Assignment of Stock Certificate

10/20/2013

For value received, I, ________(1)______________, of
__________(2)___________, assign to ________(3)_______, of
________(4)__________, assignee __(5)__ shares of stock of
__________(6)___________, which shares stand in my name on the
books of such corporation and are represented by certificate
No. ___(7)___.

I warrant that the assigned certificate is genuine and, to my
knowledge, valid, and that I have the legal right to transfer
it.

I appoint assignee my attorney in fact to effect a transfer of
the assigned shares on the books of _____(8)________ with full
power of substitution in the premises.

Dated _________(9)___________, 20__(10)_.

      _____________(11)_____________

Notice

The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.

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