<DOCUMENT>
<TYPE>EX-99.2
<SEQUENCE>7
<FILENAME>dex992.txt
<DESCRIPTION>EXHIBIT 99.2
<TEXT>
<PAGE>
Exhibit 99.2
CERBCO, INC. RECAPITALIZATION
ELECTION AND TRANSMITTAL FORM
=================================================================
FOR HOLDERS OF COMMON STOCK
=================================================================
1. SHARES OF CERBCO, INC. COMMON STOCK THAT YOU OWN:
CERTIFICATE NUMBER NUMBER OF SHARES
--------------------------------------- -------------------------------
--------------------------------------- -------------------------------
--------------------------------------- -------------------------------
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TOTAL OF ALL SHARES LISTED ABOVE:______________________________________
2. SOCIAL SECURITY NUMBER OR TAXPAYER ID NUMBER:
---- ---- ---- ---- ---- ---- ---- ----
---- ---- ---- ---- ---- ---- ---- ----
3. MARK THIS BOX IF THE STOCK CERTIFICATES THAT YOU WISH TO
SURRENDER HAVE BEEN LOST, DESTROYED, MUTILATED OR STOLEN. (THEN [_]
PLEASE COMPLETE ANNEX A OF THE ELECTION FORM.)
4. MARK THIS BOX IF YOU WANT YOUR NEW CERBCO COMMON STOCK
CERTIFICATES TO BE ISSUED IN A NAME OTHER THAN THE NAME SET [_]
FORTH ON YOUR CURRENTLY HELD COMMON STOCK CERTIFICATES. (THEN
PLEASE COMPLETE ANNEX B OF THE ELECTION FORM.)
5. MARK THIS BOX IF YOU WISH TO PROVIDE SPECIAL MAILING
INSTRUCTIONS FOR THE STATEMENTS AND/OR CHECKS TO WHICH YOU MAY [_]
BE ENTITLED. (THEN PLEASE COMPLETE ANNEX C OF THE ELECTION
FORM.)
CHOICE OF ELECTION
6. MARK THIS BOX IF YOU WISH TO MAKE THE ALL STOCK ELECTION AND
RECEIVE 2.5 SHARES OF CERBCO NEW COMMON STOCK FOR EACH SHARE OF [_]
COMMON STOCK THAT YOU PRESENTLY HOLD.
7. MARK THIS BOX IF YOU WISH TO MAKE THE HYBRID--STOCK AND CASH
ELECTION AND RECEIVE $3.33 IN CASH AND ONE SHARE OF CERBCO NEW [_]
COMMON STOCK FOR EACH SHARE OF COMMON STOCK THAT YOU PRESENTLY
HOLD.
8. MARK THIS BOX IF YOU WISH TO MAKE THE ALL STOCK ELECTION WITH
RESPECT TO SOME OF YOUR SHARES OF COMMON STOCK AND THE
HYBRID--STOCK AND CASH ELECTION WITH RESPECT TO OTHER OF YOUR [_]
SHARES OF COMMON STOCK. THEN PLEASE INDICATE THE NUMBER OF
SHARES TO WHICH EACH ELECTION APPLIES IN THE SPACE PROVIDED.
ALL STOCK ELECTION FOR _______________ SHARES. (YOU CAN ELECT TO RECEIVE
2.5 SHARES OF CERBCO NEW COMMON STOCK FOR EACH SHARE THAT YOU
PRESENTLY HOLD.)
HYBRID--STOCK AND CASH ELECTION FOR ______________SHARES. (YOU CAN ELECT
TO RECEIVE $3.33 AND ONE SHARE OF CERBCO NEW COMMON STOCK FOR EACH
SHARE THAT YOU PRESENTLY HOLD.)
THIS ELECTION AND TRANSMITTAL FORM AND YOUR STOCK CERTIFICATE(S)
MUST BE RECEIVED BY AMERICAN STOCK TRANSFER AND TRUST COMPANY NO
LATER THAN _____ _.M. ON _____________ __, 2002.
=========================================================================
YOU MUST COMPLETE BOX 6, 7 OR 8 IN ORDER TO MAKE AN ELECTION IN THE
RECAPITALIZATION.
YOU ALSO MUST COMPLETE THE SUBSTITUTE FORM W-9 THAT ACCOMPANIES THIS
ELECTION AND TRANSMITTAL FORM AS ANNEX D.
=========================================================================
------------------------------------------------- -----------------------------
SIGNATURE OF OWNER DATE
------------------------------------------------- -----------------------------
SIGNATURE OF CO-OWNER, IF ANY DATE
------------------------------------------------- -----------------------------
DAYTIME TELEPHONE NUMBER EVENING TELEPHONE NUMBER
<PAGE>
ANNEX A
AFFIDAVIT OF LOST, DESTROYED, MUTILATED OR STOLEN CERTIFICATE(S)
(NOTE: AFFIDAVIT IS INVALID UNLESS SIGNED BELOW AND NOTARIZED)
================================================================================
COMPLETE THIS FORM ONLY IF YOU CANNOT LOCATE SOME OR ALL OF YOUR CERBCO COMMON
STOCK CERTIFICATES. PLEASE TYPE OR PRINT CLEARLY.
================================================================================
SOCIAL SECURITY NUMBER OR TAXPAYER ID NUMBER:
---- ---- ---- ---- ---- ---- ---- ---- ----
---- ---- ---- ---- ---- ---- ---- ---- ----
TOTAL NUMBER OF SHARES LOST:
----------------------------------------------------
PLEASE PROVIDE CERTIFICATE NUMBERS, IF KNOWN NUMBER OF SHARES
--------------------------------------------- --------------------------------
--------------------------------------------- --------------------------------
--------------------------------------------- --------------------------------
--------------------------------
PLEASE ATTACH A SEPARATE SHEET, IF NECESSARY.
I HEREBY CERTIFY THAT I AM THE LAWFUL OWNER OF THE SHARES LISTED ABOVE AND,
TOGETHER WITH ANY JOINT OWNER, I AM ENTITLED TO THE FULL AND EXCLUSIVE
POSSESSION OF SUCH SHARES. THESE SHARES HAVE NOT BEEN PLEDGED OR ENDORSED, NO
INTEREST IN THEM HAS BEEN SOLD, ASSIGNED, TRANSFERRED, PLEDGED OR OTHERWISE
DISPOSED OF BY ME OR ON MY BEHALF, AND NO OTHER PERSON, FIRM, CORPORATION,
AGENCY OR GOVERNMENT HAS, OR HAS ASSERTED, ANY RIGHT OR TITLE, CLAIM, EQUITY OR
INTEREST IN, TO OR RESPECTING THE CERTIFICATE(S) SO LISTED OR THE SHARES
REPRESENTED THEREBY. I HAVE MADE A DILIGENT SEARCH FOR THE CERTIFICATE(S) AND I
HAVE BEEN UNABLE TO FIND IT (OR THEM). I AGREE, FOR MYSELF AND MY HEIRS,
EXECUTORS, PERSONAL REPRESENTATIVES, ADMINISTRATORS, SUCCESSORS AND/OR ASSIGNS
(MY "ASSOCIATES"), IN CONSIDERATION OF THE EXCHANGE OF THE SHARES OF CERBCO
COMMON STOCK REPRESENTED BY SUCH CERTIFICATE(S), COMPLETELY TO INDEMNIFY,
PROTECT AND HOLD HARMLESS CERBCO, INC. AND AMERICAN STOCK TRANSFER AND TRUST
COMPANY AND THEIR RESPECTIVE AFFILIATES COLLECTIVELY, FROM AND AGAINST ANY AND
ALL LOSSES, COSTS AND DAMAGES TO WHICH ANY OF THEM MAY BE SUBJECT OR FOR WHICH
ANY OF THEM MAY BE LIABLE. I AGREE TO SURRENDER THE CERTIFICATE(S) FOR
CANCELLATION SHOULD I FIND IT (OR THEM) AT ANY TIME.
THIS AFFIDAVIT IS MADE IN CONNECTION WITH THE RECAPITALIZATION OF CERBCO, INC.,
FOR THE PURPOSE OF INDUCING CERBCO, INC. TO ISSUE TO ME, OR CAUSE TO BE ISSUED
TO ME, CERTIFICATES REPRESENTING SHARES OF CERBCO NEW COMMON STOCK OR SUCH
CERTIFICATES AND CASH AT THE RATE OF $3.33 PER SHARE IN CONNECTION WITH SUCH
RECAPITALIZAITON, WITHOUT REQUIRING THE SURRENDER OF THE ORIGINAL CERBCO, INC.
CERTIFICATES.
IN CONSIDERATION THEREOF, I AGREE THAT, IN THE EVENT THE LOST, STOLEN, OR
DESTROYED CERTIFICATE(S) BE FOUND OR OTHERWISE COME INTO MY POSSESSION, CUSTODY
OR CONTROL, OR THAT OF MY ASSOCIATES, SAID CERTIFICATE(S) SHALL BE PROMPTLY
DELIVERED TO CERBCO, INC. I FURTHER AGREE THAT I AND/OR MY ASSOCIATES, SHALL AT
ALL TIMES INDEMNIFY AND HOLD HARMLESS CERBCO, INC. AND ITS AFFILIATES,
DIRECTORS, OFFICERS, EMPLOYEES AND AGENTS AGAINST ANY AND ALL CLAIMS, ACTIONS
AND SUITS, WHETHER GROUNDLESS OR OTHERWISE, AGAINST ANY LIABILITIES, LOSSES,
DAMAGES, COSTS, CHARGES, COUNSEL FEES, AND OTHER EXPENSES OF EVERY NATURE AND
CHARACTER BY REASON OF THE LOST, STOLEN OR DESTROYED CERTIFICATE(S), THE
CANCELLATION OF SUCH CERTIFICATE(S), OR THE ISSUANCE OF THE NEW CERTIFICATE(S)
WITHOUT THE SURRENDER OF THE ORIGINAL CERTIFICATES(S).
I HAVE READ THE FOREGOING AND HEREBY SWEAR OR AFFIRM THAT THE REPRESENTATIONS
CONTAINED HEREIN ARE TRUE, AND THE FACTS SWORN TO BY ME REPRESENT MATTERS IN
WHICH I AM COMPETENT AND QUALIFIED TO SECURE AS EVIDENCE.
NOTARY REQUIRED. AFFIDAVIT IS NOT VALID IF NOT SIGNED BELOW.
---------------------------------------------------- ------------------------
SIGNATURE OF OWNER DATE
---------------------------------------------------- ------------------------
SIGNATURE OF CO-OWNER, IF ANY DATE
<PAGE>
State of _____________________ :
: ss.
County of ___________________ :
PERSONALLY appeared before me, the undersigned Notary Public,
_________________________________ and _____________________________, who, after
being first duly sworn, under oath, states that s/he is the owner or co-owner,
as the case may be, of the shares of CERBCO Common Stock reflected in the
foregoing and state(s) that the foregoing is true and correct to the best of
his/her knowledge, information and belief, in my capacity as a notary public, in
and for the jurisdiction aforesaid, this ______ day of _______________, 2002.
------------------------------------------
NOTARY PUBLIC
My Commission Expires:
<PAGE>
ANNEX B
SPECIAL ISSUANCE INSTRUCTIONS
================================================================================
COMPLETE THIS FORM ONLY IF YOU WISH SOME OR ALL OF YOUR SHARES OF NEW CERBCO
COMMON STOCK AND/OR CHECKS TO BE ISSUED IN A NAME OTHER THAN YOURS (THE
REGISTERED HOLDER). PLEASE COMPLETE A SEPARATE ANNEX B FOR EACH PERSON, OTHER
THAN YOURSELF, TO WHOM CERTIFICATE(S) AND/OR CHECKS ARE TO BE ISSUED.
================================================================================
PLEASE ISSUE: [__] CHECK(S) [__] CERTIFICATE(S) TO:
NAME: __________________________________________________________________________
ADDRESS: _______________________________________________________________________
_______________________________________________________________________
(PLEASE INCLUDE ZIP CODE)
EMPLOYER IDENTIFICATION OR --- --- ---- --- ---- --- --- ---- ---
SOCIAL SECURITY NUMBER: --- --- ---- --- ---- --- --- ---- ---
PLEASE SIGN AND DATE BELOW.
___________________________________________ _________________________________
SIGNATURE OF OWNER DATE
___________________________________________ _________________________________
SIGNATURE OF CO-OWNER, IF ANY DATE
================================================================================
MUST BE SIGNED BY REGISTERED HOLDER(S) EXACTLY AS NAME(S) APPEAR(S) ON THE
CERTIFICATE(S) BEING SURRENDERED OR BY THE PERSON OR PERSONS AUTHORIZED TO
BECOME REGISTERED HOLDER(S) [BY CERTIFICATE ENDORSEMENT AND TRANSMITTED WITH
THIS ANNEX B]. IF SIGNATURE IS BY A TRUSTEE, EXECUTOR, ADMINISTRATOR, GUARDIAN,
ATTORNEY-IN-FACT, OFFICER OF A CORPORATION, OR OTHER PERSON ACTING IN A
FIDUCIARY OR REPRESENTATIVE CAPACITY, PLEASE SET FORTH THE FOLLOWING
INFORMATION:
================================================================================
NAME(S): _______________________________________________________________________
CAPACITY/IES (FULL TITLE(S)): __________________________________________________
ADDRESS: _______________________________________________________________________
_______________________________________________________________________
(PLEASE INCLUDE ZIP CODE)
TELEPHONE NUMBER: ______________________________________________________________
(PLEASE INCLUDE AREA CODE)
================================================================================
SIGNATURE GUARANTEE
(SEE INSTRUCTIONS) SIGNATURE
GUARANTEE
MEDALLION
===============
NAME OF FIRM: __________________________________________________________________
ADDRESS: _______________________________________________________________________
_______________________________________________________________________
(PLEASE INCLUDE ZIP CODE)
AUTHORIZED SIGNATURE: __________________________________________________________
NAME OF PERSON SIGNING: ________________________________________________________
TELEPHONE NUMBER: ______________________________________________________________
(PLEASE INCLUDE AREA CODE)
================================================================================
<PAGE>
ANNEX C
SPECIAL DELIVERY INSTRUCTIONS
================================================================================
COMPLETE THIS FORM ONLY IF YOU WISH CERTIFICATES AND/OR CHECKS ISSUED PURSUANT
TO THE CERBCO, INC. RECAPITALIZATION TO BE MAILED TO SOMEONE OTHER THAN YOU OR
TO YOU AT AN ADDRESS OTHER THAN THAT SHOWN ON THE BOOKS OF AMERICAN STOCK
TRANSFER AND TRUST COMPANY.
================================================================================
PLEASE MAIL: [__] CHECK(S) [__] CERTIFICATE(S) TO:
NAME: __________________________________________________________________________
ADDRESS: _______________________________________________________________________
_______________________________________________________________________
(PLEASE INCLUDE ZIP CODE)
PLEASE SIGN AND DATE BELOW.
__________________________________________ ____________________________________
SIGNATURE OF OWNER DATE
__________________________________________ ____________________________________
SIGNATURE OF CO-OWNER, IF ANY DATE
================================================================================
MUST BE SIGNED BY REGISTERED HOLDER(S) EXACTLY AS NAME(S) APPEAR(S) ON THE
CERTIFICATE(S) BEING SURRENDERED OR BY THE PERSON OR PERSONS AUTHORIZED TO
BECOME REGISTERED HOLDER(S). IF SIGNATURE IS BY A TRUSTEE, EXECUTOR,
ADMINISTRATOR, GUARDIAN, ATTORNEY-IN-FACT, OFFICER OF A CORPORATION, OR OTHER
PERSON ACTING IN A FIDUCIARY OR REPRESENTATIVE CAPACITY, PLEASE SET FORTH THE
FOLLOWING INFORMATION:
================================================================================
NAME(S): _______________________________________________________________________
CAPACITY/IES (FULL TITLE(S)): __________________________________________________
ADDRESS: _______________________________________________________________________
_______________________________________________________________________
(PLEASE INCLUDE ZIP CODE)
TELEPHONE NUMBER: ______________________________________________________________
(PLEASE INCLUDE AREA CODE)
================================================================================
SIGNATURE GUARANTEE
(SEE INSTRUCTIONS) SIGNATURE
GUARANTEE
MEDALLION
====================
NAME OF FIRM: __________________________________________________________________
ADDRESS: _______________________________________________________________________
_______________________________________________________________________
(PLEASE INCLUDE ZIP CODE)
AUTHORIZED SIGNATURE: __________________________________________________________
NAME OF PERSON SIGNING: ________________________________________________________
TELEPHONE NUMBER: ______________________________________________________________
(PLEASE INCLUDE AREA CODE)
================================================================================
<PAGE>
ANNEX D
SUBSTITUTE FORM W-9
<TABLE>
<S> <C>
-----------------------------------------------------------------------------------------------------------------
SUBSTITUTE FORM W-9 REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION
(PLEASE REFER TO ACCOMPANYING GUIDELINES)
-----------------------------------------------------------------------------------------------------------------
PART 1--PLEASE ENTER YOUR SOCIAL SECURITY NUMBER -- -- -- -- -- - -- -- -- -- --
OR EMPLOYER IDENTIFICATION NUMBER - -
-- -- -- -- -- - -- -- -- -- --
-----------------------------------------------------------------------------------------------------------------
PART 2--CERTIFICATION--Under penalty of perjury I certify that: PART 3--CERTIFICATION FOR FOREIGN RECORD
(1) The number shown on this form is my correct taxpayer HOLDERS
identification number (or I am waiting for a number to be
issued to me) and Under penalty of perjury I certify that:
(2) I am not subject to backup withholding either because I I am not a united states citizen or
am exempt from backup withholding or I have not been resident (or I am signing for a foreign
notified by the internal revenue service ("IRS") that I am corporation, partnership, estate or
subject to backup withholding as a result of failure to trust).
report all interest or dividends, or the irs has notified
me that I am no longer subject to backup withholding. SIGNATURE: ____________________________
Certification Instructions--You must cross out Item (2) above if
you have been notified by the IRS that you are currently
subject to backup withholding. DATE: _________________________________
_______________________________________
SIGNATURE: _____________________________________________________ DATE: _________________________________
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NOTE: FAILURE TO COMPLETE AND RETURN THIS SUBSTITUTE FORM W-9 MAY RESULT IN BACKUP WITHHOLDING OF 31% OF ANY
PAYMENTS MADE TO YOU.
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</TABLE>
</TEXT>
</DOCUMENT>