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113

Written Bids Form for the 39th und 40th Auction

on 17/19 October 2015

HWPH Historisches Wertpapierhaus AG, c/o Matthias Schmitt, Ingelsberg 17b, 85604 Zorneding, Deutschland

Telephone +49 (0) 8106  246186 Fax +49 (0) 8106  246188

HWPH AG

Matthias Schmitt

Ingelsberg 17b

D-85604 Zorneding

Germany

Bidder No.

(will be filled in by auctioneer)

Last Name

First Name

Street

City, ZIP, Country

Email

Auction bid for the 39th auction (public auction, 17 October) and 40th auction (online auction, 19 Octo-

ber) of the HWPHHistorisches Wertpapierhaus AG. Hereby I authorize the HWPHHistorisches Wert-

papierhaus AG to bid on my behalf and bill to me the following number until the listed bid amounts are

reached. The printed sales terms in the catalogue apply which have been affirmed by the submission of

my bids. The bid terms will be met in Euros without a 18 % surcharge and sales tax.

Place, date

Signature

Do not miss a chance! If there are too much items for Your budget, just place a limit for the total sum of

bids (total hammer prices). We execute Your bids until Your limit is reached.

My limit (total hammer prices) Euro

+++ Beware of delivery date cut off!

+++ Friday, 16 October, noon!

+++Beware of delivery date cut off!

+++ Friday, 16 October, noon! +++

Beware o

Lot-#

Title/Shortform

Maximum

Bid in €

Lot-#

Title/Shortform

Maximum

Bid in €

Send a fax +49 (0) 81 06 -24 61 88

If there are any problems with transmission please call:

+49 ( 0 ) 160-1 52 75 91