned represents that the undersigned is the beneficial owner of the units in the Fund to which this withdrawal request relates, or that the person signing this request is an authorized representative of the withdrawing member.


In the case of joint accounts, each joint holder must sign this withdrawal request. Requests on behalf of a foundation, partnership or any other entity should be accompanied by evidence of the authority of the person(s) signing.

 

 
Signature   

Print Name of Authorized Signatory

(and Title if applicable)

  Date
 
Signature   

Print Name of Authorized Signatory

(and Title if applicable)

  Date