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EXHIBIT 99.5
NOTICE OF GUARANTEED DELIVERY
This form, or one substantially equivalent to this form, must be used
to exercise Subscription Rights pursuant to the Rights Offering described in the
Prospectus, dated _______________, 2001 (the "Prospectus"), of Family Steak
Houses of Florida, Inc., a Florida corporation if a holder of Subscription
Rights cannot deliver the Subscription Certificate(s) evidencing the
Subscription Rights (the "Subscription Certificate(s)") to the Subscription
Agent listed below (the "Subscription Agent") at or prior to 5:00 p.m., Eastern
Time, on ______________, 2001 (the "Expiration Date"). The Notice of Guaranteed
Delivery must be sent by facsimile transmission or mail to the Subscription
Agent, and must be received by the Subscription Agent on or prior to the
Expiration Date. See "The Rights Offering--Guaranteed Delivery Procedures" in
the Prospectus. Payment of the Subscription Price of $_________ per share for
each share of Common Stock subscribed for upon exercise of such Subscription
Rights must be received by the Subscription Agent in the manner specified in the
Prospectus at or prior to 5:00 p.m., Eastern Time, on the Expiration Date, even
if the Subscription Certificate evidencing such Subscription Rights is being
delivered pursuant to the procedure for guaranteed delivery thereof. The
Subscription Certificate evidencing such Subscription Rights must be received by
the Subscription Agent within three (3) Nasdaq National Market trading days
after the date hereof.
The address and facsimile numbers for delivery to the Subscription
Agent are as follows:
By Mail (Registered Mail is By Facsimile Transmission: By Hand or Overnight
recommended): (904) 249-1466 Delivery:
Family Steak Houses of Family Steak Houses of
Florida, Inc. Florida, Inc.
2113 Florida Boulevard 2113 Florida Boulevard
Neptune Beach, FL 32266 Neptune Beach, FL 32266
DELIVERY OF THIS INSTRUMENT TO AN ADDRESS OTHER THAN AS SET FORTH ABOVE OR
TRANSMISSION OF INSTRUCTIONS VIA A FACSIMILE OTHER THAN AS SET FORTH ABOVE DOES
NOT CONSTITUTE A VALID DELIVERY.
Ladies and Gentlemen:
The undersigned hereby represents that he or she is the holder of
Subscription Certificate(s) representing Subscription Rights issued by Family
Steak Houses of Florida, Inc. and that such Subscription Certificate(s) cannot
be delivered to the Subscription Agent at or before 5:00 p.m., Eastern Time, on
the Expiration Date. Upon the terms and subject to the conditions set forth in
the Prospectus, receipt of which is hereby acknowledged, the undersigned hereby
elects to exercise the Subscription Privilege to subscribe for one share of
Common Stock per Subscription Right with
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respect to each of the number of Subscription Rights represented by such
Subscription Certificate and shares set forth below pursuant to the
Over-Subscription Privilege described in the Prospectus:
No. of Subscription Rights exercised pursuant to Basic
Subscription Privilege (shares subscribed for): ___________
plus
No. of Shares subscribed for pursuant to Over-
Subscription Privilege: ___________
TOTAL: ___________
x $___________
TOTAL PAYMENT DUE: $___________
The undersigned understands that payment of the Subscription Price of $
per share for each share of Common Stock subscribed pursuant to the Basic
Subscription Privilege and the Over-Subscription Privilege must be received by
the Subscription Agent at or before 5:00 p.m., Eastern Time, on the Expiration
Date and represents that such payment, in the aggregate amount set forth above,
either (check appropriate box):
[ ] is being delivered to the Subscription Agent herewith; or
[ ] has been delivered separately to the Subscription Agent; and is or was
delivered in the manner set forth below (check appropriate box and complete
information relating thereto):
[ ] uncertified check (NOTE: Payment by uncertified check will not be deemed to
have been received by the Subscription Agent until such check has cleared.
Holders paying by such means are urged to make payment sufficiently in advance
of the Expiration Date to ensure that such payment clears by such date).
[ ] certified check
[ ] bank draft (cashier's check)
[ ] postal, telegraphic or express money order
[ ] wire transfer of immediately available funds
If by certified check, bank draft or express money order, please provide the
following information:
Name of maker:
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Date of check, draft or money order:
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Bank on which check is drawn or issuer of money order:
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Signature(s):
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Name(s):
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(Please type or print)
Area Code and Tel. No(s):
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Rights Certificate No(s) (if available):
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GUARANTEE OF DELIVERY
(NOT TO BE USED FOR SUBSCRIPTION CERTIFICATE SIGNATURE GUARANTEE)
The undersigned, a member firm of a registered national securities
exchange or member of the National Association of Securities Dealers, Inc.,
commercial bank or trust company having an office or correspondent in the United
States, or another "Eligible Guarantor Institution" as defined in Rule 17A-15
under the Securities Exchange Act of 1934, as amended, hereby guarantees that
within three Nasdaq National Market trading days after the date hereof, the
undersigned will deliver to the Subscription Agent the Subscription Certificates
representing the Rights being exercised hereby, with any required signature
guarantees and any other required documents.
Name of Firm:
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Address:
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Zip Code:
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Area Code and Telephone Number:
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Authorized Signature:
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Title:
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Name:
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(Please Type or Print)
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The institution which completes this form must communicate the
guarantee to the Subscription Agent and must deliver the Subscription
Certificates to the Subscription Agent within the time period shown herein.
Failure to do so could result in a financial loss to such institution.
DO NOT SEND SUBSCRIPTION CERTIFICATES WITH THIS FORM
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