Intrum AB - Holder Registration Form - Holding Period

HOLDER REGISTRATION FORM FOR DISTRIBUTION OF
NOTEHOLDER ORDINARY SHARES 
UNDER CHAPTER 11 PLAN AND SWEDISH REORGANISATION PLAN, (AS APPLICABLE)

 

To: Holders of an Allowed Notes Claim (“Noteholders”) in respect of:

(i)         the 4.875% senior notes issued by Intrum AB due 2025, initially in the amount of €850 million, issued pursuant to the 2025 Eurobonds Indenture with ISINs XS2211136168 and XS2211137059; the €800 million 3.500% senior notes issued by Intrum AB due 2026, issued pursuant to the 2026 Eurobonds Indenture with ISINs XS2034925375 and XS2034928122; the 3.000% senior notes issued by Intrum AB due 2027, initially in the amount of €850 million, issued pursuant to the 2027 Eurobonds Indenture with ISINs XS2052216111 and XS2052216202; the €450 million 9.250% senior notes issued by Intrum AB due 2028, issued pursuant to the 2028 Eurobonds Indenture with ISINs XS2566292160 and XS2566291865 and the €75 million 3.000% senior private placement notes due 2025, issued by the Company pursuant to the 2025 PPN Indenture and with ISIN XS2093168115 (together, the “Eurobonds”); and

(ii)        SEK 1,100 million senior floating rate medium term notes due 2025, issued by Intrum AB pursuant to terms and conditions dated 3 May 2023 with ISIN SE0013105533; SEK 400 million senior fixed rate medium-term notes due 2025, issued by Intrum AB pursuant to the terms and conditions dated 3 May 2023 with ISIN SE0013105525; SEK 1,250 million senior floating rate medium term notes due 2025, issued by Intrum AB pursuant to notes terms and conditions dated 25 June 2018 with ISIN SE0013104080 in each case pursuant to a notes programme issuance agreement between, among others, Intrum AB and Swedbank AB as lead arranger, originally dated 10 February 2012 (in each case, as amended, amended and restated or supplemented from time to time); and the SEK 1,000 million senior floating rate medium-term notes due 2026, issued by Intrum AB pursuant to terms and conditions dated 25 June 2018 pursuant to a notes programme issuance agreement between, among others, Intrum AB and Swedbank AB as lead arranger, originally dated 10 February 2012 (as amended, amended and restated or supplemented from time to time), with ISIN SE0013360435, (together, the “MTNs” and the MTNs and Eurobonds together the “Notes”)

PLEASE NOTE THAT THE INFORMATION COLLECTED THROUGH THIS HOLDER REGISTRATION FORM (THE “HOLDER REGISTRATION FORM”), IS NEEDED (I) TO SATISFY THE CONDITIONS PRECEDENT SET FORTH IN THE CHAPTER 11 PLAN AND SWEDISH REORGANISATION PLAN (EACH AS DEFINED BELOW) FOR RECEIPT OF ANY NOTEHOLDER ORDINARY SHARES  YOU MAY BE ENTITLED TO, (II) FOR THE COMPANY TO EFFECT THE DISTRIBUTION OF THE NOTEHOLDER ORDINARY SHARES.

THIS HOLDER REGISTRATION FORM DOES NOT CONSTITUTE OR FORM PART OF ANY OFFER OR INVITATION TO SELL OR ISSUE, OR ANY SOLICITATION OF ANY OFFER TO PURCHASE OR SUBSCRIBE FOR, ANY SECURITIES.

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Purpose of this HOLDER Registration Form

Capitalised terms used in this Holder Registration Form but not otherwise defined herein shall have the same meaning ascribed to such terms in the Disclosure Statement, the Chapter 11 Plan, the Confirmation Order or the Swedish Reorganisation Plan, as applicable.

Purpose of this Holder Registration Form

The purpose of this Holder Registration Form is to collect relevant information from all Noteholders to permit allocation of the Exchange Notes and Noteholder Ordinary Shares on or prior to the Restructuring Effective Date to each Noteholder that completes this Holder Registration Form.

Noteholders must complete Section C – Section G (as applicable) of this Holder Registration Form to (a) register and confirm details of holdings of claims under the Notes, and (b) confirm instructions in order to receive (i) its pro rata share of the Exchange Notes; and (ii) its pro rata share of the Noteholder Ordinary Shares.

Noteholders who fail to complete Section C – Section G (as applicable) of this Holder Registration Form and submit the completed Holder Registration Form to Kroll Issuer Services Limited (the “Information Agent”) by the applicable deadline may have some or all of the relevant allocation of Exchange Notes and/or Noteholder Ordinary Shares transferred to the Holding Period Trustee on or around the Restructuring Effective Date and the relevant Noteholder will therefore experience a delay in receiving its entitlements.[1]

Please note that any Eligible Holder who wishes to subscribe for New Money Notes by exercising its Subscription Rights must separately follow the procedure set out in the Rights Offering Documents (including, for the avoidance of doubt, the Rights Offering Procedures and Holder Subscription Form). This Holder Registration Form is only to be completed by existing Holders (and, if applicable, a Nominee).

For any questions on how to fill out this Holder Registration Form, contact the Information Agent, Kroll Issuer Services Limited on intrum@is.kroll.com or via https://deals.is.kroll.com/intrum.

Custody Instructions

Upon submission of this Holder Registration Form, Noteholders will be provided a unique instruction reference number (“UIR”) – this will be automatically sent via email by the Information Agent to the e-mail address included on this Holder Registration Form. Noteholders must provide the UIR to their custodians, to be sent on their behalf, in accordance with instructions in Section D (Holdings Information) to ensure that they have delivered their Custody Instruction or Euroclear Sweden Instruction (as applicable) by the Custody Instructions Deadline. Such UIR is strictly obtained by submitting this Holder Registration Form on the Information Agent’s website as per the directions in the smart form available on https://deals.is.kroll.com/intrum.

Other

A separate Holder Registration Form must be completed for each separate beneficial holding of, or interest in, the Notes.

Following submission via the Information Agent’s website, a PDF copy of this Holder Registration Form will be automatically generated for your safekeeping. It is highly recommended that the completed Holder Registration Form is printed or saved.

All elections made in, and instructions provided through, this Holder Registration Form shall, subject to verification and acceptance by the Company and/or the Information Agent, be final and binding on and from the date of submission of the Holder Registration Form to the Information Agent.

A reference to the “Lock-Up Agreement” shall be a reference to the Lock-Up Agreement in the form immediately prior to its termination as a result of the “Long-Stop Time” (as defined in the Lock-Up Agreement.

ALL COMPLETED HOLDER REGISTRATION FORMS SHOULD BE SUBMITTED TO THE INFORMATION AGENT VIA THE INFORMATION AGENT’S WEBSITE BY NO LATER THAN THE NOTEHOLDER RECORD DATE. NO EMAIL OR PDF VERSIONS WILL BE ACCEPTED

CONTACT THE INFORMATION AGENT FOR ASSISTANCE:
HTTPS://DEALS.IS.KROLL.COM/INTRUM

 

TABLE OF CONTENTS

1	Section A: Important Dates	This section sets out the key dates and deadlines for Noteholders
5	Section B: Background	Brief background to the Restructuring Transaction and Noteholders’ entitlements to the Exchange Notes and Noteholder Ordinary Shares
7	Section C: Noteholder Information	Noteholder information/details to be completed
9	Section D: Holdings Information	Account Holder information/details to be completed and information regarding Allowed Notes Claims (to which this Holder Registration Form relates) to be completed
12	Section E: Noteholder Ordinary Shares	Noteholder to confirm whether it would like to receive its pro rata share of the Noteholder Ordinary Shares for its own account or by nominating a Nominee
16	Section F: Exchange Notes	Holders of MTNs held outside of Euroclear Bank or Clearstream only (“EC Sweden MTNs”) to confirm whether they would like to nominate a Nominee to receive their pro rata share of the Exchange Notes. Holders of Eurobonds and holders of MTNs held through Euroclear Bank or Clearstream (“EC/CS MTNs”) are unable to make an election to appoint a Nominee in respect of their Exchange Notes entitlements and will receive these automatically via the clearing systems (other than Exchange Notes due by way of payment of consent fees – in order to claim these entitlements, holders of Eurobonds and  holders of EC/CS MTNs must complete this Holder Registration Form and deliver their Custody Instruction).
19	Section G: Nominee Details	If a Noteholder chooses to nominate a Nominee, the Nominee’s information/details to be provided

Noteholders should take note of the indicative dates below in connection with the Exchange Notes, the Noteholder Ordinary Shares and the Rights Offering.

The Company may extend or amend these dates with the consent of the Majority Backstop Providers.

1.	Subscription Commencement Date and blocking of MTNs in Euroclear Sweden and Nasdaq Stockholm	Monday 9 June, 2025	Commencement of the Rights Offering. All Eligible Holders (as defined in the Rights Offering Procedures) will be invited (or their account holders or, in relation to the MTNs, the holders (including custodians) who are directly registered in Euroclear Sweden will be invited) to complete a Holder Subscription Form in accordance with the Rights Offering Procedures The Company will procure that all MTNs be blocked in Euroclear Sweden (as regards settlement of transfers between directly registered owners (Sw. direktregistrerade ägare)) and Nasdaq Stockholm from this date also
2.	Subscription Instruction Deadline	5pm CEST Friday 3 July, 2025	The deadline for Eligible Holders to subscribe for Rights Offering Securities Eligible Holders wishing to subscribe for Rights Offering Securities must: (i)                 Deliver an electronic instruction to block their Notes (including their UIR) (the “Custody Instruction”), or in the case of MTNs held through Euroclear Sweden, ensure that their UIR has been delivered to the directly registered owners (Sw. direktregistrerade ägare) of the MTNs) (the “Euroclear Sweden Instruction”) by this date – see Custody Instructions Deadline below; (ii)               Complete the Holder Subscription Form; and (iii)            Complete and return the executed accession agreement to the New Money Notes Purchase Agreement (the “Accession Agreement”) (further details of which are set out in the Rights Offering Procedures) The allocation of Rights Offering Securities will be calculated by reference to Notes held by Eligible Holders, on a pro rata basis, as of the Subscription Instruction Deadline
3.	Noteholder Record Date	5pm CEST Friday 3 July, 2025	The deadline for Noteholders to submit their details in order to receive their Exchange Note and Noteholder Ordinary Share entitlements. Noteholders must: (i)                 Deliver a Custody Instruction to block their Notes, or in the case of MTNs held through Euroclear Sweden, ensure that their UIR has been delivered to the directly registered owners (Sw. direktregistrerade ägare) of the MTNs by this date – see Custody Instructions Deadline below; (ii)               Complete the Holder Registration Form in order to receive entitlements to Noteholder Ordinary Shares and Exchange Notes on or immediately prior to the Restructuring Effective Date (as defined below). Note: Eligible Holders participating in the Rights Offering must complete both a Holder Subscription Form, relating to the Rights Offering Securities, and a Holder Registration Form, relating to the Exchange Notes and Noteholder Ordinary Shares in order to receive their entitlements to the Exchange Notes and Noteholder Ordinary Shares. Notwithstanding the foregoing, Holders of Eurobonds and Holders of EC/CS MTNs will receive their entitlements to Exchange Notes (other than Exchange Notes due by way of payment of consent fees) automatically on the Restructuring Effective Date and even if they do not complete their Holder Registration Form. Holders of Eurobonds and Holders of EC/CS MTNs must however complete this Holder Registration Form and deliver their Custody Instruction in order to receive Exchange Notes due by way of payment of consent fees and their Noteholder Ordinary Shares. Entitlements to Exchange Notes, Noteholder Ordinary Shares and Rights Offering Security will be calculated by reference to Allowed Claims as of this Noteholder Record Date.
4.	Custody Instructions Deadline	5pm CEST Friday 3 July, 2025	The date and time by which: (a)              Noteholders of Eurobonds and MTNs held through Euroclear Bank or Clearstream must deliver a Custody Instruction to block their Notes, including the UIR; and (b)              Noteholders of MTNs held through Euroclear Sweden (i.e., MTNs not held through Euroclear Bank or Clearstream) must ensure that their UIR has been delivered to the directly registered owners (Sw. direktregistrerade ägare) of the MTNs (the Euroclear Sweden Instruction)
5.	Initial Funding Letters Date	Friday 11 July, 2025	On the Initial Funding Letters Date, the Information Agent will send funding notices to purchasers of New Money Notes (including the Backstop Providers and Nominees, where applicable) (the “Purchasers”) detailing their allocation of the Rights Offering Securities  (and in the case of Backstop Providers and their Nominees, also detailing their allocation of Backstopped Notes) and the Purchase Price to be paid (the “Funding Amount”) and (if applicable) the settlement and trade details for the Rights Offering Securities (the “Initial Funding Letters”)
6.	Subscription Payment Deadline	By 1pm CEST Wednesday 16 July, 2025	Deadline for the Purchasers to pay the Funding Amount in accordance with the Initial Funding Letters and the payment instructions in paragraph 5 of the Rights Offering Procedures.
7.	Supplemental Funding Letters Date (if applicable)	1pm CEST Thursday 17 July, 2025	In cases where any Purchaser has failed to pay the Funding Amount by the Subscription Payment Deadline (or the Rights Offering Securities are otherwise not fully subscribed), the Information Agent will re-run the allocation model in liaison with Houlihan Lokey & PJT and send supplemental funding notices to the Backstop Providers detailing their revised allocation of Backstopped Notes and the additional Funding Amount to be paid (the “Supplemental Funding Letters”). In accordance with the Backstop Agreement, the Backstop Providers must (or cause their Nominee(s) to) subscribe for such Rights Offering Securities and fund the corresponding Funding Amount by the Backstop Payment Deadline by funding the Escrow Account directly
8.	Backstop Funding Deadline (if applicable)	1pm CEST Monday 21 July, 2025	Deadline for the Backstop Providers (or, where applicable, their Nominees) to pay the Funding Amount in accordance with the Supplemental Funding Letters All Backstop Providers (including if they have elected Nominees in accordance with the Backstop Agreement) must fund directly into the relevant Escrow Account in accordance with the wire instructions set out in the Supplemental Funding Letter
9.	Anticipated Restructuring Effective Date / Issue Date	Wednesday 23 July, 2025	HoldCo will issue the Exchange Notes and the Rights Offering Securities and the Company will deliver (or procure delivery of) the Noteholder Ordinary Shares in accordance with the Restructuring Implementation Deed

 

 

On November 15, 2024, Intrum AB (the “Company”) and its debtor subsidiary, Intrum AB of Texas LLC, as debtors and debtors in possession (collectively, the “Debtors”), filed voluntary petitions for relief under chapter 11 of title 11 of the United States Code with the United States Bankruptcy Court for the Southern District of Texas, Houston Division, Case No. 24-90575 (CML) (the “Bankruptcy Court”).

On November 17, 2024, the Debtors filed the Joint Chapter 11 Plan of Reorganization of Intrum AB and Intrum AB of Texas LLC (Technical Modifications) (as may be amended, modified, or supplemented from time to time in accordance with the terms thereof, the “Chapter 11 Plan”) and the Disclosure Statement for Joint Prepackaged Chapter 11 for Intrum AB and Intrum AB of Texas LLC (as may be amended from time to time in accordance with its terms, the “Disclosure Statement”). On December 31, 2024, the Bankruptcy Court entered the Order (I) Approving Disclosure Statement and (II) Confirming Joint Chapter 11 Plan of Reorganization of Intrum AB and Its Affiliated Debtor (the “Confirmation Order”), which confirmed the Chapter 11 Plan.

On January 8, 2025, Intrum AB commenced a Swedish Company Reorganisation Process in the District Court, Case No. Ä 493-25. On March 14, 2025, the Company filed a request for plan negotiations and the reorganisation plan with the District Court (the “Swedish Reorganisation Plan”). The affected parties (or their duly appointed proxies, where relevant) voted on the Swedish Reorganisation Plan on April 15, 2025 and the District Court entered an order approving the Swedish Reorganisation Plan on the same date.

Pursuant to the Chapter 11 Plan and, the Swedish Reorganisation Plan, each Noteholder is entitled to receive Noteholder Ordinary Shares and Exchange Notes, in accordance with the terms set forth in the Chapter 11 Plan, Confirmation Order, and Swedish Reorganisation Plan, as of the Effective Date of the Chapter 11 Plan.

The Noteholder Ordinary Shares will be ordinary shares (Sw. stamaktier) (ISIN code SE0000936478) and be book-entry registered in a securities register operated by Euroclear Sweden AB in accordance with the Swedish Central Securities Depository and Financial Instruments Accounts Act (Sw. Lag (1998:1479) omvärdepapperscentraler och kontoföring av finansiella instrument).

The Exchange Notes will be issued by Intrum Investments and Financing AB (“HoldCo”) as described in the Exchange Notes Indenture, the form of which is included in (i) the Swedish Reorganisation Plan and the Information Regarding Exchange Notes, attached to the Notice of Filing of Plan Supplement in Connection with Joint Chapter 11 Plan of Reorganization of Intrum AB and Intrum AB of Texas LLC (as may be amended, modified, or supplemented from time to time, the “Plan Supplement”) and (ii) the Swedish Reorganisation Plan. It is expected that the Exchange Notes will be accepted for clearance through the facilities of Euroclear Bank SA/NV and Clearstream Banking S.A.

THIS HOLDER REGISTRATION FORM MUST BE COMPLETED AND SUBMITTED TO THE INFORMATION AGENT, KROLL ISSUER SERVICES LIMITED (“KROLL”), ACCORDING TO THE INSTRUCTIONS SET FORTH BELOW IN ORDER FOR YOU TO RECEIVE ANY DISTRIBUTION OF NOTEHOLDER ORDINARY SHARES, AND/OR EXCHANGE NOTES, THAT YOU MAY BE ENTITLED TO IN ACCORDANCE WITH THE CHAPTER 11 PLAN, CONFIRMATION ORDER, AND SWEDISH REORGANISATION PLAN. [1]

If you sell your Notes prior to the Noteholder Record Date, the transferee must submit the information requested in this Holder Registration Form in order to receive any distributions of Noteholder Ordinary Shares, and/or Exchange Notes that such transferee may be entitled to on account of such Allowed Notes Claim(s) and, if applicable, pursuant to the Lock-Up Agreement. You should alert a potential transferee of such requirement.

The Company, the Issuer, the Information Agent and any trustee or agent engaged by the Company or the Issuer for the purposes of distributing the Exchange Notes or the Noteholder Ordinary Shares (each an “Agent”), shall be entitled to rely solely on the information provided by a Noteholder in this Holder Registration Form in distributing the Noteholder Ordinary Shares and/or the Exchange Notes. None of the Company, the Issuer, the Information Agent or any other Agent shall have any duty or obligation to recognise any trades consummated by a Noteholder after the Noteholder Record Date. Noteholders shall be solely responsible for complying with the terms of their trades and transferring any entitlements, including the Noteholder Ordinary Shares and/or the Exchange Notes, to their trade counterparties (if applicable).

The Noteholder named in this Registration Form holds the following existing Notes and undertakes to “block” its Eurobonds and MTNs held through Euroclear Bank or Clearstream by delivery of an instruction (“Custody Instruction”) to the relevant Clearing System or to ensure that for its MTNs held through Euroclear Sweden its UIR has been delivered to the directly registered owners (Sw. direktregistrerade ägare) of the MTNs (the “Euroclear Sweden Instruction”), in each case by the Custody Instructions Deadline.

Upon submission of this Holder Subscription Form, Noteholders will be provided a unique instruction reference number (“UIR”), which must be communicated to the clearing systems as detailed in the instructions below.

Note that the Company has unilaterally instructed Euroclear Sweden and Nasdaq Stockholm to block all MTNs held in Euroclear Sweden or Nasdaq Stockholm.

Note: The Company reserves the right (but is not obligated) to request additional holdings information from Noteholders to verify holdings if the information provided in this Section D is incomplete or erroneous, or if the UIR which must be communicated to the clearing systems has been lost or improperly communicated. Notwithstanding the foregoing, it remains the Noteholder’s sole responsibility to accurately complete and submit the Holder Registration Form and to ensure that their Custody Instruction, or Euroclear Sweden Instruction (as applicable) is submitted by the Noteholder Record Date.

Instructions

1.                  Noteholders of Eurobonds and MTNs that are held through Euroclear Bank or Clearstream must:

1.1              respond to the corporate action (or have your custodian respond on your behalf) to provide a Custody Instruction to the relevant clearing system to block your Eurobonds or MTNs (as applicable), using your UIR – Noteholders should (i) communicate with their custodians in the usual manner as custodians will be expecting receipt of such instructions and (ii) ensure to include their UIR in any communications; and

1.2              complete and submit this form, setting out your holdings and account details in relation to each Eurobond and/or MTN issuance you hold.

2.                  Noteholders of MTNs that are held through Euroclear Sweden (i.e., MTNs not held through Euroclear Bank or Clearstream) must:

2.1              deliver your UIR to the directly registered owner(s) (Sw. direktregistrerade ägare) of your MTNs (either directly or via your custodian) (the Euroclear Sweden Instruction);

2.2              complete and submit the form below, setting out your holdings and account details in relation to each MTN issuance you hold; and

2.3              undertake not to transfer your MTNs in accordance with the undertaking below.

For the purposes of this Holder Registration Form, please only insert the principal (face) amount of the Notes and exclude any accrued or unmatured interest. Noteholders should not apply any pool factor and should state the original principal amount of their Notes.

Undertaking

By submitting the information herein, the Noteholder named in this Holder Registration Form represents and undertakes:

1.                  that it holds Eurobonds and/or MTNs in the amounts specified in this Holder Registration Form;

2.                  that it has the requisite authority to execute and submit the information and documents included in this Holder Registration Form on behalf of the Noteholder named herein;

3.                  in the case of Eurobonds and MTNs held through Euroclear Bank or Clearstream, to deliver its Custody Instruction requesting that its respective Notes be “blocked” and with reference to its UIR; and

4.                  in the case of MTNs held through Euroclear Sweden (i.e. MTNs not held through Euroclear Bank or Clearstream):

4.1             not to enter into a transfer in respect of its MTNs; and

4.2             to ensure that its UIR (as defined below) has been delivered to the directly registered owner(s) (Sw. direktregistrerade ägare) of the MTNs (the Euroclear Sweden Instruction).

Once you submit this form, you will receive a Unique Instruction Reference (UIR) - you must provide it to your custodian who will need to quote it in the electronic instruction.

To be completed by all Noteholders

1.      Nominee Election

If a Noteholder intends to receive its pro rata allocation of Noteholder Ordinary Shares, either on its own account or by nominating a Nominee, it must complete this Section E (Noteholder Ordinary Shares) by the Noteholder Record Date.

If a Noteholder nominates a Nominee to receive its Noteholder Ordinary Shares, it must complete Section G (Nominee Details) by the Noteholder Record Date also.

IMPORTANT NOTICE: A NOMINEE MUST HAVE THE SAME ACCOUNT HOLDER AS THE NOTEHOLDER IN ORDER TO RECEIVE THE NOTEHOLDER’S ALLOCATION OF NOTEHOLDER ORDINARY SHARES

Please note that you may only appoint one Nominee to receive your entire allocation of the Noteholder Ordinary Shares and/or Exchange Notes (if applicable).

1.      Information & Documents Required

(a)               Holders of the Eurobonds and Holders of EC/CS MTNs that have elected to receive their pro rata allocation of Noteholder Ordinary Shares in their own account, will receive their entitlements to the Noteholder Ordinary Shares in their existing account. No further information is required.

(b)               Holders of the Eurobonds and Holders of EC/CS MTNs that have elected to appoint a Nominee to receive their pro rata allocation of Noteholder Ordinary Shares in a Euroclear Bank or Clearstream account must complete the information in Table 1 below.

Calculating Entitlements

Each Noteholder shall be entitled to its pro rata allocation of Noteholder Ordinary Shares pursuant to its holdings of the Notes on the Noteholder Record Date (the “Equity Entitlement”). The Information Agent will determine each Noteholder’s Equity Entitlement using the Notes holding details provided in this Holder Registration Form, in accordance with the Restructuring Implementation Deed (to be executed). Equity Entitlements will be determined in proportion to the amount of Notes subject to a Custody Instruction or Euroclear Sweden Instruction (as applicable).

In accordance with the provisions of the Chapter 11 Plan, if a Noteholder’s entitlement to receive Noteholder Ordinary Shares is not a whole number, that number shall be rounded down to the nearest whole number.

Following the calculation of the Equity Entitlements in respect of the Noteholder Ordinary Shares (rounded down as described above), any Noteholder Ordinary Shares which remain for distribution (“Surplus Shares”) shall be allocated to Noteholders with the largest fractional entitlement to Noteholder Ordinary Shares prior to rounding in descending order, such that those Noteholders with the greatest fractional entitlement to a Noteholder Ordinary Share prior to the time that such entitlements were rounded down shall each be allocated one additional Surplus Share until all the Surplus Shares have been allocated.

1.      Deadline & Submission

Please complete this Section E (Noteholder Ordinary Shares) by the Noteholder Record Date.

If you fail to complete each of the foregoing steps, you will not receive any Noteholder Ordinary Shares under the Chapter 11 Plan and Swedish Reorganisation Plan, on the Restructuring Effective Date, and all right, title, and interest in such Noteholder Ordinary Shares will be transferred to the Holding Period Trustee on or immediately prior to the Restructuring Effective Date and you will need to take additional steps to retrieve your allocation Noteholder Ordinary Shares from the Holding Period Trust. Further details of the Holding Period Trust and the steps which a Noteholder needs to take to retrieve their Noteholder Ordinary Shares after the Restructuring Effective Date are set out in the Holding Period Trust Deed filed pursuant to the Swedish Reorganisation Plan and with the Bankruptcy Court (as may be amended, modified, or supplemented from time to time).

By returning this form, the Noteholder named in this Holder Registration Form: (i) (where applicable) acknowledges and agrees that the Noteholder Ordinary Shares to which the Noteholder is entitled on account of its Allowed Notes Claims pursuant to the Chapter 11 Plan and the Swedish Reorganisation Plan (as applicable) will be delivered to the account identified in this form, and (ii) consents to the Information Agent sharing the information set forth herein with Skandinaviska Enskilda Banken AB (“SEB”) in its capacity as settlement agent of the Noteholder Ordinary Shares and to SEB processing the information in accordance with the Company’s privacy policy, which is available at https://www.intrum.com/about-us/privacy/privacy-terms/.

By clicking submit, each Noteholder or duly authorised person hereby confirms and warrants that it is a person who, in accordance with the laws of the relevant jurisdiction is acting under the authority of the relevant Noteholder and is duly authorized to complete, execute and deliver this Holder Registration Form and Holder Subscription Form (as applicable).

Please note that by pressing “submit”, you hereby acknowledge:

·         That personal data obtained will be processed by the Company as controller in accordance with applicable law. Information in relation to you, including, but not limited to, your name, telephone number, e-mail address, date of birth, nationality, and job title will be held, used and processed for the purpose of distributing entitlements of Exchange Notes and the Noteholder Ordinary Shares.

·         Personal data may be disclosed and transferred to third parties including advisors and regulatory bodies and any of their respective related, associated or affiliated companies for the purposes and based on the legal basis specified below. Personal data will be held only as long as is necessary to conclude implementation.

For more information regarding the processing of personal data and your rights, please see the Company’s privacy policy: https://www.intrum.com/about-us/privacy/privacy-terms/

By signing below, each undersigned hereby certifies that it, individually or jointly with any other Person who has signed below (as applicable), has the requisite authority to execute and submit the information and documents included in this Holder Registration Form on behalf of the Noteholder and, if applicable, the Nominee named herein, and shall promptly provide the Company and Information Agent such further information and assistance as may be reasonably required in connection with their issuance to the Nominee of the Exchange Notes and/or Noteholder Ordinary Shares (as applicable)