SEC Document


ASSIGNMENT FORM

To assign this Security, fill in the form below:

 

(I) or (we) assign and transfer this Security to:    
  (Insert assignee’s legal name)

 

      

 

(Insert assignee’s soc. sec. or tax I. D. no.)

 

  

 

  

 

  

 

  

 

(Print or type assignee’s name, address and zip code)

 

and irrevocably appoint    

to transfer this Security on the books of the Company. The agent may substitute another to act for him.

Date:

 

Your Signature:    
 

(Sign exactly as your name appears

on the face of this Security)

 

Signature Guarantee:1    

 

1  Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee).

 

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