Bear Stearns Certificate Settlement

Proof of Claim

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Claim Form

To participate in the Settlement, please download and submit a Proof of Claim and Release.

Exchangeable Certificates

If you had any transactions involving exchangeable certificates, complete and mail in this schedule with your Proof of Claim and Release Form. Copies of broker confirmations or other documentation of your transactions in the Certificates should be attached to your claim in support of every transaction, exchange, and unsold holding.