Communication with Tyche concerning restrictions. I live in Belgium, Europe :
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LETTER :
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Tyche Energy Inc.
100 Crescent Court Suite 700 Dallas, Texas 75201
Phone: (214)-459-8355 Fax : (214)-459-3101
Dear Shareholder
Please find enclosed a form “Declaration of Ownership.” Please read and complete the questions on the form. It is necessary that this be completed so that the restrictions on your shares can be lifted. If possible please include your email and/or fax number. Please sign and return original copy and mail to
Tyche Energy Inc. at
100 Crescent Court
Suite 700
Dallas, Texas
75201
If you have any questions regarding this form please contact our office at 214-459-8355 or email at www.tycheenergy.com/contact.php
Thank you for your cooperation, Investor Relations Department
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FORM :
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DECLARATION OF OWNERSHIP
I am the owner of______________shares of the common stock ("the Stock") of Tyche Energy Corporation. I represent to you that:
1. I acquired and fully paid for the stock:
My date of acquisition was____/____/________
2. I am not and have not been during the preceding three months an officer or director of the Company or during that period an "affiliate" of the Company.
3. I do not know or have any reason to believe that the Company is not current in its reports to the Securities and Exchange Commission under the Securities Act of 1934.
4. I am unaware of any material adverse information with regard to the Company that has not been publicly disclosed.
5. I am a Non-U.S person, a non- U.S. resident as defined by the Securities Act of 1933.
______________________________
(Signature)
______________________________
(Print Name)
Date: _____________________________
