Common use of FORM OF ELECTION TO PURCHASE Clause in Contracts

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Certificate) To: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) be issued in the name of and delivered to: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ Signature Signature Guaranteed:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTo Reinsurance Group of America, Incorporated: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: ________________________________Name:____________________ (Please print name and address) Address:__________________________________ ___________________ Please insert social Social security or other identifying taxpayer identification number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Right Certificate, a new Rights Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: ________________________________Name:____________________ (Please print name and address) Address:___________________________________ ___________________ Please insert social Social security or other identifying taxpayer identification number:________________________ Dated:___________________ _____________________________ Signature (Signature must conform in all respects to name of holder as specified on the face of this Right Certificate) Signature Guaranteed:: Signatures must be guaranteed by a member or a participant in the Securities Transfer Agent Medallion Program, the New York Stock Exchange Medallion Signature Program or the Stock Exchange Medallion Program.

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTo TEKELEC: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) be issued in the name of and delivered to: _____________________ Rights represented by this Right Certificate to purchase the shares of Common Stock issuable upon the exercise of such Rights and requests that certificates for such shares be issued in the name of: Name:________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying numberAddress:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ___________________________ Social security or taxpayer identification number:_______________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Name:________________________________ Address:_____________________________ ___________________________ Social security or taxpayer identification number:_______________ Dated:________________________, ____ ________________________________________ Signature (Signature must conform in all respects to name of holder as specified on the face of this Right Certificate) Signature Guaranteed:: Signatures must be guaranteed by a member or a participant in the Securities Transfer Agent Medallion Program, the New York Stock Exchange Medallion Signature Program or the Stock Exchange Medallion Program.

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Company Pericom Semiconductor Corporation The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities or property of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) ___________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number:: ________________________ Dated:___________________ ___________________________________________________________ (Please print name and address) ___________________________________________________________ Dated: Signature Signature Medallion Guaranteed:: ________________________________________ Signatures must be guaranteed by an “eligible guarantor institution” as defined in Rule 17Ad-15 promulgated under the Securities Exchange Act of 1934, as amended.

FORM OF ELECTION TO PURCHASE. (To be executed by the if registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTO: Swift Energy Company DOVER DOWNS GAMING & ENTERTAINMENT, INC. The undersigned hereby irrevocably elects to exercise ______________________________________ Rights represented by this Rights Right Certificate to purchase the Units shares of Series A Junior Participating Preferred Common Stock issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rightsshare(s) be issued in the name of and delivered toname: ______________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other tax identifying number:________________________ number If such number of Rights shall not be all the Rights evidenced by this Rights Right Certificate, a new Rights Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: ______________________________________________________ (Please print name and address) ____________Please insert social security or other tax identifying number _________________________________________ Please insert social security or other identifying number:__________Dated: ______________ Dated:____________, 20_______ ____________________________ Signature (Signature must conform in all respects to name/s of holder/s as specified on the face of this Right Certificate) Signature Guaranteed: Signatures must be guaranteed by an "eligible guarantor institution" as defined in Rule 17Ad-15 promulgated under the Securities Exchange Act of 1934, as amended. The undersigned hereby certifies by checking the appropriate boxes that:

FORM OF ELECTION TO PURCHASE. (To be executed by the if registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTO: Swift Energy Company FXCM INC. The undersigned hereby irrevocably elects to exercise ________________ Rights represented by this Rights Right Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rightsshare(s) be issued in the name of and delivered tofollowing name: Please insert social security or other identifying number:______________________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) ________________________________________________________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number:________________________ Dated:_______________________________________ ________________________________________________________________________________________________________ (Please print name and address) ________________________________________________________________________________________________________ Dated: ___________ ___, _____ ______________________________ Signature (Signature must conform in all respects to name of holder as specified on the face of this Right Certificate) Signature Guaranteed:: Signatures must be guaranteed by a participant in a Medallion Signature Guarantee Program at a guarantee level acceptable to the Corporation’s Rights Agent. The undersigned hereby certifies that the Rights evidenced by this Right Certificate are not, and never have been, beneficially owned by an Acquiring Person or an Affiliate or Associate thereof (as defined in the Rights Agreement). ______________________________ Signature

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise the Rights represented by the this Rights Certificate) To: Swift Energy Company Valassis Communications, Inc. The undersigned hereby irrevocably elects to exercise __________________ Rights represented by this Rights Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock preferred stock or other securities, cash or other property issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (the shares or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) be issued in the name of of, and delivered the cash or other property be paid to: ____________________________________________________ Please insert social security or other identifying number --------------------------------------------------------- (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ --------------------------------------------------------- If such the number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the remaining balance of such the Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number --------------------------------------------------------- (Please print name and address) --------------------------------------------------------- Dated: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ________________________,____ Signature --------------------------- (Signature Guaranteed:must conform in all respects to name of holder as specified on the face of this Rights Certificate)

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights CertificateWarrants) ToTO: Swift Energy Company VION PHARMACEUTICALS, INC. The undersigned hereby irrevocably elects to exercise _____Warrants represented by this Warrant Certificate to purchase __________ Rights represented by this Rights Certificate to purchase the Units shares of Series A Junior Participating Preferred Common Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) Warrants and requests that certificates for such Units shares of Series A Junior Participating Preferred Common Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) be issued in the name of and delivered toof: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security security, tax identification or other identifying number:number ___________________________ ___________________________ ___________________________ If such number of Rights shall Warrants is not be all the Rights Warrants evidenced by this Rights Warrant Certificate, a new Rights Warrant Certificate for the balance remaining of such Rights Warrants shall be registered in the name of and delivered to: Please insert social security, tax identification or other identifying number ___________________________ ___________________________ ___________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying numberDated:________________________ Dated:___________________ __________________________________ Signature (Signature must conform in all respects to name of holder as specified on the face of the Warrant Certificate) Signature Guaranteed:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTo Shorewood Packaging Corporation: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) be issued in the name of and delivered to: ____________________________________________________ (Please print Rights represented by this Right Certificate to purchase the shares of Preferred Stock issuable upon the exercise of such Rights and requests that certificates for such shares be issued in the name and address) ___________________________of: Name: _________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered toAddress: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ______________________ Social security or taxpayer identification number: _______________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Name: _________________________ Address: ______________________ ______________________ Social security or taxpayer identification number: _______________________ Dated: ___________, 19__ ___________________________________ Signature (Signature must conform in all respects to name of holder as specified on the face of this Right Certificate) Signature Guaranteed:: Signatures must be guaranteed by an "eligible guarantor institution" meeting the requirements of the Rights Agent, which requirements include membership or participation in STAMP or such other "signature guarantee program" as may be determined by the Rights Agent in addition to, or in substitution for, STAMP, ass in accordance with the Securities Exchange Act of 1934, as amended.

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Certificate.) To: Swift Energy Company MANATRON, INC. The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered to: _________________Please insert social security or other identifying number: ___________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: _________________Please insert social security or other identifying number: ___________________________________ (Please print name and address) B-8 Dated: _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ __________________________, 20__ Signature Signature Guaranteed: B-9 Certificate The undersigned hereby certifies by checking the appropriate boxes that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights the Right represented by the Rights Right Certificate.) To: Swift Energy Company Quest Medical, Inc. The undersigned hereby irrevocably elects to exercise _________________ (number) Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Common Shares issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) Common Shares be issued in the name of and delivered toof: Please print social security or other identifying number ____________________ ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:__________________________ Dated:If such number of Rights are not all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights will be registered in the name of and delivered to: Please print social security or other identifying number ____________________ ______________________________________________________________________________ (Please print name and address) ______________________________________________________________________________ Dated: ____________________, 19__ ___________________________ Signature Signature Guaranteed:: Signatures must be guaranteed by a member firm of a registered national securities exchange, a member of the National Association of Securities Dealers, Inc., or a commercial bank or trust company having an office or correspondent in the United States.

FORM OF ELECTION TO PURCHASE. (To be executed by if the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate) ToTo Nordson Corporation: Swift Energy Company The undersigned hereby irrevocably elects to exercise ________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Common Shares or other securities issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) therefor be issued in the name of and delivered toof: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________________________________ Please insert social security or other identifying number:: _________________________________________________ If such number of Rights are not all of the Rights evidenced by this Right Certificate, a new Right Certificate for the balance of such Rights shall be registered in the name of and delivered to: _____________________________________________________________________________ (Please print name and address) _____________________________________________________________________________ Please insert social security or other identifying number: _________________________________________________ Dated:________________________ ________________________________________ Signature (Signature must conform in all respects to name of the holder as specified on the face of this Right Certificate) Signature Guaranteed: CERTIFICATE (Applicable to Form of Election to Purchase) The undersigned hereby certifies by checking the appropriate boxes that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate) To: Swift Energy Company To Allmerica Financial Corporation The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units number of Series A Junior Participating Preferred shares of Common Stock (or other securities) issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: ____________________________________________________ Please insert social security or other identifying number (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: ____________________________________________________ Please insert social security or other identifying number (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ___________________________________________________ Dated: , Signature (Signature must conform in all respects to name of holder as specified on the face of this Rights Certificate) Signature Guaranteed:** ** Signature must be guaranteed be a member firm of The New York Stock Exchange, Inc. or a commercial bank or trust company having an office or correspondent in New York City. Certificate The undersigned hereby certifies by checking the appropriate boxes that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTo Arch Coal, Inc.: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of: Name:_____________________ Address:__________________ __________________ Social security or taxpayer identification number:___________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Name:_____________________ Address:__________________ _________________ Social security or taxpayer identification number:__________________ Dated:__________________ __________________________________________________ Signature (Please print Signature must conform in all respects to name and addressof holder as specified on the face of this Right Certificate) ____________________________________________________ Please insert social security Signature Guaranteed: Signatures must be guaranteed by a member or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered participant in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security Securities Transfer Agent Medallion Program, the New York Stock Exchange Medallion Signature Program or other identifying number:________________________ Dated:___________________ ____________________________ Signature Signature Guaranteed:the Stock Exchange Medallion Program.

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Certificate.) To: Swift Energy Company To IDEC PHARMACEUTICALS CORPORATION The undersigned hereby irrevocably elects to exercise ___________________________ Rights represented by this Rights Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) Shares be issued in the name of and delivered toof: __Please insert social security or other identifying number__________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: __Please insert social security or other identifying number__________________________________________________ (Please print name and address) Dated: _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:_______________, ____ ____________________________ Signature Signature Guaranteed:: Signatures must be guaranteed by a participant in a Securities Transfer Association Inc. recognized signature guarantee medallion program. B-5. 54 Form of Reverse Side of Rights Certificate -- continued -------------------------------------------------------------------------------- CERTIFICATION The undersigned hereby certifies that the Rights evidenced by this Rights Certificate are not beneficially owned by an Acquiring Person or an Affiliate or Associate thereof (as defined in the Rights Agreement).

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Company Sinovac Biotech Ltd. The undersigned hereby irrevocably elects to exercise __________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating C Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities or property of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock shares (or such other securities or property of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) be issued in the name of and delivered (or to: , as the case may be): ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert U.S. social security or other identifying number:________________________ Dated:___________________ ____________________________ (Please print name and address) Dated: __________________ Signature Signature Medallion Guaranteed: Signatures must be guaranteed by an “eligible guarantor institution” as defined in Rule 17Ad-15 promulgated under the U.S. Securities Exchange Act of 1934, as amended, which is a member of a recognized Medallion Signature Guarantee Program. The undersigned hereby certifies that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights CertificateCertificate pursuant to Section 11(a)(ii) Toof the Rights Agreement.) TO: Swift Energy Company HOLLYSYS AUTOMATION TECHNOLOGIES LTD. The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units Ordinary Shares (or such other securities of Series A Junior Participating Preferred Stock the Company) issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: ___________________________________________________________________________ (Please print name and addressinsert social security or other identifying number) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) ___________________________________________________________________________ The Rights Certificate indicating the balance, if any, of such Rights which may still be exercised pursuant to Section 11(a)(ii) of the Rights Agreement shall be returned to the undersigned unless the undersigned requests that the Rights Certificate be registered in the name of and delivered to: Please insert social security or other identifying number:number (complete only if Rights Certificate is to be registered in a name other than the undersigned) ________________________ Dated:___________________ __________________________________ (Please print name and address) Dated: ____________, 20 . Signature Signature Medallion Guaranteed:: Signatures must be guaranteed by an Eligible Guarantor Institution, as defined in Rule 17Ad-15 under the Securities Exchange Act of 1934, as amended.

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Company ARV ASSISTED LIVING, INC. The undersigned hereby irrevocably elects to exercise __________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of: Please insert social security or other identifying number ------------------------------------------------------------ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number ------------------------------------------------------------ Dated: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ ------------------------------ Signature Signature Guaranteed: Signatures must be guaranteed by an "eligible guarantor institution" as defined in Rule 17Ad-15 promulgated under the Securities Exchange Act of 1934, as amended. The undersigned hereby certifies that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Certificate) To: Swift Energy Company To Summit Technology, Inc. The undersigned hereby irrevocably elects to exercise _________________ Rights represented by this Rights Certificate to purchase the Units number of Series A Junior Participating one one-thousandths of a share of Preferred Stock (or other securities) issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: Please insert social security or other identifying number _____________________________________________________________________________ _____________________________________________________________________________ (Please print name and address) If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: _________________________________________________________ (Please print name and address) Dated: _______________________, ____ ___________________________________ Please insert social security or other identifying number:________Signature (Signature must conform in all respects to name of holder as specified on the face of this Rights Certificate) Signature Guaranteed:** ________________ Dated** Signature must be guaranteed by an "Eligible Guarantor Institution" (with membership in an approved signature guarantee medallion program) pursuant to Rule 17Ad-15 of the Securities Exchange Act of 1934. CERTIFICATE The undersigned hereby certifies by checking the appropriate boxes that:___________________ ____________________________ Signature Signature Guaranteed:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Company D & K HEALTHCARE RESOURCES, INC. The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) Shares be issued in the name of and delivered toof: Please insert social security or other identifying number:____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number:________________________ Dated:_____________________________ _____________________________________________________ (Please print name and address) _____________________________________________________ Dated:_____________________________ Signature___________________________________ Signature Signature Guaranteed:: Signatures must be guaranteed by a member firm of a registered national securities exchange, a member of the National Association of Securities Dealers, Inc., or a commercial bank or trust company having an office or correspondent in the United States.

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise the Rights represented by the Rights Right Certificate.) To: Swift Energy Company CAPITOL BANCORP LTD. The undersigned hereby irrevocably elects to exercise Rights represented by this Right Certificate to purchase the Preferred Shares issuable upon the exercise of such Rights and requests that certificates for such Preferred Shares be issued (or registration for such Preferred Shares be made) in the name of: Please insert social security or other identifying number ________________ (Please print name and address) If such number of Rights represented shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights Certificate to purchase the Units of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may shall be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) be issued registered in the name of and delivered to: Please insert social security or other identifying number __________ (Please print name and address) Dated: __________________. ________________________________ Signature Signature Guaranteed: Signatures must be guaranteed by a participant in a Medallion Signature Guarantee Program at a guarantee level acceptable to the Company’s Rights Agent. EXHIBIT B-4 Form of Reverse Side of Right Certificate -- continued The undersigned hereby certifies that the Rights evidenced by this Right Certificate are not Beneficially Owned by an Acquiring Person or an Affiliate thereof (as defined in the Plan). ___________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ Signature Signature Guaranteed:Signature

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Certificate.) To: Swift Energy Company Frontier Airlines, Inc.: The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units shares of Series A Junior Participating Preferred Common Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as that may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered to: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ number If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: _______________________________ Please insert social security or other identifying number ______________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ _______________________________ Signature Signature Guaranteed_______________________________ (Please print name and address) Dated:__________ __, ____ _______________________________ Signature

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTo Solitron Devices, Inc.: Swift Energy Company The undersigned hereby irrevocably elects to exercise __________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock issuable upon the exercise of the such Rights (or such other securities or property of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) stock be issued in the name of and delivered toof: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number:number ________________________ Dated:___________________ ____________________________ (Please print name and address) ____________________________________________________________ Dated: __________________ Signature Signature Guaranteed: Signatures must be guaranteed by an “eligible guarantor institution” as defined in Rule 17Ad-15 promulgated under the Securities Exchange Act of 1934, as amended. The undersigned hereby certifies that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate) ToTo ChaseMellon Shareholder Services L.L.C.: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock (or other securities) issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: Name: __________________________________________________ Address: _______________________________________________ (Please print name and address) Social Security or Taxpayer I.D. No.: ______________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of an delivered to: Name: __________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered toAddress: ____________________________________________________ (Please print name and address) _______Social Security or Taxpayer I.D. No.: ______________________________________________ Please insert social security or other identifying number:Dated: ________________________ Dated:______________, _____ __________________________________ Signature (Signature Guaranteed:must conform in all respects to name of holder as specified on the face of this Right Certificate)

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTo ALBANY MOLECULAR RESEARCH, INC.: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: Please insert social security or other identifying taxpayer number: ________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ (Please print name and address) If such number of Rights shall not be all the Rights evidenced by this Right Certificate or if the Rights are being exercised pursuant to Section 11(a)(ii) of the Rights Agreement, a new Right Certificate for the balance of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying taxpayer number: ________________________________ ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) Dated: _________, __ ____________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ Signature Signature Guaranteed:: ______________________________ Signatures must be guaranteed by a participant in the Medallion Signature Guarantee Program at a guarantee level acceptable to the Company’s Transfer Agent.

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights CertificateCertificate pursuant to Section 11(a)(ii) Toof the Rights Agreement.) To ALLIED WASTE INDUSTRIES, INC.: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Common Stock (or such other securities of the Company or of any other person or such other property as may be Company) issuable upon the exercise of the Rights) Rights and requests that certificates for such shares be issued in the name of: Please insert social security or other identifying number -------------------------------------------------------------------------------- The Rights Certificate indicating the balances, if any, of such Rights which may still be exercised pursuant to each of Section 11(a)(ii) and Section 13 of the Rights Agreement shall be returned to the undersigned unless such person requests that the Rights Certificate be registered in the name of and delivered to: Please insert social security or other identifying number (complete only if Rights Certificate is to be registered in a name other than the undersigned) -------------------------------------------------------------------------------- (Please print name and address) -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Dated: __________________________________________________, 20__ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ ------------------------------------ Signature Signature Guaranteed: 73 Certificate The undersigned hereby certifies by checking the appropriate boxes that:

FORM OF ELECTION TO PURCHASE. (To be executed by if the registered holder if such holder desires to exercise Rights represented by the Rights Certificate.) To: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered to: (Please print name and address) Please insert social security or other identifying number: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: (Please print name and address) Please insert social security or other identifying number: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ : , Signature Signature Guaranteed: Certificate The undersigned hereby certifies by checking the appropriate boxes that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Company Dex Media, Inc. The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities or property of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _________________________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number:number ________________________ Dated:___________________ ______________________________ (Please print name and address) _______________________________________________________________________ Dated: Signature Signature Guaranteed: Signatures must be guaranteed by an “eligible guarantor institution” as defined in Rule 17Ad-15 promulgated under the Securities Exchange Act of 1934, as amended. The undersigned hereby certifies that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy The New Home Company Inc. The undersigned hereby irrevocably elects to exercise __________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock issuable upon the exercise of the such Rights (or such other securities or property of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock stock (or such other securities or property of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) be issued in the name of and delivered (or to: , as the case may be): ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________________________________________ (Please print name and address) ____________________________________________________________ Dated: Signature Signature Medallion Guaranteed: Signatures must be guaranteed by an “eligible guarantor institution” as defined in Rule 17Ad-15 promulgated under the Securities Exchange Act of 1934, as amended, which is a member of a recognized Medallion Signature Guarantee Program. The undersigned hereby certifies that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTO HRG GROUP, INC.: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) Shares be issued in the name of and delivered toof: Please insert Social Security or other identifying number: ____________________________________________________ . (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Right Certificate, a new Rights Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert Social Security or other identifying number: ____________________________________________________ . (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:__: _________________ ___________________, _________ Signature (Signature must conform to the holder specified on the Right Certificate) Signature Guaranteed:: Signatures must be guaranteed by an eligible guarantor institution (bank, stock broker or savings and loan association with membership in an approved signature medallion program). Form of Reverse Side of Right Certificate -- continued ---------------------------------------------------------------- The undersigned hereby certifies that the Rights evidenced by this Right Certificate are not Beneficially Owned by, were not acquired by the undersigned from and are not being assigned to an Acquiring Person or an Affiliate or Associate thereof (as such terms are defined in the Rights Agreement).

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Company Norwalk Savings Society The undersigned hereby irrevocably elects to exercise ___________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the Rights (or such other securities of the Company Bank or of any other person or such other property as which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered to: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ number -------------------------------------------------------------------------------- If such number of Rights shall not be all the Rights evidenced by this Rights Right Certificate, a new Rights Right Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ number -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Dated:___________________ ____________________________ Signature : , 19 . ------------------ -- -------------------------------------------------- Signature Guaranteed:: Signature

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Certificate) To: Swift Energy Company SOFTECH, INC. The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units shares of Series A Junior Participating Preferred Common Stock (or other securities or property) issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units shares of Series A Junior Participating Preferred Common Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rightssecurities) be issued in the name of and delivered toof: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _________________________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number:number _________________________________________________________________________ (Please print name and address) _________________________________________________________________________ Dated:________________________ ________________________________________ Signature (Signature must conform to holder specified on Right Certificate) Signature Guaranteed:: Signature must be guaranteed by a bank, trust company, broker, dealer or other eligible institution participating in a recognized signature guarantee medallion program. Form of Reverse Side of Right Certificate - continued _________________________________________________________________________ (To be completed) The undersigned certifies that the Rights evidenced by this Right Certificate are not beneficially owned by, and were not acquired by the undersigned from, an Acquiring Person or an Affiliate or Associate thereof (as defined in the Rights Agreement). __________________________________________ Signature

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights CertificateCertificate other than pursuant to Section 11(a)(ii) Toof the Rights Agreement.) TO: Swift Energy Company HOLLYSYS AUTOMATION TECHNOLOGIES LTD. The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights Shares (or such other securities of the Company or of any other person or such other property as may be Person) issuable upon the exercise of the Rights) Rights and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: insert social security or other identifying number) ___________________________________________________________________________ (Please print name and address) If applicable, the Rights Certificate indicating the balance, if any, of such Rights which may still be exercised pursuant to Section 11(a)(ii) of the Rights Agreement shall be returned to the undersigned unless such Person requests that the Rights Certificate be registered in the name of and delivered to: Please insert social security or other identifying number (complete only if Rights Certificate is to be registered in a name other than the undersigned) (Please print name and address) Dated: __________________, 20 . __________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ Signature Signature Medallion Guaranteed:: Signatures must be guaranteed by an Eligible Guarantor Institution, as defined in Rule 17Ad-15 under the Securities Exchange Act of 1934, as amended.

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Company Micrel, Incorporated The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities or property of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number _________________________________________________________________________________________ (Please print name and address) _________________________________________________________________________________________ Dated: Signature Signature Medallion Guaranteed: Signatures must be guaranteed by an “eligible guarantor institution” as defined in Rule 17Ad-15 promulgated under the Securities Exchange Act of 1934, as amended. The undersigned hereby certifies that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Certificate) To: Swift Energy Company CTPartners Executive Search Inc. The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) be issued in the name of and delivered to: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ Signature Signature Guaranteed:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Southwest Water Company The undersigned hereby irrevocably elects to exercise __________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities or property of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) ____________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number:number ____________________________________________________________ (Please print name and address) ____________________________________________________________ Dated:_: __________________ _________________________ Signature Signature Guaranteed: ________________________ Signature Signature GuaranteedSignatures must be guaranteed by an "eligible guarantor institution" as defined in Rule 17Ad-15 promulgated under the Securities Exchange Act of 1934, as amended. The undersigned hereby certifies that:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTo HearUSA, Inc.: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: ________________________________Name:____________________ (Please print name and address) __________________________________Address:__________________ Please insert social security or other identifying number:__________________ Social security or taxpayer identification number:__________________ If such number of Rights shall not be all the Rights evidenced by this Rights Right Certificate, a new Rights Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: ________________________________Name:____________________ (Please print name and address) ___________________________________Address:__________________ Please insert social security or other identifying number:__________________ Social security or taxpayer identification number:__________________ Dated:___________________ ______________________________ Signature (Signature must conform in all respects to name of holder as specified on the face of this Right Certificate) Signature Guaranteed:: Signatures must be guaranteed by a member or a participant in the Securities Transfer Agent Medallion Program, the New York Stock Exchange Medallion Signature Program or the Stock Exchange Medallion Program.

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise any or all Rights represented evidenced by the Rights Certificate.) To: Swift Energy Company Dresser-Rand Group Inc.: The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units of Series A Junior Participating Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) be issued in the name of and delivered to: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert ) Rights evidenced by this Rights Certificate to purchase the Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person that may be issuable upon the exercise of the Rights) and requests that certificates for such shares be issued in the name of and delivered to or that such shares be credited to the book-entry account of: (print social security or other identifying number:________________________ ) (print name and address) If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number) (print name and address) Dated:________________________ Dated:___________________ ____________________________ Signature ______________, by Name: Title: Signature Guaranteed:: Signatures must be guaranteed by a participant in the Securities Transfer Agent Medallion Program, the Stock Exchanges Medallion Program or the New York Stock Exchange, Inc. Medallion Signature Program. A notary public is not sufficient.

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Certificate.) To: Swift Energy Company To PHARMACYCLICS, INC. The undersigned hereby irrevocably elects to exercise ___________________________ Rights represented by this Rights Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) Shares be issued in the name of and delivered toof: Please insert social security or other identifying number ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number ____________________________________________________ (Please print name and address) Dated: __________________, 19__ ________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ Signature Signature Guaranteed:: Signatures must be guaranteed by a participant in a Securities Transfer Association Inc. recognized signature guarantee medallion program. B-5. 50 Form of Reverse Side of Rights Certificate -- continued -------------------------------------------------------------------------------- CERTIFICATION The undersigned hereby certifies that the Rights evidenced by this Rights Certificate are not beneficially owned by an Acquiring Person or an Affiliate or Associate thereof (as defined in the Rights Agreement).

FORM OF ELECTION TO PURCHASE. (To be executed by if the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate) To: Swift Energy Company Xxxxxx Bancorp, Inc. The undersigned hereby irrevocably elects to exercise _____________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) be issued in the name of and delivered to: ___________________________Please insert social security or other identifying number _________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Right Certificate, a new Rights Right Certificate for the balance of such Rights shall be registered in the name of and delivered to: ___________________________Please insert social security or other identifying number _________________________ (Please print name and address) Dated: _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ _________________________, 201___ Signature Medallion Signature Guaranteed:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTo Urstadt Bxxxxx Properties Inc.: Swift Energy Company The undersigned hereby irrevocably elects to exercise _________________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares (or other securities) issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: Please insert social security or other identifying number: _____________________ ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:__________________________ Dated:_If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number: __________________ ______________________________________________________________________________ (Please print name and address) ______________________________________________________________________________ Dated: _____________________, __________ ___________________________________ Signature (Signatures to the foregoing Election to Purchase and the following certificate must conform in all respects to name of holder as specified on the face of this Right Certificate) Signature Guaranteed:

FORM OF ELECTION TO PURCHASE. (To be executed by the if registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate) To: Swift Energy Company TO MILLERS AMERICAN GROUP, INC. The undersigned hereby irrevocably elects to exercise _________________ Rights represented by this Rights Right Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock (or other securities) issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rightsshare(s) be issued in the name of and delivered tofollowing name: Please insert social security or other identifying number: ____________________________________________________ _______________________________________________________________________________ (Please print name and address) If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number: ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ________________________________________________________ (Please print name and address) Dated: _____________. ___________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ Signature (Signature must conform in all respects to name of holder as specified on the face of this Right Certificate) Medallion Signature Guaranteed:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Company SLH CORPORATION The undersigned hereby irrevocably elects to exercise __________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) Shares be issued in the name of and delivered toof: ____________________________ (Please insert social security or other identifying number) _________________ ____________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ ). If such number of Rights shall not be all the Rights evidenced by this Rights Right Certificate, a new Rights Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: _________________ (Please insert social security or other identifying number ) ________________ ____________________________________________ (Please print name and address) ). Dated: _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ __________________________________ Signature Signature Guaranteed:: Signatures must be guaranteed by an eligible guarantor institution (a bank, stockbroker, savings and loan association or credit union with membership in an approved signature guarantee medallion program) pursuant to Rule 17Ad-15 of the Securities Exchange Act of 1934. The undersigned hereby certifies that the Rights evidenced by this Right Certificate are not beneficially owned by an Acquiring Person or an Affiliate or Associate thereof (as defined in the Rights Agreement).

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) ToTO PHOTRONICS, INC.: Swift Energy Company The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) Shares be issued in the name of and delivered toof: ____________________________________________________________________________ (Please print name and address) insert Social Security or other identifying number:____________________________________________________ ______. Please insert social security or other identifying number:print name and address: ________________________ _____________________________________________.) If such number of Rights shall not be all the Rights evidenced by this Rights Right Certificate, a new Rights Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: ____________________________________________________ ____. (Please print name and address) insert Social Security or other identifying number:_____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ . Please print name and address: ____________________________ ____________________________________.) Date: Signature Signature Guaranteed: Signatures must be guaranteed by an eligible guarantor institution (bank, stock broker or savings and loan association with membership in an approved signature medallion program). Date:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Company AutoZone, Inc. The undersigned hereby irrevocably elects to exercise __________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities or property of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) ____________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Right Certificate, a new Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number:number ________________________ Dated:___________________ ____________________________ (Please print name and address) ____________________________________________________________ Dated: __________________ Signature Signature Guaranteed: Signatures must be guaranteed by an "eligible guarantor institution" as defined in Rule 17Ad-15 promulgated under the Securities Exchange Act of 1934, as amended. The undersigned hereby certifies that:

FORM OF ELECTION TO PURCHASE. (To be executed by if the registered holder if such holder desires to exercise Rights represented by the Rights Certificate) To: Swift Energy Company FURNITURE BRANDS INTERNATIONAL, INC. The undersigned hereby irrevocably elects to exercise _______________ Rights represented by this Rights Certificate to purchase the Units of Series A Junior Participating B Preferred Stock issuable upon the exercise of the Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating B Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) be issued in the name of and delivered to: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:___________________ ____________________________ Signature Signature Guaranteed:

FORM OF ELECTION TO PURCHASE. (To be executed by the registered holder if such holder desires to exercise Rights represented by the Rights Right Certificate.) To: Swift Energy Company Hyseq, Inc. The undersigned hereby irrevocably elects to exercise _________________ Rights represented by this Rights Right Certificate to purchase the Units of Series A Junior Participating Preferred Stock Shares issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as Person which may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) shares be issued in the name of and delivered toof: ___________Please insert social security or other identifying number _________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Right Certificate, a new Rights Right Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number ____________________________________________________________ (Please print name and address) _____________________________________________________ Please insert social security or other identifying number:________________________ Dated:_: __________________ ______________________________ Signature Signature Guaranteed:: ______________________________ Signatures must be guaranteed by an "eligible guarantor institution" as defined in Rule 17Ad-15 promulgated under the Securities Exchange Act of 1934, as amended.

FORM OF ELECTION TO PURCHASE. (To be executed by the if registered holder if such holder desires to exercise Rights represented by the Rights Certificate.) ToTO SONIC CORP.: Swift Energy Company The undersigned hereby irrevocably elects to exercise ________________ Rights represented by this Rights Certificate to purchase the Units shares of Series A Junior Participating Preferred Stock (or other securities) issuable upon the exercise of the such Rights (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rights) and requests that certificates for such Units of Series A Junior Participating Preferred Stock (or such other securities of the Company or of any other person or such other property as may be issuable upon the exercise of the Rightsshare(s) be issued in the name of and delivered tofollowing name: Please insert social security or other identifying number: ____________________________________________________ (Please print name and address) ____________________________________________________ Please insert social security or other identifying number:________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights shall be registered in the name of and delivered to: ____________________________________________________ (Please print name and address) ________________________________________________________________________________ If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance remaining of such Rights shall be registered in the name of and delivered to: Please insert social security or other identifying number:________________________ Dated:_____________________________ ________________________________________________________________________________ (Please print name and address) ________________________________________________________________________________ Dated:____________ ___________________________________________________ Signature (Signature must conform in all respects to name of holder as specified on the face of this Rights Certificate) Signature Guaranteed: