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S-4/A
CHARTER COMMUNICATIONS HOLDINGS CAPITAL CORP filed this Form S-4/A on 06/22/1999
Entire Document
 
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                                  QUESTIONNAIRE

(1)(a)      Full Legal Name of Selling Securityholder:

      (b)   Full Legal Name of Registered Holder (if not the same as in (a)
            above) of Registrable Securities Listed in Item (3) below:

      (c)   Full Legal Name of DTC Participant (if applicable and if not the
            same as (b) above) Through Which Registrable Securities Listed in
            Item (3) below are Held:

(2)         Address for Notices to Selling Securityholder:

                                    _____________________________________

                                    _____________________________________

                                    _____________________________________

            Telephone:              _____________________________________

            Fax:                    _____________________________________

            Contact Person:         _____________________________________

(3)   Beneficial Ownership of Notes:

      Except as set forth below in this Item (3), the undersigned does not
      beneficially own any Notes.

      (a)   Principal amount of Registrable Securities beneficially owned:
            _________ CUSIP No(s). of such Registrable Securities:
            ______________________________________________________________

      (b)   Principal amount of Notes other than Registrable Securities
            beneficially owned: __________________________________________
            CUSIP No(s). of such other Notes:
            ______________________________________________________________

      (c)   Principal amount of Registrable Securities which the undersigned
            wishes to be included in the Shelf Registration Statement: CUSIP
            No(s). of such Registrable Securities to be included in the Shelf
            Registration Statement:


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