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FORM OF BENEFICIAL OWNER ELECTION FORM
I (we) acknowledge receipt of your letter and the enclosed materials relating to the offering of rights (the "Series C Liberty SiriusXM Rights") to purchase shares of Series C Liberty SiriusXM common stock, par value $0.01 per share (the "Series C Liberty SiriusXM Common Stock"), of Liberty Media Corporation (the "Company").
In Part I of this form, I (we) instruct you whether to exercise, sell or transfer the Series C Liberty SiriusXM Rights distributed pursuant to the terms and subject to the conditions set forth in the prospectus dated May 14, 2020.
PART I
BOX 1. | o | Please do not exercise Series C Liberty SiriusXM Rights. | ||
BOX 2. | o | Please exercise Series C Liberty SiriusXM Rights as set forth below: |
| Number of Series C Liberty SiriusXM Rights | | Subscription Price | | Payment | |||||
---|---|---|---|---|---|---|---|---|---|---|
Basic Subscription Privilege: | x | $25.47 | = | $ (Line 1) | ||||||
Oversubscription Privilege: | x | $25.47 | = | $ (Line 2) |
By exercising the oversubscription privilege (the "Oversubscription Privilege") with respect to my (our) Series C Liberty SiriusXM Rights, I (we) hereby represent and certify that I (we) have fully exercised my (our) basic subscription privilege (the "Basic Subscription Privilege") received in respect of shares of Series C Liberty SiriusXM Common Stock held in the below described capacity.
Total Payment Required = $
(Sum of Lines 1 and 2 must equal total of amounts in Boxes 3 and 4)
BOX 3. | o | Payment in the following amount is enclosed: | ||
BOX 4. | o | Please deduct payment from the following account maintained by you as follows: |
| | |
Type of Account | Account No. | |
Amount to be deducted: $ |
Date: , 2020 | Signature(s): | |||
Signature(s): | ||||
(If held jointly) |
BOX 5. | o | Please sell of my Series C Liberty SiriusXM Rights. | ||
BOX 6. | o | Please have Broadridge Corporate Issuer Solutions, Inc. effect my specific instructions that I have attached hereto and for which I have had an Eligible Institution guarantee my signature. |
Signature(s): | ||||
Signature(s): | ||||
(If held jointly) |
Please type or print name(s) below: | ||
| | |
| | |
Signature(s) Guaranteed by: | ||
| | |
Eligible Institution |
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