EX-99.4 6 a2038243zex-99_4.txt EXHIBIT 99.4 ELECTION FORM/LETTER OF TRANSMITTAL Return this form and your Do you need Return this form with Fairfield stock Fairfield Communities, Inc. Stock Certificates to Assistance? certificates to Mellon Investor Services Mellon Investor Services LLC as follows: Call us TOLL FREE LLC no later than 5 PM (Eastern time) 1-866-892-5622 on the closing date of the Merger By Mail: By Hand: By Overnight Delivery: Mellon Investor Services LLC Mellon Investor Services LLC Mellon Investor Services LLC Attn: Reorganization Department Attn: Reorganization Department Attn: Reorganization Department Post Office Box 3301 120 Broadway 13th Floor 85 Challenger Road - Mail Drop-Reorg South Hackensack NJ 07606-3301 New York, NY 10271 Ridgefield Park, NJ 07660 1. About You and Your Shares -- Indicate Address Change as Necessary Below Account Number: Certificate Number Certificate Number Total Certificated Shares 2. Election Options and Required Signatures - Complete A, B and C + All Fairfield stock certificates MUST accompany this form (except as set forth in Section 2)+ A) Options [ ] 1. Exchange all Fairfield [ ] 2. Exchange all Fairfield shares [ ] 3. Exchange _______ shares for Cash Election for Stock Election Fairfield shares for Cash Election and the reminder for Stock Election -------------------------------------------------------------------- B) Required Signatures -- All Fairfield C) W-9 Certification/ Part 1- stockholders must sign below. The Substitution Form W-9 stockholder whose Social Security Number PLEASE PROVIDE YOUR TAXPAYER is printed to the right must sign the W-9 Department of the Treasury IDENTIFICATION NUMBER ("TIN") BELOW X Requested for Taxpayer AND CERTIFY THAT IT IS YOUR CORRECT ----------------------------------- Identification Number ("TIN") TIN BY SIGNING AND DATING BELOW. Signature of Stockholder Date and Certification -------------------------------------- Taxpayer Identification Number, Social X Security Number or Employer ----------------------------------- Identification Number Signature of Stockholder Date -------------------------------------------------------------------- (If joint account) Part 2 - Check the [ ] if you are exempt from backup withholding ( ) - --------------------------------------------------------------------- ------------------------------------- Area Code and Daytime Phone Part 3 - By signing below, you are certifying that you have not been notified by the Internal Revenue Service ("IRS") that you are subject The signatory above applies for regist- to backup withholding as a result of a failure to report all ration in the share register of Cendant interest and dividends or that the IRS has notified you that you are Corporation ("CD") as the owner of no longer subject to backup withholding. You must cross out this such number of registered shares resulting Part 3 if this certification does not apply to you. from the exchange of Fairfield shares and --------------------------------------------------------------------- declares that such signatory has acquired Part 4 - Check the [ ] if you are awaiting a TIN* the registered CD common stock, if any, --------------------------------------------------------------------- in such signatory's own name and for such CERTIFICATION: UNDER THE LAWS OF PERJURY, I CERTIFY THAT THE signatory's own account and provides the INFORMATION PROVIDED ON THIS SUBSTITUTE FORM W-9 IS TRUE, CORRECT, following information to Cendant: AND COMPLETE. PRINT NAME Citizenship (if a natural person) -------------------------------------------------------- ------------------ Date of birth (if a natural person) SIGNATURE ------------------ -------------------------------------------------------- Registered Office (if not a person) ------------------ DATE -------------------------------------------------------- 3. Special Transfer or Payment Instructions NOTE: FAILURE TO COMPLETE AND RETURN THE ABOVE SUBSTITUTE FORM W-9 MAY RESULT IN BACKUP WITHHOLDING OF 31% OF ANY PAYMENTS The check and/or CD common stock certificate from MADE TO YOU PURSUANT TO THE MERGER REDEMPTION. the exchange will be issued in the name(s) printed in Section 1 unless you indicate a different name *YOU MUST COMPLETE THE CERTIFICATE IF YOU CHECKED THE below. Your signature and a Signature Guarantee BOX IN PART 4 OF THE SUBSTITUTE FORM W-9: are required. The Substitute Form W-9 to the right must be completed by the new account holder. -------------------------------------------------- CERTIFICATE OF AWAITING TAXPAYER IDENTIFICATION NUMBER NAME I certify under penalties of perjury that a taxpayer identification number has not been issued to me, and that either (a) I have mailed -------------------------------------------------- or delivered an application to receive a taxpayer identification NAME number to the appropriate Internal Revenue Service Center or Social Security Administration Office, or (b) I intend to mail or deliver -------------------------------------------------- an application in the near future. I understand that if I do not ADDRESS provide a taxpayer identification number within sixty (60) days, 31% of all reportable payments made to me thereafter will be withheld -------------------------------------------------- until I provide a number. CITY-STATE-ZIP X -------------------------------------------- ------------------ -------------------------------------------------- Signature Date AUTHORIZED SIGNATURE(S) Continued on the reverse side
4. Special Delivery Instructions 5. Notice of Guaranteed Delivery The CD common stock certificate and/or check will be ------------------------------------------------- mailed to the address shown in Section 1 unless you Name of Firm indicate a different address below: ------------------------------------------------- ----------------------------------------------------- Authorized Signature NAME ------------------------------------------------- ----------------------------------------------------- Title ADDRESS ------------------------------------------------- ----------------------------------------------------- Address CITY-STATE-ZIP ------------------------------------------------- City-State-Zip Area Code and Telephone Number(s): -------------------------------------- Date: --------------------------------------, 2001