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NUMBER CB*0*
SEE REVERSE FOR CERTAIN DEFINITIONS
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*** SHARES
CUSIP
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Authorized Officer
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Authorized Officer
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TEN COM
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—
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as tenants in common
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UNIF GIFT MIN ACT
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—
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(Custodian)
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(Minor)
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TEN ENT
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—
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as tenants by the entireties
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Under Uniform Gifts to Minors Act
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JT TEN
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—
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as joint tenants with right of survivorship and not as tenants in common
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(State)
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Notice:
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The signature to this assignment must correspond with the name as written upon the face of the certificate in every particular, without alteration
or enlargement or any change whatever.
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Signature(s) Guaranteed:
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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 S.E.C. RULE 17Ad-15 (OR ANY SUCCESSOR RULE) UNDER THE SECURITIES ACT OF 1933, AS AMENDED).
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