EX-99.1.1E 7 dex9911e.txt DTC DELIVERY ELECTION FORM
DTC DELIVERY ELECTION FORM THIS FORM MUST BE COMPLETED AND SUBMITTED IF SHARES WILL BE PRESENTED FOR REDEMPTION BY BOOK-ENTRY TRANSFER TO THE DEPOSITORY TRUST COMPANY. PLEASE FAX THIS FORM TO THE DEPOSITARY AT THE NUMBER INDICATED BELOW PRIOR TO 5:00 P.M. NEW YORK CITY TIME ON THE SAME DAY SHARES ARE PRESENTED FOR REDEMPTION. FACSIMILE COPY NUMBER: 718-234-5001 CONFIRM BY TELEPHONE: 718-921-8200 YOU MUST PROVIDE THE INFORMATION REQUESTED BELOW. FAILURE TO FURNISH THE INFORMATION REQUESTED REGARDING ACCOUNT INFORMATION WILL RESULT IN AN INCOMPLETE REDEMPTION REQUEST AND THE FUND WILL BE UNABLE TO REPURCHASE YOUR SHARES. Your Name :_____________________________________________________________________________ DTC--VOI Number:________________________________________________________________________ DTC Participant Number:_________________________________________________________________ Date of Entry:__________________________________________________________________________ Number of Shares Presented for Redemption:______________________________________________ Name and Telephone No. of Representative:_______________________________________________ Mexican Account Information: MEXICO Name of Account (if different):_________________________________________________________ Bank or Broker Name (in Mexico):________________________________________________________ Bank or Broker Address:_________________________________________________________________ ________________________________________________________________________________________ Securities Account No.:_________________________________________________________________ Name and Telephone No. of Mexican Account Representative (optional):____________________ IN ADDITION, YOU MUST ADVISE THE ABOVE-NAMED MEXICAN BANK(S) OR BROKER(S) THAT SHARES WILL BE RECEIVED FOR YOUR ACCOUNT(S) FROM BBVD BANCOMER, S.D. PORTFOLIO SECURITIES RECEIVED WILL BE REGISTERED IN THE NOMINEE NAME OF THE DELIVERING PARTY ON AN INTERIM BASIS. THE SIGNOR, IN CONJUNCTION WITH THE MEXICAN BANK/BROKER, WILL BE RESPONSIBLE FOR REREGISTERING THE PORTFOLIO SECURITIES.