Common use of ASSIGNMENT FORM Clause in Contracts

ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: (Insert assignee’s social security or tax ID number) (Print or type assignee’s name, address, and zip code) and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: Your signature: (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee: [FORM OF NOTATION OF GUARANTEE, if applicable]

Appears in 20 contracts

Samples: Thirty Fifth Supplemental Indenture (Fidelity National Information Services, Inc.), Seventh Supplemental Indenture (Fidelity National Information Services, Inc.), Twenty Eighth Supplemental Indenture (Fidelity National Information Services, Inc.)

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ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: (Insert assignee’s social security or tax ID number) (Print or type assignee’s name, address, and zip code) and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: Your signature: (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee: _____________________ [FORM OF NOTATION OF GUARANTEE, if applicable]

Appears in 10 contracts

Samples: Thirty Sixth Supplemental Indenture (Fidelity National Information Services, Inc.), Thirty Eighth Supplemental Indenture (Fidelity National Information Services, Inc.), Thirty Third Supplemental Indenture (Fidelity National Information Services, Inc.)

ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: (Insert assignee’s social security or tax ID number) (Print or type assignee’s name, address, and zip code) and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: Your signature: (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee: [FORM OF NOTATION OF GUARANTEE, if applicable]

Appears in 4 contracts

Samples: Third Supplemental Indenture (Fidelity National Information Services, Inc.), Fourth Supplemental Indenture (Fidelity National Information Services, Inc.), First Supplemental Indenture (Fidelity National Information Services, Inc.)

ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: (Insert assignee’s social security or tax ID number) (Print or type assignee’s name, address, and zip code) and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: _____________________ Your signature: (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee: _____________________ [FORM OF NOTATION OF GUARANTEE, if applicable]

Appears in 2 contracts

Samples: Thirty Second Supplemental Indenture (Fidelity National Information Services, Inc.), Sixteenth Supplemental Indenture (Fidelity National Information Services, Inc.)

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ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: (Insert assignee’s social security or tax ID number) (Print or type assignee’s name, address, and zip code) and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: _____________________ Your signature: _____________________ (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee: _____________________ [FORM OF NOTATION OF GUARANTEE, if applicable]

Appears in 1 contract

Samples: Fifteenth Supplemental Indenture (Fidelity National Information Services, Inc.)

ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: (Insert assignee’s social security or tax ID number) (Print or type assignee’s name, address, and zip code) and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: Your signature: (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee: [FORM OF NOTATION OF GUARANTEE, if applicable]:

Appears in 1 contract

Samples: First Supplemental Indenture (Aviva PLC)

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