Form of Notice of Conversion for Legend International Holdings, Inc. Debenture Holders

Summary

This document is a form used by holders of a debenture issued by Legend International Holdings, Inc. to convert a specified amount of their debenture into shares of the company's common stock. The holder must fill in the amount to convert, the applicable conversion price, and provide their signature and contact information. The original debenture and this notice must be submitted to the company within five business days of the conversion date. The conversion is subject to the terms set forth in the debenture and the related subscription agreement.

EX-4.2 4 exhibit42.txt FORM OF NOTICE OF CONVERSION Exhibit 4.2 EXHIBIT 1 NOTICE OF CONVERSION (To be Executed by the Registered Holder in order to Convert the Debenture) The undersigned hereby irrevocably elects to convert US$______________ of the above Debenture No. _____ into _________ shares of Common Stock of Legend International Holdings, Inc. (the "Company") according to the conditions set forth in such Debenture, as of the date written below. The undersigned confirms the representations and warranties set forth in the Subscription Agreement. __________________________________ Date of Conversion* US$0.10 __________________________________ Applicable Conversion Price __________________________________ Signature William Tay __________________________________ Name 2000 Hamilton Street, #520 __________________________________ Address Philadelphia, Pennsylvania 19130 __________________________________ *The original Debenture and this Notice of Conversion must be received by the Company within five business days following the date of Conversion. Initials: ______ / ______