INSTRUCTIONS FOR REGISTRATION OF COMMON STOCK. Name (Print in Block Letters) Address FEIN # EXHIBIT B FORM TO BE USED TO ASSIGN WARRANT: ASSIGNMENT (To be executed by the registered Holder to effect a transfer of the within Warrant:) FOR VALUE RECEIVED, does hereby sell, assign and transfer unto the right to purchase shares of The Film Department Holdings, Inc. evidenced by that certain Warrant dated , 2010 and does hereby irrevocably constitute and appoint attorney to transfer such right on the books of such Company with full power of substitution in the premises. Dated: , 20 . Signature Signature Guaranteed (Medallion)
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Samples: Film Department Holdings, Inc., Film Department Holdings, Inc., Film Department Holdings, Inc.
