PentaNova Energy Corp.
PETROMANAS ENERGY INC.
Request for Financial Statements Fiscal Year: 2016 In accordance with National Instrument 51-102 – Continuous Disclosure Obligations, shareholders may elect annually to receive a copy of our annual financial statements and corresponding management discussion and analysis (“MD&A”) or interim financial statements and the corresponding MD&A, or both. If you wish to receive these documents by mail, please return this completed form to:
TMX EQUITY TRANSFER SERVICES INC.* 200 University Avenue, 3rd Floor Toronto ON M5H 4H1 Rather than receiving the financial statements by mail, you may choose to view these documents on the SEDAR website at www.sedar.com.
Annual Financial Statement with MD&A
Please send me:
(Mark this box if you would like to receive the Annual Financial Statements and related MD&A)
Interim Financial Statement with MD&A (Mark this box if you would like to receive the Interim Financial Statements and related MD&A) If you are casting your vote online and wish to receive financial statements, please complete the online request for financial statements following your voting instructions. If the cut-off time has passed, please fax this to 416-595-9593. PLEASE PRINT
POSTAL / ZIP CODE
SIGNED: ____________________________ (Signature of Shareholder)
IF THIS IS AN ADDRESS CHANGE, PLEASE CHECK HERE: (Please provide previous address below)
*TMX Equity Transfer Services Inc. is operating the transfer agency and corporate trust business in the name of Equity Financial Trust Company for a transitional period. 02102016 V1