Social Security No. You understand that this designation operates to entitle the above-named beneficiary to the rights conferred by the Award Agreement from the date this form is delivered to the Company until such date as this designation is revoked in writing by you, including by delivery to the Company of a written designation of beneficiary executed by you on a later date. Date: ------------------------ By: ------------------------------------ [Participant Name] Sworn to before me this ____ day of ____________, 200_ ------------------------------------- Notary Public

Social Security No. The Holder understands that this designation operates to entitle the above-named beneficiary to the rights of a beneficiary conferred by the Option Agreement from the date this form is delivered to the Company until such date as this designation is revoked in writing by the Holder, including by delivery to the Company of a written designation of beneficiary executed by you on a later date. Date: By: Holder Sworn to before me this day of , 2012 Notary Public County of

Examples of Social Security No in a sentence

Alphabetical list of all persons with a reportable financial interest in the project or activity(For individuals, give the last name first) Social Security No. or Employee ID No. Type of Participation CertificationWarning: If you knowingly make a false statement on this form, you may be subject to civil or criminal penalties under Section 1001 of Title 18 of the United States Code.
Print: Social Security No: XXX-XX- Last First Middle (last 4 only) Date: Signature: A copy of these requirements will be placed in your County-Wide Substitute file.
Taxpayer Identification Type (check appropriate box):Employer ID No. (EIN) Social Security No. (SSN) Individual Taxpayer ID No. (ITIN) N/A (Non-United States Business Entity)Part III: Address1.
Filer’s Full Social Security No. (Example: 123-45-6789)If a Joint Return, Spouse’s First NameM.I.Last Name3.
Give the following information on the individual or partners and establish whether they are Indian (I) or Non-Indian (NI).Name and I or % of Stock Social Security No. NI Address Ownership If a Joint Venture: a.

More Definitions of Social Security No

Social Security No. Taxpayer Identification No.:

Social Security No. This beneficiary designation relates to any and all of Recipient's rights under the following Award or Awards: [ ] any Award that Recipient has received under the Plan. [ ] the _________________ Award that Recipient received pursuant to an award agreement dated _________ __, ____ between Recipient and the Company. The Recipient understands that this designation operates to entitle the above-named beneficiary to the rights conferred by an Award from the date this form is delivered to the Company until such date as this designation is revoked in writing by the Recipient, including by delivery to the Company of a written designation of beneficiary executed by the Recipient on a later date. Date: ---------------------------------- By: ------------------------------------ [Recipient Name] Sworn to before me this ____ day of ____________, 200_ ------------------------------------- Notary Public

Social Security No. Residence Address:

Social Security No. This beneficiary designation relates to any and all of Recipient’s rights under the following Award or Awards: o any Award that Recipient has received under the Plan. o the Award that Recipient received pursuant to an award agreement dated , between Recipient and the Company. The Recipient understands that this designation operates to entitle the above-named beneficiary to the rights conferred by an Award from the date this form is delivered to the Company until such date as this designation is revoked in writing by the Recipient, including by delivery to the Company of a written designation of beneficiary executed by the Recipient on a later date. Date: By: [Recipient Name] Sworn to before me this day of , 200 Notary Public County of State of Exhibit B FORM OF RESTRICTED STOCK AGREEMENT COMMERCE ENERGY GROUP, INC. 2006 STOCK INCENTIVE PLAN Restricted Share Award Agreement (for U.S. Employees) XXXXXXX X. XXXXX Award No. Date February 20, 2008

Social Security No. This beneficiary designation relates to any and all of my rights under the following Award or Awards: o any Award that I have received or ever receive under the Plan. o the Award that I received pursuant to an award agreement dated ___, ___ between myself and the Corporation. I understand that this designation operates to entitle the above named beneficiary, in the event of my death, to any and all of my rights under the Award(s) designated above from the date this form is delivered to the Corporation until such date as this designation is revoked in writing by me, including by delivery to the Corporation of a written designation of beneficiary executed by me on a later date. Date: By: Name of Participant Sworn to before me this ___day of , 200_ Notary Public County of State of ANNEX D ASSET ACCEPTANCE CAPITAL CORP. 2004 STOCK INCENTIVE PLAN Long-Term Consideration and Corporation Recovery for Breach By signing and accepting your Award Agreement, you recognize and agree that the Corporation’s key consideration in granting the Award is securing your long-term commitment to serve as its Chairman, President and Chief Executive Officer who will advance and promote the Corporation’s business interests and objectives. Accordingly, you agree that this Award shall be subject to the following terms and conditions as material and indivisible consideration for this Award:

Social Security No. GeoTel Communications Corporation Non-Qualified Stock Option Representation Letter The undersigned, ___________________ (the "Optionee"), in connection with the grant of an option to purchase _______ shares (the "Shares") of the Common Stock, $.01 par value per share, of GeoTel Communications Corporation (the "Company"), hereby represents and warrants to the Company that:

Social Security No. This beneficiary designation relates to any and all of my rights under the following Award or Awards: o any Award that I have received or ever receive under the Performance-Based Annual Cash Bonus Award Agreement. o the _________________ Award that I received pursuant to an award agreement dated _________ __, ____ between myself and the Company. I understand that this designation operates to entitle the above named beneficiary, in the event of my death, to any and all of my rights under the Award(s) designated above from the date this form is delivered to the Company until such date as this designation is revoked in writing by me, including by delivery to the Company of a written designation of beneficiary executed by me on a later date. Date: _______________________________ By: ________________________________ Name of Participant Sworn to before me this ____day of ____________, 20__ ___________________________ Notary Public County of _________________ State of _________________