FAX/MAIL TO: FAX/MAIL COPY TO:
FDN, INC. JAMES R. LEONE, P.A.
Fax (407) 702-2001 Fax (904) 478-1744
2290 Lee Road P.O. Box 755
Winter Park, FL 32769 New Smyrna Beach, FL 32170-0755
MARK ONE (and have this back at FDN by OCTOBER 16, 2000):
1. _______ I completely accept the Stock Cancellation Notice, and I release all
claims to and will return at once the FDN, Inc. stock certificates which is
subject to that Notice (all my stock, unless otherwise indicated). DO NOT SUE
ME! Mark here if true: ______ I need a Lost Certificate Affidavit.
2. _______ I partially accept said Notice, except as to ______________
____________ (______) shares which I have the right to keep for the reasons
stated below.
3. _______ I do not know if I have the right to keep my shares, as stated below.
4. _______ I completely reject said Notice for the reasons stated below.
REASONS I MAY HAVE THE RIGHT TO KEEP MY STOCK:
Mark here: _______ if you use the back of this sheet or enclose additional
sheets, or a letter. Please be specific and give all relevant details including
dates, total amounts paid and price per share, numbers of shares, and the bank
name and check numbers or describe the goods or services given to the issuer or
other seller, giving the names of the recipient and of the seller.
Sign _________________________ October ____, 2000
Name ________________________ Phone (____)____________
Title (if any) ___________________ Fax (____)______________
Co. (if any) ____________________ Other (____)_____________
Address _______________________ E-mail _________________
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