Falabella S A : Form instructions for payment of final tax substitute tax

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FALABELLA S.A.

Open-ended Corporation Securities Register Entry No. 582

FORM

INSTRUCTIONS FOR PAYMENT OF FINAL TAX SUBSTITUTE TAX

On April _____, 2022, in my capacity as a shareholder of Falabella S.A. (hereinafter, indistinctly, "Falabella" or the "Company"), I hereby declare and issue the following Instructions (the "Instructions"):

1. The Board of Directors of Falabella, at a Board Meeting held on April 1, 2022, resolved to propose to the Annual Shareholders' Meeting to be held on April 19, 2022 (the "Annual Meeting"), the following with respect to the distribution to the Company's shareholders of distributable net income for the year ended December 31, 2021 (the "2021 Earnings"):(i) that out of the 2021 Earnings, a final and definitive dividend be paid out of the 2021 Earnings, of Ch$65 per share, which added to the interim dividend of Ch$30 per share paid on September 29, 2021, would result in a total of Ch$95 per share out of the 2021 Earnings, amounting to a distribution of 36.49% of the 2021 Earnings; ii) that such dividend be paid on April 28, 2022 to shareholders registered in the Company's shareholder register as of April 22, 2022; iii) that the payment of the proposed dividend be made through bank deposits or direct withdrawal by the shareholders of the respective cashier's check in their name at any of the branches of Banco de Crédito Inversiones, BCI, in the country; and, iv) that with respect to the dividend to be paid to the shareholders on April 28, 2022, the shareholders have the possibility of qualifying for the temporary and optional legal regime established in the twenty-fifth provisional article of Law No. 21,210, having previously instructed and authorized the Company to withhold and pay, from the amount of the dividend to which they are entitled, 13.94396% of the amount of the dividend under said regime and corresponding to their shares, as a single FUT substitute tax (ISFUT), which instruction and authorization the shareholders interested in exercising said option must send to the Company before 2:00 p.m. on April 26, 2022, through the form called "Instructions for Payment of Final Tax Substitute Tax". This form will be available to the shareholders as of April 4, 2022 on the Company's websitehttps://investors.falabella.com,from where it can be downloaded, and must be sent to the Company in accordance with the Instructions contained therein. For shareholders who have not given such instruction and authorization in due time and form, the amount of the dividend will be subject to the general taxation regime under Decree Law No. 824 of 1974 of the Ministry of Finance containing the Income Tax Law. For more information on the optional ISFUT regime, the Company made available to shareholders the document titled "Information on the optional final tax substitute tax regime", which is available as of April 4, 2022 on the Company's websitehttps://investors.falabella.com.

2.

I hereby notify Falabella that, having been duly informed of the scope and conditions of the optional regime of substitute tax on final taxes ("ISFUT"), under the terms established in provisional Article 25 of Law No. 21,210, I have decided to opt for receiving and disposing of thedividend that corresponds to me, in accordance with the resolution of the Board, for the shares I own, instructing the Company in the terms indicated below:

• (a) Que la Company pague el ISFUT, por la parte de las utilidades a que tengo derecho y That the Company pay the ISFUT, for the part of the earnings to which I am entitled and eligible for said regime, according to the detail indicated in number 3 below, by virtue of the provisions of provisional article 25 of Law No. 21,210 and the Instructions issued for this purpose by the Internal Revenue Service;

• (b) That to this end, the Company proceeds to pay the corresponding ISFUT for the shares indicated in No. 3 below, charged against the dividend to which I am entitled and which is agreed to be distributed by the Shareholders' Meeting, deducting from said dividend a percentage equivalent to the amount of the substitute tax paid;

• (c) That once the ISFUT has been declared and paid, against the earnings to which I am entitled, the corresponding balance of the dividend be transferred to my name, that is, the amount resulting from the procedure indicated in letter (b) above, in accordance with the usual dividend payment procedures.

3.-These Instructions apply only to the following number of shares registered in my name in the Shareholders' Registry at midnight on April 22, 2022 (mark with a line your choice in the respective box):

I HEREBY DIRECT YOU TO PROCEED WITH THE PAYMENT OF ISFUT ______ Option 1: For all the shares registered in my name on that date.

______ Option 2: For the following number of shares, which in any case may not exceed the total number of shares registered in my name (complete the number):

Number of shares: ________________________

In the event that I own and have registered in my name a greater number of shares than those indicated in Option 2, I declare that I am aware that the dividend corresponding to such shares not included in these Instructions will be subject to the applicable general tax regime, without the need to send any communication to Falabella.

In the event of submitting this form (i) without marking any of the options indicated above or (ii) having marked the second option, without indicating the number of shares, it will be understood in both cases that the shareholder issuing this Instruction does not exercise the option to make use of the ISFUT payment.

The shareholder granting the Instructions declares and accepts that Falabella does not issue any opinion regarding the convenience of opting for a particular tax treatment with respect to the matters covered by this document, and therefore Falabella is not responsible for the decision that the shareholder adopts in this regard.

SHAREHOLDER ISSUING THESE INSTRUCTIONS:

Name of shareholder: __________________________________________

RUT: _____________________________________________________

E-mail: __________________________________________

Representative: ______________________________________________

RUT: _____________________________________________________

E-mail: __________________________________________

SIGNATURE: ___________________________________________________

Documents:

The following must be attached to these Instructions (pdf format or image):

• (a) Copy of the identity card of the signatory.

• (b) Copy of the legal capacity or mandate (as the case may be).

*Timing and submission of Instructions to the Company:

These Instructions must be sent until 14:00 hours on April 26, 2022, by sending a copy of a signed copy of these Instructions, together with the respective documents, by e-mail to the following addresses:[e-mail] [e-mail].

Note: shareholders who hold their shares in the custody of a broker (or through a custodian bank), must request them to send the Company the ISFUT Payment Instruction Form.