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- ASSIGNMENT OF STOCK
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- For good and valuable consideration, receipt of which is
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- hereby acknowledged, I, ____________________________ the
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- undersigned, residing at ___________________________ hereby sell,
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- assign and transfer to _____________________________, residing at
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- _______________________________, (_____) shares of the
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- stock of _________________________ [the "Corporation"] standing
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- in my name on the books of the Corporation, represented by
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- Certificate No. ______________, and hereby irrevocably constitute
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- and appoint __________________, attorney-in-fact to transfer the
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- stock on the books of the within named Corporation, with full
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- power of substitution in the premises.
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- Dated: _______________________________
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- In the presence of:
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- ________________________
- Form 211
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