lOMoARcPSD|59278295
FORM D
GOVERNMENT OF KENYA
__________________________
THE STAMP DUTY ACT
(Cap. 480)
__________________
TO: THE COLLECTOR OF STAMP DUTIES,
P.O. BOX 30089, NAIROBI,
or
P.O. BOX 53, MOMBASA
CERTIFICATE ON TRANSFER OF CERTAIN MARKETABLE SECURITIES
I hereby certify that to the best of my knowledge and belief-
(a) the transaction effected by the transfer of ONE HUNDRED (100)
shares in GOLDLIMITED dated
20…. between STEPHENIE and JAMES represents a bona
fide sale between a willing vendor and a willing purchaser;
(b) the value of one ordinary/preference share in LIMITED on 20…,
was Shs. 100/-
Date
Signature of Company Auditor
Name (IN BLOCK CAPITALS)
Postal Address
G.P.K. 1511-10m-5/64