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<br />ASSIGNMENT <br /> <br />FOR VALUE RECEIVED, ("Transferor"), the undersigned, <br />hereby sells, assigns and transfers unto (Social Security or Federal <br />Employer Identification No. ) the within Bond and all rights <br />thereunder, and hereby irrevocably constitute and appoints ("Transferee") as attorney to transfer <br />the within Bond on the books kept for registration thereof, with full power of substitution in the <br />premises; provided, however, that if any default with respect to the Bond shall have occurred to <br />or to the date of this transfer, the within Bond shall not be registered and the Transferee shall be <br />entitled to receive payment with respect to the within Bond upon presentation thereof as assignee <br />of the Transferor. <br /> <br />Date: <br /> <br />NOTICE: No transfer will be registered and no <br />new Bond will be issued in the name of the <br />Transferee, unless the signature(s) to this <br />assignment correspond( s) with the name( s) as it <br />(they) appear(s) upon the face of the within Bond in <br />every particular, without alteration or enlargement <br />or any change whatever and the Social Security or <br />Federal Employer Identification numbers of the <br />settlor and beneficiaries of the trust, the date of the <br />trust and the name of the trustee should be supplied. <br /> <br />Signature Guaranteed: <br /> <br />NOTICE: Signature(s) must be guaranteed by <br />a member firm of the New York Stock Exchange <br />or a commercial bank or a trust company or any <br />other "Eligible Guarantor Institution" as defined <br />in 17 CFR 240.17 Ad-IS (a) (2) <br /> <br />14 <br />