Common use of ASSIGNMENT FORM Clause in Contracts

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: to ________________________________________________________________________________ (Insert assignee's social security or tax ID number)____________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (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 Note on the books of the Company. The agent may substitute another to act for himsuch agent.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.. Date: _________________ Signed:________________ Signature Guarantee:

ASSIGNMENT FORM. If you the Holder holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ to -------------------------------------------------------------------------------- (Insert assignee's social security or tax ID number) --------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (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 Note on the books of the Company. The agent may substitute another to act for himsuch agent.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.. Dated: Signed: ------------- ------------------------------------ (Sign exactly as your name appears on the other side of this Note)

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint ______________appoint_________________________________________, agent to transfer this Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.. Dated: __________________________ Signed: ------------------------------ (Sign exactly as your name appears on the other side of this Note) Signature Guarantee: -----------------

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.. Dated: Signature: ---------------------- ----------------------------------- ----------------------------------- (Sign exactly as name appears on the other side of this Note)

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note 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 Note) Signature Guarantee: ------------------------------

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.. Dated: Signed: -------------------- ---------------------------------------- (sign exactly as your name appears on the other side of this Note)

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: to ________________________________________________________________________________ (Insert assignee's social security or tax ID number)____________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note 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 Note)

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint appoint, _______________________________________________________, _ ,agent to transfer this Note on the books of the Company. The agent may substitute another to act for him.

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

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.. Dated: Signed: ------------------ ----------------------------------------- (sign exactly as your name appears on the other side of this Note)

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: ________________________________________________________________________________ ________________________________________________________________________________ _______________________(Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint_________________________________________________________ (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint _______________________________________________________, agent to transfer this Note on the books of the CompanyCompany and Phibro Animal Health Corporation. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you you, the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: to ________________________________________________________________________________ (Insert assignee's social security or tax ID number)____________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (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 Note on the books of the Company. The agent may substitute another to act for himsuch agent.

ASSIGNMENT FORM. If you the Holder holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: to ______________________________________ ______________________________________________________________________________ (Insert assignee's social security or tax ID number) ___________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (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 Note on the books of the Company. The agent may substitute another to act for himsuch agent.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the CompanyCompany and Dutch Issuer. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.. Dated: Signature: ---------------- ----------------------------------------- -----------------------------------------

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ to -------------------------------------------------------------------------------- (Insert assignee's social security or tax ID number) -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (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 Note on the books of the Company. The agent may substitute another to act for him.. --------------------------------------------------------------------------------

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: ________________________________________________________________________________ _______________________(Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint_________________________________________________________ ________________________________________________________________________________ (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint _______________________________________________________, agent to transfer this Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.. Dated: Signed: ----------------------------- ---------------------------------- (Sign exactly as your name appears on the other side of this Note) Signature Guarantee: ------------------------------------

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint appoint________________________________________________________, agent to transfer this Note on the books of the CompanyIssuer. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: ________________________________________________________________________________ ________________________________________________________________________________ ______________________________(Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint agent __________________________________________________ (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint _______________________________________________________, agent to transfer this Note on the books of the CompanyCompany and Phibro Animal Health Corporation. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note 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 Note)

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.. Dated: Signed: ------------- ------------------------------------ (Sign exactly as your name appears on the other side of this Note)

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note to: ________________________________________________________________________________ ________________________________________________________________________________ ______________________________(Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint agent __________________________________________________ (Print or type name, address and zip code and social security or tax ID number of assignee) and irrevocably appoint _______________________________________________________, agent to transfer this Note on the books of the CompanyCompany and Dutch Issuer. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.

ASSIGNMENT FORM. If you the Holder want to assign this Note, fill in the form below and have your signature guaranteed: I or we assign and transfer this Note 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 Note on the books of the Company. The agent may substitute another to act for him.