EXHIBIT 99.6
FIRST MONTAUK FINANCIAL CORP.
DTC PARTICIPANT SUBSCRIPTION EXERCISE FORM
The terms and conditions of the Rights Offering are set forth in the
Prospectus dated __________________, 1997 (the "Prospectus") of First Montauk
Financial Corp. (the "Company") and are available upon request from North
American Transfer Company, the Subscription Agent. Terms used but not defined
herein have the meaning ascribed to them in the Prospectus.
This form is to be used only by a Depository Trust Company ("DTC")
participant to exercise the Oversubscription Privilege in respect of Rights for
which the Basic Subscription Privilege was exercised and delivered through the
facilities of DTC. All other exercises of Oversubscription Privileges must be
effected by delivery of Subscription Rights Certificates.
VOID UNLESS RECEIVED BY THE SUBSCRIPTION AGENT WITH PAYMENT IN FULL BY 5:00
P.M., EASTERN TIME, ON ________________, 1997, UNLESS EXTENDED BY THE COMPANY TO
A TIME NOT LATER THAN 5:00 P.M., EASTERN TIME, ON ____________________, 1997 (IN
EITHER CASE, THE "EXPIRATION TIME").
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1. The undersigned hereby certifies to the Company and North American
Transfer Company, as the Subscription Agent, that it is a participant in DTC and
that it has either (i) exercised the Basic Subscription Privilege in respect of
Rights and delivered such exercised Rights to the Subscription Agent by means of
transfer to the DTC account of the Subscription Agent designated in the
Prospectus or (ii) delivered to the Subscription Agent a Notice of Guaranteed
Delivery in respect of the exercise of the Basic Subscription Privilege and will
deliver the Rights called for in such Notice of Guaranteed Delivery to the
Subscription Agent by means of transfer to such DTC account of the Subscription
Agent.
2. The undersigned hereby exercises the Oversubscription Privilege to
purchase, to the extent available, ______Units. A true and correct Nominee
Holder Oversubscription Certification is attached as Exhibit A hereto.
3. The undersigned understands that payment of the Subscription Price of
$.45 per Unit subscribed for pursuant to the Oversubscription Privilege must be
received by the Subscription Agent before the Expiration Time and represents
that such payment, in the aggregate amount of $______, either (check appropriate
box):
|_| has been or is being delivered to the Subscription Agent pursuant to
the Notice of
Guaranteed Delivery referred to above
or
|_| is being delivered to the Subscription Agent herewith
or
|_| has been delivered separately to the Subscription Agent;
and, in the case of funds not delivered pursuant to a Notice of Guaranteed
Delivery, is or was a delivered in the manner set forth below (check appropriate
box and complete information relating thereto):
|_| Wire transfer of funds directed to ____________
Bank, ABA No. _______________, Account No._______________.
Name of transferor institution ___________________________
Date of transfer _________________________________________
Confirmation number (if available) _______________________
|_| Uncertified check payable to North American Transfer Company
(Payment by uncertified check will not be deemed to have been
received by the Subscription Agent until such check has cleared.
Rights holders paying such means are urged to make payment
sufficiently in advance of the Expiration Time to ensure that such
payment clears by such date.)
Name of maker ____________________________________________
Date of check ____________________________________________
Bank on which check is drawn _____________________________
|_| Certified check payable to North American Transfer Company
Name of maker ____________________________________________
Date of check ____________________________________________
Bank on which check is drawn______________________________
|_| Cashier's check payable to North American Transfer Company
Name of maker ____________________________________________
Date of check ____________________________________________
|_| Money order payable to North American Transfer Company
Issuer of money order ____________________________________
Date of money order ______________________________________
DATE AND SIGN HERE:
By _______________________________ __________________________________________
Name: DTC Basic Subscription
Title: Confirmation Number
Dated: ___________________________ __________________________________________
Name: DTC Participant Number
__________________________________________
Name of DTC Participant
PARTICIPANTS EXERCISING THE OVERSUBSCRIPTION PRIVILEGE PURSUANT HERETO MUST ALSO
SUBMIT TO THE SUBSCRIPTION AGENT THE NOMINEE HOLDER OVERSUBSCRIPTION
CERTIFICATION ATTACHED HERETO AS EXHIBIT A.
EXHIBIT A TO DTC PARTICIPATION OVERSUBSCRIPTION EXERCISE FORM
FIRST MONTAUK FINANCIAL CORP.
NOMINEE HOLDER OVERSUBSCRIPTION CERTIFICATION
The undersigned, a bank, broker or other nominee holder of Rights
("Rights") to purchase units ("Units"), of First Montauk Financial Corp. (the
"Company") pursuant to the offering (the "Rights Offering") described in the
Company's Prospectus dated (the "Prospectus'), hereby certifies to the Company
and to Northern American Transfer Company, as Subscription Agent for the Rights
Offering, that for each numbered line filled in below the undersigned has
exercised, on behalf of the beneficial owner thereof (which may be the
undersigned), the number of Rights specified on such line pursuant to the Basic
Subscription Privilege (as defined in the Prospectus) and such beneficial owner
wishes to subscribe for the purchase of additional Units pursuant to the
Oversubscription Privilege (as defined in the Prospectus), in the amount set
forth in the second column of such line.
Number of Rights Number of Units Number of Units
Exercised Subscribed for Pursuant Subscribed for Pursuant
Pursuant to Basic to Basic Subscription to Over Subcription
Privilege Privilege Privilege
- ----------------- ---------------------- -----------------------
1. ____________________ 1. ______________________ 1. ______________________
2. ____________________ 2. ______________________ 2. ______________________
3. ____________________ 3. ______________________ 3. ______________________
4. ____________________ 4. ______________________ 4. ______________________
5. ____________________ 5. ______________________ 5. ______________________
6. ____________________ 6. ______________________ 6. ______________________
7. ____________________ 7. ______________________ 7. ______________________
8. ____________________ 8. ______________________ 8. ______________________
9. ____________________ 9. ______________________ 9. ______________________
10. ____________________ 10. ______________________ 10. ______________________
- ---------------------------------------
Name of Nominee Holder
By:_____________________________________
Name:
Title:
Dated: __________________________________
Provide the following information, if applicable:
- ----------------------------------------
Depositary Trust Company ("DTC")
Participant Number
- ----------------------------------------
DTC Basic Subscription
Confirmation Number(s)