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<br />(Form of Assignment) <br /> <br />For value received, the undersigned hereby sells, assIgns and transfers unto <br />the within Bond and hereby irrevocably constitutes and appoints <br />attorney, to transfer the same on the records of the Registrar, with full power . <br />of substitution in the premises. <br /> <br />Dated: <br /> <br />Signature Guaranteed: <br /> <br />Address of transferee: <br /> <br />Social Security or other tax <br /> <br />identification number of transferee: <br /> <br />NOTE: The signature to this Assignment must correspond with the name as written on the face <br />of the within Bond in every particular, without alteration or enlargement or any change <br />whatsoever. <br /> <br />EXCHANGE OR TRANSFER FEES MAY BE CHARGED <br /> <br />(End of Form of Assignment) <br /> <br />17 <br />