EX-99.1 6 d922971dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

DIVIDEND REINVESTMENT AND SHARE PURCHASE PLAN

OF

FEDERAL REALTY INVESTMENT TRUST

ENROLLMENT APPLICATION

 

         
       
     
       
         
   

Please enroll this account as follows:

Check one box only (x).

   
    If you do not check any box, then FULL DIVIDEND REINVESTMENT will be assumed.
   

¨

 

 

FULL DIVIDEND REINVESTMENT

Reinvest all dividends for this account.

 
   

¨

 

 

 

PARTIAL DIVIDEND REINVESTMENT

Reinvest dividends on                  shares held by me in certificate form and on all shares held by you as Agent and pay dividends in cash on all remaining shares held by me in certificate form.

 
   

¨

 

 

 

CASH INVESTMENT ONLY (NO DIVIDEND REINVESTMENT)

All dividends will be paid in cash.

 
 

I (We) hereby appoint American Stock Transfer & Trust Company as my (our) Agent under the terms and conditions of the Plan, as described in the Brochure of the Plan which accompanied this form, to receive cash payments and apply them to the purchase of common shares of beneficial interest of Federal Realty Investment Trust as indicated below.

NO INTEREST WILL BE PAID ON THE FUNDS HELD PENDING INVESTMENT.

ACCOUNT INFORMATION

 

1. SINGLE/JOINT:    Joint account will be presumed to be joint tenants with right of survivorship unless restricted by applicable state law or otherwise indicated. The Social Security Number of the first-named tenant is required.

 

2. CUSTODIAL:       A minor is the beneficial owner of the account with an adult custodian managing the account until the minor becomes of age, as specified in the Uniform Gift to Minors Act in the minor’s state of residence. The minor’s Social Security Number is required.

 

3. TRUST:                 Account is established in accordance with the provisions of a trust agreement.

This form, when completed and signed, should be mailed with your check to the Agent:

 

Federal Realty Investment Trust

c/o American Stock Transfer & Trust Company

P.O. Box 922, Wall Street Station, New York, New York 10269-0560

Attn: Dividend Reinvestment and Share Purchase Plan

If your name is preprinted above, it is for mailing purposes only. Please complete one of the boxes below for the exact account registrations.

 

 

 

ACCOUNT LEGAL REGISTRATION (CHOOSE ONE):

 

  

 

SOCIAL SECURITY OR TAXPAYER IDENTIFICATION NUMBER                                      
hereby warrant, under penalty of perjury, that the number above is correct.                    

 

   

¨

 

SINGLE/JOINT ACCOUNT

          ¨   CUSTODIAL ACCOUNT           ¨   TRUST ACCOUNT
       
   

 

     

 

     

 

    Name       Custodian’s Name       Trustee Name
       
   

 

     

 

     

 

    Joint Owner (if any)       Minor’s Name       Trust Name or Beneficiary
       
   

 

     

 

     

 

   

Joint Owner (if any)

 

         

Minor’s State of Residence

 

         

Date of Trust

 

 

ACCOUNT ADDRESS                    
   STREET    CITY    STATE                ZIP CODE  
SIGNATURE(s)     
   All Joint Owners Must Sign

 

      MINIMUM INITIAL INVESTMENT IS $250 FOR NEW INVESTORS MINIMUM INVESTMENT IS $25 FOR SHAREHOLDERS OF RECORD AND CURRENT PLAN PARTICIPANTS MAXIMUM INVESTMENT IS $10,000 IN ANY GIVEN MONTH
ATTACHED IS A CHECK FOR    

            

 

 

  

 

FOR AUTOMATIC MONTHLY DEDUCTIONS, SEE REVERSE

 

 


 

 

      COMPLETE THIS PART ONLY IF YOU WANT AUTOMATIC  MONTHLY DEDUCTIONS      

 

 

I (We) hereby authorize American Stock Transfer & Trust Company to make monthly automatic transfers of funds from the checking or savings account in the amount stated below. This monthly deduction will be used to purchase common shares of beneficial interest of Federal Realty Investment Trust for deposit into my (our) Federal Realty Investment Trust account.

 

Signature(s)    

 

 

 

    Daytime  
Daytime  

 

  Phone Number  

 

1. Indicate the Type of Account: Checking or Savings

 

2. Print the complete Bank Account Number.

 

3. Print the name on Bank Account as it appears on your bank statement.

 

4. Print the complete name of your financial institution, including the branch name and address.

 

5. Print the ABA Number (Bank Number) from your check or savings deposit slip.

 

6. Amount of automatic monthly deduction: Indicate the monthly amount authorized to be transferred from your account. The minimum is $25 per month and the maximum is $10,000 per month from your checking or savings account to purchase common shares of beneficial interest of Federal Realty Investment Trust.

Please enclose a copy of a VOIDED check or savings deposit slip to verify banking information.

 

 

FILL IN THE INFORMATION BELOW FOR STOCK

PURCHASES USING AUTOMATIC MONTHLY DEDUCTIONS.

 

Please Print All items                                                      
1.     Type of Account    ¨ Checking    ¨ Savings                        
                              
2.                                                                                                                      
  Bank Account Number                                      
                              
3.                                                                                                                                          
  Name of Bank Account                                        
                              
4.                                                                                                                                          
  Financial Institution                                  
                              
                                                                                                                                                                                                                                             
  Branch Name                                    
                              
                                                                                                                                       
  Branch Street Address                      
                              
                                                                                                                                       
  Branch City, State and Zip Code                                  
                              
5.                                                                                      6.    $                                          
  ABA Number             Amount of automatic deduction        

PLEASE CONFIRM ITEMS 2 AND 5 WITH YOUR BANK

PRIOR TO SUBMITTING THIS APPLICATION.

 

                                   
                  JOHN A. DOE          
  Name on                      MARY B. DOE                           20          
  Bank Account             123 YOUR STREET                
              ANYWHERE, U.S.A. 12345          
   
              PAY TO THE            
             

ORDER OF

  $          
                                       
             

 

  DOLLARS    
  Financial             First National Bank          
  Institution and                     of Anywhere          
  Branch             123 Main Street                
  Information                Anywhere, U.S.A. 12345            
   
           

FOR

   

    SAMPLE (NON-NEGOTIABLE)    

   
             

 ·:071000013

 

          123456789:·                            
                                           
                                   
            ABA Number       Bank Account Number