| TEN COM |
- as tenants in common
|
UNIF GIFT MIN ACT -
|
....................Custodian....................
|
|
| TEN ENT |
- as tenants by the entireties
|
|
(Cust)
|
(Minor) |
| JT TEN |
- as joint tenants with right of survivorship and not as tenants in common
|
under Uniform Gifts to Minors
|
||
|
Act...................
|
||||
|
(State)
|
||||
|
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
|
|
|
| Shares | |
| of the stock represented by the within Certificate, and do hereby irrevocably constitute and appoint | |
| Attorney |
|
| to transfer the said stock on the books of the within named Corporation with full power of substitution in the premises. | |
|
Dated
|
|
NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE, IN EVERY
PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER.
|
| By | ||
| The Signature(s) must be guaranteed by an eligible guarantor institution (Banks, Stockbrokers, Savings and Loan Associations and Credit Unions with membership in an approved Signature Guarantee Medallion Program), pursuant to SEC Rule 17Ad-15. |
|
|