AS EVIDENCED BY THE SIGNATURE(S) BELOW, _________________________ (hereinafter referred to as Seller) does hereby sell, assign, and transfer to _______________ (hereinafter referred to as Buyer) a number of shares of the stock of _____________ (hereinafter referred to as the "Corporation"). Such shares are presently standing in the name of said Seller on the books of the Corporation and equal ______________( ______ ) shares, represented by Certificate No. __________.
FURTHER AGREED by the Seller to hereby irrevocably constitute and appoint ________ as attorney-in-fact to transfer all ownership rights and interests in connection with said stock, with full power of substitution in the premises.
FURTHER NOTED, for the record, that Seller is residing at _____________________ upon the date of this agreement and Buyer is residing at ____________________________ upon the date of agreement.
In the presence of:
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