Enclosed is the form you requested. Please complete the form in its entirety and return as directed below:

Transcription

1 Dear MasterCard Class B Stockholder: Enclosed is the form you requested. Please complete the form in its entirety and return as directed below: Return Stock Transfer forms and s to at the following addresses: For USPS Mail Deliveries For Overnight Deliveries MasterCard International MasterCard International 2000 Purchase Street 2000 Purchase Street Purchase, NY Purchase, NY will review all stock transfers and account information change forms for compliance with the bylaws and certificate of incorporation of MasterCard Incorporated. Once approved, will forward stock transfer forms and account information change forms to Computershare for processing. If you have any questions about the completion of stock transfer forms or account information change forms, please contact by to shareholder_services@mastercard.com or by telephone at 1 (914) If you have any questions about your stockholder account, please contact Computershare s Customer Service Center. Computershare s Customer Service Center is open from 8:00 AM - 7:00 PM Eastern Time Monday to Friday and our automated services are available 24 hours a day, 7 days a week. Stockholders can also access their accounts on line at Computershare Customer Service Center numbers are: Domestic Shareholders: International: Sincerely, Computershare

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3 Computershare P.O. Box Providence, RI Within USA, US territories & Canada Outside USA, US territories & Canada Stockholder Account Name Stockholder Contact Name Address Holder Account Number City, State, Zip Please Complete All Information Requested In This Form. Issuer Name MasterCard Incorporated Class B Stock CUSIP Number 57631MCA When completed in its entirety and signed by all parties, please return this form to: Mailing Address 2000 Purchase Street Purchase, New York Telephone (914) Address shareholder_services@mastercard.com Check all that apply. Stockholder Account Name Change* Complete sections 1, 2, 2A, 2B, 4 and 5 Contact (Authorized Signatory) Information Change Complete sections 1, 4 and 5 Change of Grandparent Account Name Complete sections 1, 3, 4 and 5 Change of Dividend Payment Instruction Complete sections 1, 2A and 5 * Please note: Stockholder name changes will not be processed by until the stockholder has completed MasterCard Licensing name change procedures. In addition, the submission of a new tax form (W-9 or W8-BEN) is required for accounts changing their legal name. Please further note: Stockholder Account Name Changes and the Change of Grandparent Account Name require the creation of a new stockholder account therefore, a new Holder Account Number will be assigned. Access to your online account will need to be reestablished using the new Holder Account Number. 01JQCA

4 Section 1 Current Stockholder Account Name Type or print the stockholder account name exactly as it currently appears in the records of Computershare. For items marked * contact. Grandparent Number* Primary ICA Number G Holder Account Number Grandparent Name* MID Number* Stockholder Account Name (Exactly as it currently appears in the records of Computershare.) Section 2 New Stockholder Account Name Type or print your institution s new legal name below and complete Sections 2A (if applicable), 2B, 4 and 5. Grandparent Number* Primary ICA Number G MID Number* Legal Name of Principal Membership (Exactly as appears in the Licensing records of MasterCard)

5 Section 2A Dividend Payment Instruction For items marked * contact. 1. Dividends will be paid by check and be mailed to the dividend address provided below. If you do not provide a dividend address, the dividend checks will be mailed to the stockholder contact address on file with Computershare on the record date of the declaration of the dividend. Until this order is revoked in writing by duly authorized officers of the stockholder, please issue checks for distributions on all shares of stock registered on the books of MasterCard Incorporated in the name of the stockholder above named in Section 1 of this form to the following address: Address City, State/Province Country, Zip/Country Code The undersigned hereby certify that they are duly authorized officers of the stockholder empowered to execute this instruction. Two officers of the stockholder must sign this dividend payment instruction. Signature of Authorized Officers of Stockholder Officer 1 Officer 2 Print Names Titles Telephone Number Address 2. Delivery via direct deposit. Computershare offers direct deposit delivery of dividends to a stockholder s United States bank account that participates in the ACH Network for electronic deposits. If you would like to have your dividends delivered via direct deposit and you are associated with a United States bank that participates in the ACH Network, please contact for the appropriate authorization form. Please note if your institution is incorporated outside of the United States, a copy of the certificate of incorporation, articles of association, or other type of document as proof of country of incorporation/formation must be submitted as well.

6 Section 2B Taxpayer ID Certification Required for all stockholders performing an account name change. Please obtain the appropriate tax form, complete it and attach it to this. MasterCard Incorporated is required by the United States Internal Revenue Service (IRS) to obtain taxpayer identification information from its stockholders. You may visit to obtain the most recently revised version of the appropriate tax form to avoid any delay in tax certification. Upon receipt of a validly executed tax form, Computershare will tax certify your institution s stockholder account. For U.S. stockholders a United States Internal Revenue Service Form W-9 is required. DIVIDENDS AND OTHER PAYMENTS WILL BE SUBJECT TO WITHHOLDING AT THE DEFAULT RATE OF 28% IF YOUR STOCKHOLDER ACCOUNT IS NOT TAX CERTIFIED. If, at any time, the information stated on the tax form on file at Computershare changes in a material way (such as a change in the stockholder account name, etc.) a new W-9 tax form must be submitted to Computershare. Non-U.S. Stockholders a United States Internal Revenue Service Form W-8BEN (or other W-8 form) is required. New regulations may require additional actions, please see Computershare website or MasterCard Class B common stock information web page for more information. Section 3 New Grandparent Account Name Type or print the new Grandparent Account name below Grandparent Number Grandparent Name G Section 4 Stockholder Contact/Authorized Signatory & Stockholder Account Registration Address Type or print all the requested information below to update your institution s stock account registration. Stockholder Contact (Authorized Signatory) Name Contact Title Address City, State/Province Country, Zip/Country Code Telephone Number / Extension Fax Number Address (required)

7 Section 5 Signature of Stockholder Contact/Authorized Signatory Signature of Current Stockholder Contact/ Authorized Signatory* Print Name Title Telephone Number / Extension Address *If the Current Stockholder Contact/Authorized Signatory is not available to sign this form designating a new Stockholder Contact/Authorized Signatory, the new Stockholder contact may sign the form, however a secretary certificate must be submitted with the form. A template for a secretary certificate may be obtained from. Section 6 MasterCard Authorization For use only. Authorized Signature Print Name Daytime Phone Number