SEARCH, INDEX, UPDATES, CONTENTS, INFORMATION, DIVIDEND PAYMENTS, DIVIDEND WAIVER
This template for the waiver of a dividend by an individual is also available for editing as a Word document.
[Home address]
The Company Secretary,
[Company name]
[Registered office address]
I, [name] of [address] being the registered holder of [number] of [class of shares e.g. Ordinary] Shares of [par value e.g. £1.00] each fully paid in the capital of [company name] Limited, do hereby irrevocably waive for myself, my successors and assigns all right and entitlement to payment of the [interim or final] dividend of £[amount] per share declared by the company on [date declared] in respect of the year ended [year end date].
Signed and sealed this [number] day of [month and year] by the said [person signing]
[Signature]
in the presence of
[Signature]_______________________
Signature
________________________________
Witness name
________________________________
Witness address
________________________________
________________________________
________________________________
Reminder - disclaimer applies. Please feedback your comments. This page was last modified 13 June 2006.