Attached files

file filename
S-1/A - FORM S-1/A - InsPro Technologies Corpt1600010_s1a.htm
EX-5.1 - EXHIBIT 5.1 - InsPro Technologies Corpt1600010_ex5-1.htm
EX-8.1 - EXHIBIT 8.1 - InsPro Technologies Corpt1600010_ex8-1.htm
EX-99.3 - EXHIBIT 99.3 - InsPro Technologies Corpt1600010_ex99-3.htm
EX-4.42 - EXHIBIT 4.42 - InsPro Technologies Corpt1600010_ex4-42.htm
EX-23.1 - EXHIBIT 23.1 - InsPro Technologies Corpt1600010_ex23-1.htm
EX-4.43 - EXHIBIT 4.43 - InsPro Technologies Corpt1600010_ex4-43.htm
EX-99.5 - EXHIBIT 99.5 - InsPro Technologies Corpt1600010_ex99-5.htm
EX-99.1 - EXHIBIT 99.1 - InsPro Technologies Corpt1600010_ex99-1.htm
EX-99.4 - EXHIBIT 99.4 - InsPro Technologies Corpt1600010_ex99-4.htm
EX-99.2 - EXHIBIT 99.2 - InsPro Technologies Corpt1600010_ex99-2.htm
EX-99.6 - EXHIBIT 99.6 - InsPro Technologies Corpt1600010_ex99-6.htm

 

 

Exhibit 99.7

 

INSPRO TECHNOLOGIES CORPORATION

 

NOMINEE HOLDER CERTIFICATION

 

The undersigned, a bank, broker, trustee, depositary or other nominee of subscription rights (the “Rights”) to subscribe for and purchase Units (as defined in the Prospectus) of InsPro Technologies Corporation (the “Company”) pursuant to the rights offering described in the Company’s prospectus dated _________, 2016, (the “Prospectus”), hereby certifies to the Company 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 Right (as defined in the Prospectus) of beneficial owners of Rights who have subscribed for the purchase of additional Units pursuant to the Over-Subscription Privilege (as defined in the Prospectus), listing separately below each such exercised Basic Subscription Right and the corresponding Over-Subscription Privilege (without identifying any such beneficial owner), and (2) each such beneficial owner’s Basic Subscription Right has been exercised in full:

 

NUMBER OF SHARES
OF OWNED ON THE
RECORD DATE
(INDICATE NUMBER
OF COMMON AND
PREFERRED)
  RIGHTS
EXERCISED
PURSUANT TO
BASIC
SUBSCRIPTION
RIGHT
  NUMBER OF UNITS
SUBSCRIBED FOR
PURSUANT TO OVER-
SUBSCRIPTION
PRIVILEGE

 

1.

 

2.

 

3.

 

4.

 

5.

 

6.

 

7.

 

8.

 

9.

 

10.

 

Provide the following information, if applicable:

 

Depository Trust Company (“DTC”) Participant Number

DTC Basic Subscription Confirmation Number(s)

 

  By:    
  Name:  
  Title: