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<br />e <br /> <br />e <br /> <br />Paying AgentlRegistrar <br /> <br />By <br /> <br />Authorized Representative <br /> <br />* <br /> <br />* <br /> <br />* <br /> <br />[FOlUA: OF STATEMENT OF INSURANCE] <br /> <br />FORM OF ASSIGNMENT <br /> <br />ASSIGNMENT <br /> <br />FOR VALUE RECEIVED, the undersigned registered owner of this bond or duly authorized representative or <br />attorney thereof, hereby assigns this bond to <br /> <br />I <br />(Assignee's Social Security or <br />Taxpayer Identification Number) <br /> <br />I <br /> <br />(Print or typewrite Assignee's name and address, including zip code) <br /> <br />and hereby irrevocably constitutes and appoints <br />attorney to transfer the registration of this bond on the Bond Registration Books with full power of substitution in <br />the premises. <br />Dated: <br /> <br />Signature Guaranteed: <br /> <br />NOTICE: Signature(s) must be guaranteed by a member <br />firm of the New York Stock Ex.change or a commercial <br />bank or trust company. <br /> <br />NOTICE: The signature above must correspond with the <br />name of the Owner as it appears upon the front of this <br />Bond in every particular, without alteration or <br />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 />construed as though they 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 TEN - as joint tenants with right of survivorship and not as tenants in common <br />UNIF GIFT MIN ACT - Custodian <br /> <br />(Minor) <br /> <br />(Cust) <br />under Uniform Gifts to Minors Act <br /> <br />(State) <br /> <br />Additional abbreviations may also be used though not in the list above. <br /> <br />* <br /> <br />* <br /> <br />* <br /> <br />FORM OF REGISTRATION CERTIFICATE OF THE COMPTROLLER OF PUBLIC ACCOUNTS <br />[To be printed on or attached to Initial Bond only] <br /> <br />COMPTROLLER'S REGISTRATION CERTIFICATE: <br /> <br />REGISTER NO: <br /> <br />13 <br />