ASSIGNMENT FORM. (To assign the foregoing note, execute this form and supply required information. Do not use this form to exercise the note.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to , whose address is . Dated: Holder’s Signature: Holder’s Address: Signature Guaranteed:
Appears in 16 contracts
Samples: Master Transaction Agreement (Emergent Capital, Inc.), Master Transaction Agreement (Emergent Capital, Inc.), Master Transaction Agreement (Emergent Capital, Inc.)
ASSIGNMENT FORM. (To assign the foregoing noteWarrant, execute this form and supply required information. Do not use this form to exercise the notepurchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to , whose address is . Address: Dated: Holder’s Signature: Holder’s Address: Signature Guaranteed:
Appears in 7 contracts
Samples: Warrant Agreement (Natera, Inc.), Warrant Agreement (Natera, Inc.), Warrant Agreement (Natera, Inc.)
ASSIGNMENT FORM. (To assign the foregoing noteWarrant, execute this form and supply required information. Do not use this form to exercise the notepurchase shares.) FOR VALUE RECEIVED, the foregoing Warrant and all rights evidenced thereby are hereby assigned to , whose address is . (Please Print) Address: (Please Print) Dated: , 20 Holder’s Signature: Holder’s Address: Signature Guaranteed:
Appears in 5 contracts
Samples: Warrant Agreement (Zoo Entertainment, Inc), Warrant Agreement (Zoo Entertainment, Inc), Warrant Agreement (Zoo Entertainment, Inc)