Laserfiche WebLink
<br />. <br /> <br />e <br /> <br />Dated: <br /> <br />JPMORGAN CHASE BANK, <br />Paying Agent/Registrar <br /> <br />By <br /> <br />Authorized Signature <br /> <br />FORM OF STATEMENT OF lNSURANCE <br /> <br />STATEMENT OF INSURANCE <br /> <br />[TO COME] <br /> <br />FORM OF ASSIGNMENT <br /> <br />ASSIGNMENT <br /> <br />FOR.. VALUE lQ::CEIVED... the(. un(jersi~ed registereQ owner of this Bond, or duly authorized <br />representative or attorney thereot: hereby assigns this Bond to <br /> <br />I I <br />(Assignee's Social Security or Tax Payer <br />Identification number) <br /> <br />(Print or type Assignee's name and address, including zip code) <br /> <br />and <br /> <br />hereby irrevocably constitutes and appoints <br />attorney to transfer the registration of this Bond on the Paying AgentlRegistrar's Registration Books with full power <br />of substitution in the premises. <br /> <br />D~t~ <br /> <br />Signature Guaranteed: <br /> <br />NOTICE: Signature(s) must be guaranteed by a <br />member firm of the New York Stock Exchange or a <br />commercial bank or trust company, <br /> <br />NOTICE: The signature above must correspond with <br />the name of the Registered Owner as it appears upon <br />the front of this Bond in every particular, without <br />alteration or enlargement or any change whatsoever, <br /> <br />The following abbreviations, when used in the assignment above or on the face of the within Bond, shall be <br /><;onstrueQ as thQugh th~ were written out in full according to applicable laws or regulations: <br /> <br />TEN COM - as tenants in common <br />TeN ENT - as tenants by the entireties <br />IT lEN - as joint tenant with right of survivorship and not as tenants in common <br />UNIE GIFt MIN ACf - Custodian <br /> <br />(Cust) <br /> <br />(Minor) <br /> <br />under Uniform Gifts to Minor Act <br /> <br />(State) <br /> <br />Additional abbreviations may also be used though not in the list above, <br /> <br />063939.000l AUSUN 280348.a. <br /> <br />8. <br />