Ex-99.a.1.ii
Delaware Investments Dividend and Income Fund, Inc.
MR A SAMPLE
DESIGNATION (IF ANY)
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C 1234567890 J N T
Tax ID certification on file: <Certified Y/N>
TOTAL SHARES12345678901234
LETTER OF TRANSMITTAL TO TENDER SHARES OF DELAWARE INVESTMENTS DIVIDEND AND INCOME FUND, INC.
Pursuant to the Offer to Purchase dated June 2, 2014, Delaware Investments Dividend and Income Fund, Inc. (the "Fund") has offered to purchase up to 5%, or 471,952 shares, of its Common Stock. The offer expires at 11:59 p.m. New York City time on June 27, 2014, unless extended. See Instructions on the reverse side.I/we, the undersigned, hereby surrender to you for tendering the share(s) identified below. I/we hereby agree to the terms and conditions of the Offer to Purchase dated June 2, 2014 ("Offer to Purchase"). I/we hereby certify and warrant that: (i) I/we have received and read the Offer to Purchase; (ii) I/we have complied with all instructions on the reverse side of this Letter of Transmittal and the requirements of the Offer to Purchase; (iii) I/we have full authority to surrender these certificate(s) and give the instructions in this Letter of Transmittal; and (iv) the shares represented by these certificates are free and clear of all liens, restrictions, adverse claims and encumbrances.
Please complete the back if you would like to transfer ownership or request special mailing.
| Breakdown of your holding here at Computershare: | |
| Total Certificated Shares | Total Book-Entry Share | Total Shares |
| 1234567890123 | 1234567890123 | 1234567890123 |
1Signature: This formmustbe signed by the registered holder(s) exactly as their name(s) appears on the certificate(s) or by person(s) authorized to sign onbehalf of the registered holder(s) by documents transmitted herewith.
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| Signature of Shareholder | Date | Daytime Telephone # |
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| Signature of Shareholder | Date | Daytime Telephone # |
PLACE AN X IN ONE TENDER BOX ONLY
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2 | | 3 |
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¨ Tender All | or | ¨ Partial Tender |
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| | | WHOLE SHARES | | FRACTIONS | |
Please locate your certificate(s) and send them along with the completed Letter of Transmittal. |
¨ CHECK HERE IF SHARE CERTIFICATES HAVE BEEN MUTILATED, LOST, STOLEN OR DESTROYED. SEE INSTRUCTION 6.
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| 4Special Transfer Instructions | | | 5Special Mailing Instructions | |
| If you want your stock certificate(s) for Fund shares and/orcheck for cash to be issued inanother name,fill in this section with the information for the new account/payee name. | | | Signature Guarantee Medallion | | | Fill in ONLY if you want your stock certificate(s) for Fund shares and/or check for cash to be mailed to someone other than the registered holder or to the registered holder at an address other than that shown on the front of this Letter of Transmittal.
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| | | (Title of Officer Signing this Guarantee) | | |
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| Name (Please Print First, Middle & Last Name) | | | (Name of Guarantor - Please Print) | | | Name (Please Print First, Middle & Last Name) |
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| Address (Number and Street) | | | (Address of Guarantor Firm) | | | Address (Number and Street) | |
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| (City, State & Zip Code) | | | | | | | |
| | | | | | | (City, State & Zip Code) | |
| (Tax Identification or Social Security Number) | | | | | | | |
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INSTRUCTIONS FOR COMPLETING THE LETTER OF TRANSMITTAL
1 Sign, date and include your daytime telephone number in this Transmittal form in Box 1. After completing all other applicable sections, return this Letter of Transmittal andyour stock certificates in the enclosed envelope. The method of delivery of any documents, including share certificates, is at the election and risk of the tendering shareholder. If documents are sent by mail, it is recommended that they be sent by registered mail, properly insured, with return receipt requested.
2 If you are tendering all your shares for cash, please check this box only.
3 If you are tendering some of your shares for cash, please check the box, indicate the number of shares you wish to tender and receive in cash.
4 If you want your certificate(s) for Fund shares and/or check for cash to be issued in another name, fill in Box 4. Signature(s) in Box 4 must be medallion guaranteed.
5 Complete Box 5 only if your certificate(s) for Fund shares and/or check for cash is to be delivered to a person other than the registered holder or to the registered holder at a different address.
6Mutilated, Lost, Stolen or Destroyed Certificates.If any certificate representing Shares has been mutilated, lost, stolen or destroyed, the stockholder should promptly call the Depositary at (781) 575-2879 or (877) 373-6374. The stockholder will then be instructed by the Depositary as to the steps that must be taken to replace the certificate. This Letter of Transmittal and related documents cannot be processed until the procedures for replacing lost or destroyed certificates have been followed.
Form W-9:Under U.S. Federal Income Tax law, a stockholder is required to provide Computershare with such stockholder's correct Taxpayer Identification Number. If your Taxpayer Identification Number is not certified on our records, we have enclosed a Form W-9 for you to complete and return.Failure to provide the information on the form may subject you to backup withholding on any reportable payment.If you are a foreign individual seeking to qualify as an exempt recipient from backup withholding, you must complete and submit the enclosed Form W-8BEN to Computershare.
The Information Agent for the Offer is:
Georgeson All Holders Call Toll Free: (866) 296-6841 | The Depositary for the Offer is:
Computershare By Mail:
Computershare Trust Company, N.A. c/o Voluntary Corporate Actions P.O. Box 43011 Providence, RI 02940-3011 By Registered, Certified or Express Mail or Overnight Courier:
Computershare Trust Company, N.A. c/o Voluntary Corporate Actions 250 Royall Street, Suite V Canton, MA 02021 |
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