For value received, I, _________________________, of ________________________,

assign to __________________, of _____________________, assignee _______ shares of stock of

________________________, which shares stand in my name on the books of such corporation

and are represented by certificate No. _________.

I warrant that the assigned certificate is genuine and, to my knowledge, valid, and that I have the legal right to transfer it.

I appoint assignee my attorney in fact to effect a transfer of the assigned shares on the

books of ________________ with full power of substitution in the premises.

Dated _______________________, 20_____)_.

______________________________

NOTICE

The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.