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  1. Included in this package are the form and instructions needed to transfer stock to a new account, another holder or to request a legal name change. We have also enclosed answers to Frequently Asked Questions (FAQs) to assist you with completing the form and to answer transfer related questions you may have.

  2. s1.q4cdn.com › shareholder_forms › c9039174-54fb-28dd-3fbe-db9f046416caStock Power Form - s1.q4cdn.com

    Complete page one of the Stock Power Form, and then complete a separate page two for each new account. Each completed form will need to have the exact number of shares (not a percentage), the full registration, address, and Social Security Number (SSN) or Employer Identification Number (EIN) for each new account.

  3. The signature(s) below on this Transfer Request form must correspond exactly with the name(s) as shown upon the face of the stock certificate or a Computershare-issued statement for book-entry shares, without alteration or enlargement or any change whatever.

  4. Please return this form to: Computershare Investor Services * Attention: Stock Transfer * 2 North LaSalle Street * Chicago, IL 60602 www.computershare.com 1-800-969-6718

  5. Appoint_____ attorney to transfer the said stock on the books of the within named Company with full power of substitution in the premises. We the undersigned do declare that we are all of the members of the _____ Investment Club and we are all of legal age. We/I make this solemn Declaration Conscientiously believing, it to be true, and knowing ...

  6. You should use the attached form if you wish to transfer the stock you hold to another person or persons. Please read the following instructions carefully before completing the form.

  7. REQUEST TO TRANSFER STOCK FORM 01X5OA-WEB A. Current Shareholder(s) Information (Transferor) Current Account Registration Name - Please print registration name as it appears on the account Shareholder (Transferor): Social Security Number or Tax Identification Number Computershare Account Number B. Signature(s)

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