[Name]
Company Number: [TaxRef:CRN]
Registered Office: [RegisteredOfficeAddress]
Dividend Voucher Number: [INSERT NUMBER]
This is to certify that [Name] has declared a [Final/Interim] dividend for the year ending [PeriodEnd:LTDACC] on its [ENTER SHARE TYPE] shares of [ENTER SHARE VALUE] each, as detailed below:
| Payment Date: | [CurrentDate] |
| Shareholders as at: | [PeriodEnd:LTDACC] |
| Shareholder: | [SHAREHOLDER NAME] |
| Holding: | [AMOUNT OF SHAREHOLDING] |
| Dividend Payable: | [DIVIDEND PAYABLE] |
| Tax Credit: | [£0.00] |
.......................................................
Signature of Director/Secretary
.......................................................
Name of Director/Secretary
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