Countersigned. By ------------------------------ Name: Title: [Form of Reverse Side of Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, and transfers to ___________________________________ ____________________________________________________________________________ (Please print name and address of transferee) ____________________________________________________________________________ this Rights Certificate, together with all right, title, and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorney, to transfer the within Rights Certificate on the books of xxxxx-xxxxxxxxxx.xxx, corp., with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 2 contracts
Samples: Rights Agreement (Insci Statements Com Corp), Rights Agreement (Insci Statements Com Corp)
Countersigned. By ------------------------------ Name: Title: -------------------------------- Authorized Signature [Form of Reverse Side of Rights Certificate] ) FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ____________________________________________________________ hereby sells, assigns, assigns and transfers to unto_______________________________________ _______________________________________________________________________________ (Please print name and address of transferee) _______________________________________________________________________________ this Rights Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Certificate on the books of xxxxx-xxxxxxxxxx.xxx, corp.the within-named Company, with full power of substitution. Dated: _______________, _____ __________________________________ (Signature) Medallion Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification Certificate ----------- The undersigned hereby certifies by checking the appropriate boxes that:
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Countersigned. By ------------------------------ Name: Title[ ], ---------------------------- as Rights Agent ------------------------------------- Authorized Signatory Date of countersignature: [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ __________________________________________________unto __________________________ (Please print name and address of transferee) ____________________________________________________________________________ this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Right Certificate on the books of xxxxx-xxxxxxxxxx.xxx, corp.the within-named Company, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion ---------------- -------------------------------------------- Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification ----------------------------- CERTIFICATE ----------- The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Samples: Shareholder Rights Agreement (Interstate Hotels Co)
Countersigned. By ------------------------------ NameBy: Title: [---------------------------- Authorized Signature 47 Form of Reverse Side of Rights Certificate] Right Certificate FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Rights Right Certificate.) FOR VALUE RECEIVED ____________________________________RECEIVED, _______________ hereby sells, assigns, assigns and transfers to unto ___________________________________ ____________________________________________________________________________ (Please print name and address of transferee) ________________________________________________________________________________ this Rights Right Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Right Certificate on the books of xxxxx-xxxxxxxxxx.xxx, corp.the within-named Company, with full power of substitution. Dated: _____________, _____ _________________________________ (Signature) Medallion Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification CERTIFICATE ----------- The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Samples: Rights Agreement (Pm Holdings Corp)
Countersigned. By ------------------------------ Name: Title: ----------------------------- [Form of Reverse Side of Rights Right Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such the holder desires to transfer the Rights Certificate.Right certificate) FOR VALUE RECEIVED ______________________________ hereby sells, assigns, and transfers unto ___________________________________________________ hereby sells, assigns, and transfers to ___________________________________ ________________________________________________________________________________ (Please print name and address of transferee) ____________________________________________________________________________ this Rights Right Certificate, together with all right, title, and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorney, to transfer the within Rights Right Certificate on the books of xxxxx-xxxxxxxxxx.xxx, corp.Nordson Corporation, with full power of substitution. Dated: :_____________, _____________ ___________________________________ Signature Signature Guaranteed: CERTIFICATE (SignatureApplicable to Form of Assignment) Medallion Signature Guaranty: ------------------------------------------------------------------------------- Assignment Certification The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Samples: Rights Agreement (Nordson Corp)
Countersigned. By ------------------------------ Name: Title: By____________________ Authorized Officer [Form of Reverse Side of Rights Certificate] FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ___________________________________________________ hereby sells, assigns, assigns and transfers to ___________________________________ ____________________________________________________________________________ unto --------------------------------------------- ------------------------------------------------------------------------- (Please print name and address of transferee) ____________________________________________________________________________ ------------------------------------------------------------------------ this Rights Certificate, together with all right, title, title and interest therein, and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Certificate on the books of xxxxx-xxxxxxxxxx.xxx, corp.the within-named Company, with full power of substitution. Dated: ______________ ___, _____ ___________________________ (Signature) Medallion ----------------------- Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification Certificate The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract
Samples: Rights Agreement (National Patent Development Corp)
Countersigned. By ------------------------------ By: ---------------------------------- Name: Title: [Form of Reverse Side of Rights Certificate] FORM OF ASSIGNMENT ------------------ (To be executed by the registered holder if such holder desires to transfer the Rights Certificate.) FOR VALUE RECEIVED ___________________________________________________ RECEIVED, the undersigned hereby sells, assigns, assigns and transfers to ___________________________________ ____________________________________________________________________________ unto -------------------------------------------------------------- -------------------------------------------------------------- (Please print name and address of transferee) ____________________________________________________________________________ -------------------------------------------------------------- this Rights Certificate, together with all right, title, title and interest therein, therein and does hereby irrevocably constitute and appoint _____________________ as attorneyAttorney, to transfer the within Rights Certificate on the books of xxxxx-xxxxxxxxxx.xxx, corp.the within-named Company, with full power of substitution. Dated: _____________, _____ ___________________________ (Signature) Medallion ------------------------ -------------------------------------------- Signature GuarantySignature Guaranteed: ------------------------------------------------------------------------------- Assignment Certification Certificate ----------- The undersigned hereby certifies by checking the appropriate boxes that:
Appears in 1 contract