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Stock Certificate Assignment



STOCK CERTIFICATE ASSIGNMENT

Date: [Date of agreement]


FOR GOOD AND VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, [Assignor], hereinafter referred to as "Assignor" hereby conveys and assigns to [Assignee], hereinafter referred to as "Assignee", all and any ownership rights, privileges, and interests in the shares of stock of the
[Corporation], hereinafter referred to as "Corporation", which are represented by share certificates numbered and attached hereto.

ASSIGNOR DOES HEREBY further nominate [Attorney] as attorney-in-fact and authorizes the transfer of the ownership rights, privileges, and interest of the above-described shares on the stock ledger of said Corporation by said attorney-in-fact.



Assignor


[Notary Public or bank verification]