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(Form of Assignment) <br />FOR VALUE RECEIVED the undersigned hereby sells, assigns and transfers unto <br />(Please Print or Typewrite Name and Address) <br />$ principal amount (must be a multiple of $5,000) of the within bond <br />and all rights thereunder, and hereby irrevocably constitutes and appoints <br />attorney to transfer the within bond on the books <br />kept for the registration thereof with full power of substitution in the premises. <br />NOTICE: The signature to this assignment <br />must correspond with the name as it appears <br />on the face of the within bond in every <br />particular, without alteration or enlargement <br />or any change whatsoever. <br />Signature Guaranteed: <br />NOTICE: Signature(s) must be guaranteed <br />by an eligible guarantor institution participating <br />in a Securities Transfer Association recognized <br />signature guarantee program. <br />ABBREVIATIONS <br />The following abbreviations, when used in the inscription on the face of this Bond, shall be <br />construed as though they were written out in full according to applicable laws or regulations. <br />TEN COM - as tenants in common <br />TEN ENT - as tenants by the entireties <br />JT TEN - as joint tenants with right of <br />survivorship, and not as tenants in <br />common <br />UNIF TRANS MIN ACT - Custodian <br />(Gust) (Minor) <br />under Uniform Transfers to Minors <br />Act of <br />(State) <br />Additional abbreviations may also be used though not in the list above. <br />SBDS02 PFACCENDA 410419v4 <br />B-6 <br />