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<br /> [Form of Transfer] <br /> ASSIGNMENT <br /> FOR VALUE RECEIVED, the undersigned sells, assigns, and <br />transfers unto <br />SOCIAL SECURITY OR FEDERAL EMPLOYER <br /> IDENTIFICATION NUMBER OF ASSIGNEE <br /> (Name and Address of Assignee) <br />the within Bond and does hereby irrevocably constitute and appoint <br /> , attorney, <br />to transfer said Bond on the books kept for registration thereof <br />with full power of substitution in the premises. <br />Dated: <br />Signature of Registered Owner: <br />NOTICE: The signature to this <br />assignment must correspond with the <br />name of the registered owner as it <br />appears upon the face of the within <br />Bond in every particular, without <br />alteration or enlargement or any <br />change whatever. <br />Signature guaranteed: <br /> (Bank, Trust Company, or Firm) <br /> - 21 - <br />