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REAVES UTILITY INCOME FUND |
Computershare Trust Company, N.A.
250 Royall Street Canton Massachusetts 02021 www.computershare.com |
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MR A SAMPLE
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DESIGNATION (IF ANY)
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ADD 1
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ADD 2
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ADD 3
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ADD 4
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ADD 5
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ADD 6
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Subscription
Rights |
12345678901234
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SUBSCRIPTION RIGHTS CERTIFICATE
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Holder ID
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COY
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Class
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Rights Qty Issued
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Rights Cert #
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123456789
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XXXX
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Subscription Rights
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XXX.XXXXXX
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12345678
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Signature of Owner and U.S. Person for Tax Certification
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Signature of Co-Owner (if more than one registered holder listed)
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Date (mm/dd/yyyy)
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1 2 3 4 5 6 7 8
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C L S
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X R T 2
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C O Y C
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To subscribe for your primary shares please complete line “A” on the card below.
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Example:
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88 shares = 88 rights
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88 rights divided by 3 = 30 primary shares. The maximum number of Primary Subscription shares would be 29. The number of Rights will be rounded up to the nearest number of Rights evenly divisible by 3. If you hold less than 3 rights in total, you can subscribe for one Share.
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| A. |
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$TBD
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x
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$TBD
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=
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$TBD
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(No. of shares)
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(Estimated Subscription Price)
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(Payment to be Remitted)
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PLEASE FILL IN ALL APPLICABLE INFORMATION.
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A.
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Primary Subscription
(3 Rights = 1 Share)
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÷ 3 =
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x
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$TBD
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=
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$_________
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(Rights Exercised)
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(No. of Shares)
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(Estimated Subscription Price)
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B.
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Over-Subscription Privilege
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x
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$TBD
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=
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$_________
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(No. of Shares)
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(Estimated Subscription Price)
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C.
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Amount of Check Enclosed (A + B) (or amount in Notice of Guaranteed Delivery)
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=
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$_________
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D.
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☐ Sell any remaining Rights
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☐ Sell all of my Rights
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SECTION 1. TO SUBSCRIBE: I hereby irrevocably subscribe for the number of Shares indicated as the total of A and B hereon upon the terms and conditions specified in the Prospectus relating thereto, receipt of which is acknowledged. I hereby agree that if I fail to pay for the Shares for which I have subscribed (or are deemed to have subscribed for as set forth above), the Fund may exercise any of the remedies set forth in the Prospectus.
TO SELL: If I have checked the box on line D, I authorize the sale of Rights by the Subscription Agent according to the procedures described in the Prospectus.
Signature(s) of Subscriber(s)/Seller(s) __________________________________________________________________________
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Please give your telephone number: ( _______ )__________________________________________________________________
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Please give your e-mail address: ______________________________________________________________________________
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SECTION 2. TO TRANSFER RIGHTS: For value received, __________________ of the Rights represented by this Subscription Certificate are assigned to:
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(Print Full Name of Assignee)
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Social Security Number
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(Print Full Address) _______________________________________________________________________________________
(Print Full Address) _______________________________________________________________________________________
Signature(s) of Assignor(s) __________________________________________________________________________________
IMPORTANT: The signature(s) must correspond in every particular, without alteration, with the name(s) as printed on your Subscription Certificate.
Your Signature must be guaranteed by an Eligible Guarantor Institution as that term is defined under Rule 17Ad-15 of the Securities Exchange Act of 1934, which may include:
a) a commercial bank or trust company, or
b) a member firm of a domestic stock exchange, or
c) a savings bank or credit union.
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Signature Guaranteed By ____________________________________
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__________________________________________
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(name of Bank or Firm)
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(Signature of Officer and Title)
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Return Subscription Certificate by first class mail or overnight courier to: Computershare.
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By Mail:
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By Express Mail or Overnight Courier:
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Reaves Utility Income Fund c/o
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Reaves Utility Income Fund c/o
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Computershare Trust Company, N.A.
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Computershare Trust Company, N.A.
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Attention: Corporate Actions Voluntary Offer
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Attention: Corporate Actions Voluntary Offer
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P.O. Box 43011
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250 Royall Street, Suite V
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Providence, RI 02940-3011
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Canton, MA 02021
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