Common use of ASSIGNMENT FORM Clause in Contracts

ASSIGNMENT FORM. If you want to assign this Security, fill in the form below and have your signature guaranteed: I or we assign and transfer this Security to: (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint agent to transfer this Security on the books of the Company. The agent may substitute another to act for him. Date: Signed: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee:

ASSIGNMENT FORM. If you the Holder want to assign this Security, fill in the form below and have your signature guaranteedbelow: I or we assign and transfer this Security to: to (Print or type name, address and zip code and insert assignee’s social security or tax ID number of number) (Print or type assignee’s name, address, and zip code) and irrevocably appoint agent to transfer this Security on the books of the Company. The agent may substitute another to act for him. Date: Signed: Your signature (Sign exactly as your name appears on the other side of this Security) Signature Guarantee:

ASSIGNMENT FORM. If you want to assign this Security, fill in the form below and have your signature guaranteed: I or we assign and transfer this Security to: (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint ____________________________________________ agent to transfer this Security on the books of the Company. The agent may substitute another to act for him. Date: Signed: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee:

ASSIGNMENT FORM. If you want to To assign this Security, fill in the form below and have your signature guaranteed: I (I) or we (we) assign and transfer this Security to: (Insert assignee’s soc. sec. or tax I.D. no.) (Print or type assignee’s name, address and zip code and social security or tax ID number of assigneecode) and irrevocably appoint agent to transfer this Security on the books of the Company. The agent may substitute another to act for him. DateDated: SignedYour Name: (Sign Print your name exactly as your name it appears on the other side face of this Security) Signature Guarantee:)

ASSIGNMENT FORM. If you the Holder want to assign this Security, fill in the form below and have your signature guaranteedbelow: I or we assign and transfer this Security to: to (Print or type name, address and zip code and Insert assignee's social security or tax ID number of number) (Print or type assignee's name, address, and zip code) and irrevocably appoint agent to transfer this Security on the books of the Company. The agent may substitute another to act for him. Date: Signed________________ Your signature: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee:)

ASSIGNMENT FORM. If you want to To assign this Security, fill in the form below and have your signature guaranteed: I (I) or we (we) assign and transfer this Security to: (Insert assignee’s soc. sec. or tax I.D. no.) (Print or type assignee’s name, address and zip code and social security or tax ID number of assigneecode) and irrevocably appoint agent to transfer this Security on the books of the Company. The agent may substitute another to act for him. DateDated: SignedYour Name: (Sign Print your name exactly as your name it appears on the other side face of this Security) Signature GuaranteeYour Signature:

ASSIGNMENT FORM. If you want to To assign this Securitysecurity, fill in the form below and have your signature guaranteedbelow: I or we assign and transfer this Security to: security to (Print or type assignee's name, address and zip code and code) (Insert assignee's social security or tax ID number of assigneeI.D. No.) and irrevocably appoint agent to transfer this Security security on the books of the Company. The agent may substitute another to act for him. Date: SignedYour Signature: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee:security.

ASSIGNMENT FORM. If you want to assign this Security, fill in the form below and have your signature guaranteed: I or we assign and transfer this Security to: (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint agent to transfer this Security on the books of the Company. The agent may substitute another to act for him. Date: Signed: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee:

ASSIGNMENT FORM. If you want to assign this Security, fill in the form below and have your signature guaranteed: I or we assign and transfer this Security to: (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint agent to transfer this Security on the books of the Company. The agent may substitute another to act for him. Date: Signed: _________________________________ (Sign exactly as your name appears on the other side of this Security) Signature Guarantee:)

ASSIGNMENT FORM. If you want to To assign this Security, fill in the form below and have your signature guaranteedbelow: I or we assign and transfer this Security to: (Insert assignee’s social security or tax I.D. no.) (Print or type assignee’s name, address and zip code and social security or tax ID number of assigneecode) and irrevocably appoint as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him. Date: SignedYour Signature: (Sign exactly as your name appears on the other side of this Security) Your Name: Date: Signature Guarantee:

ASSIGNMENT FORM. If you want to assign this Modified Security, fill in the form below and have your signature guaranteed: I or we assign and transfer this Modified Security to: (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint ____________________________________________ agent to transfer this Modified Security on the books of the Company. The agent may substitute another to act for him. Date: Signed: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee:

ASSIGNMENT FORM. If you want to assign this Security, fill in the form below and have your signature guaranteed: I or we assign and transfer this Security to: (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint agent to transfer this Security on the books of the Company. The agent may substitute another to act for him. Date: Signed: (Sign exactly as your name appears on the other side of this Security) Signature Guarantee:________________________________________________________