Attached files
Exhibit
99.5
FORM
OF
NOMINEE
HOLDER CERTIFICATION
The
undersigned, a bank, broker, trustee, depositary or other nominee of
non-transferable rights (the “Rights”) to purchase shares of common stock, par
value $0.01 per share, of PGT, Inc. (the “Company”) pursuant to the rights
offering described and provided for in the Company’s Prospectus dated
,
2010 (the “Prospectus”), hereby certifies to the Company and to American Stock Transfer & Trust
Company, LLC , as Subscription Agent for such rights offering, that
(1) the undersigned has exercised, on behalf of the beneficial owners thereof
(which may include the undersigned), the number of Rights specified below
pursuant to the Basic Subscription Privilege (as defined in the Prospectus) and,
on behalf of beneficial owners of Rights who have subscribed for the purchase of
additional shares of common stock pursuant to the Over-Subscription Privilege,
the number of shares specified below pursuant to the Over-Subscription Privilege
(as defined in the Prospectus), listing separately below each such exercised
Basic Subscription Privilege and the corresponding Over-Subscription Privilege
(without identifying any such beneficial owner), and (2) to the extent a
beneficial owner has elected to subscribe for shares pursuant to the
Over-Subscription Privilege, each such beneficial owner’s Basic Subscription
Privilege has been exercised in full:
Number
of Shares Owned on
the
Record Date
|
Number
of Shares Subscribed
for
Pursuant to Basic
Subscription
Privilege
|
Number
of Shares Subscribed
for
Pursuant to
Over-Subscription
Privilege
|
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1.
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2.
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3.
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4.
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5.
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7.
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8.
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9.
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Provide
the following information if applicable:
Depository
Trust Company (“DTC”)
Participant
Number
Participant
Name:
_____________________________________
By:
Name:
Title:
DTC
Basic Subscription Confirmation
Number(s)