TEN ENT tenants by the entireties (Cust) Xxxxx XX TEN -- as joint tenants with right under Uniform Gifts to Minors of survivorship and not as Act . . . . . tenants in common (State)
TEN ENT as tenants by the entireties (Cust) (Minor) JT TEN - as joint tenants with right of under Uniform Gifts to Minors survivorship and not as tenants Act ............................. in common (State) Additional abbreviations may also be used though not in the above list. ________________________________________________________________________________ For Value Received, ____________________ hereby sell, assign and transfer unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE ###-##-#### -------------------------------------- ________________________________________________________________________________ (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) ________________________________________________________________________________ ________________________________________________________________________________ _________________________________________________________________________ Shares of the Common Stock represented by the within Certificate, and do hereby irrevocably constitute and appoint _____________________ attorney-in-fact to transfer the said stock on the books of the within-named Corporation, with full power of substitution in the premises. Dated _____________________________ /s/ PAUL X. XXXX ---------------------------------------------------------------------- ---------------------------------------------------------------------- NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER. Signature(s) Guaranteed: ________________________________________
TEN ENT as tenants by the (Cus) (Minor) entireties Under Uniform Gifts to Minors JT TEN--as joint tenants with rights of survivor- Act........................... ship and not as Tenants (State) in Common Additional abbreviations may also be used though not in the above list. FORM OF TRANSFER FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto ___________________________________________________________________________ PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE___________ ________________________________________________________________________________ ________________________________________________________________________________ (Please print or typewrite name and address of assignee) the within Certificate and does hereby irrevocably constitute and appoint ____________ (Attorney) to transfer the said Certificate in the Certificate Register of the within-named Trust, with full power of substitution in the premises.
TEN ENT as tenants by the entireties (Cust) (Minor) JT TEN -as joint tenants with right of under Uniform Gifts to Minors survivorship and not as tenants Act...................... in common (State) Additional abbreviations may also be used though not in the above list. -------------------------------------------------------------------------------- For Value Received,_______________________ hereby sell, assign and transfer unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE [ ] THE SECURITIES WHICH ARE REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 AS AMENDED (THE "ACT"), AND ARE "RESTRICTED SECURITIES" AS THAT TERM IS DEFINED IN RULE 144 UNDER THE ACT. THE SECURITES HAVE BEEN ACQUIRED FOR INVESTMENT PURPOSES ONLY, AND NOT WITH A VIEW TO DISTRIBUTION OR RESALE, AND THEY MAY NOT BE SOLD, TRANSFERRED, MADE SUBJECT TO A SECURITY INTEREST, PLEDGED, HYPOTHECATED OR OTHERWISE DISPOSED OF, UNLESS AND UNTIL REGISTERED UNDER THE ACT, OR AN OPINION OF COUNSEL FOR THE COMPANY IS RECEIVED THAT REGISTRATION IS NOT REQUIRED UNDER THE ACT. __________________________________________________________________________Shares of the Common Stock represented by the within Certificate, and do hereby irrevocably constitute and appoint ________________________________________________________________attorney-in-fact to transfer the said stock on the books of the within-named Corporation, with full power of substitution in the premises. Dated ________________________
TEN ENT as tenants by the entireties (Cust) (Minor) JT TEN - as joint tenants with right of under Uniform Gifts to Minors survivorship and not as tenants in common Act ................... (State) Additional abbreviations may also be used though not in the above list. For Value Received, ___________ hereby sell, assign and transfer unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE -------------------------------------- --------------------------------------
TEN ENT as tenants by the entireties JT TEN--as joint tenants with right of survivorship and not as tenants in common Additional abbreviations may also be used though not in the above list. OPTION TO ELECT REPAYMENT The undersigned hereby irrevocably request(s) and instruct(s) the Company to repay this Note (or portion hereof specified below) pursuant to its terms at a price equal to 100% of the principal amount of this Note (or of such specified portion) together with interest on the amount to be repaid to the repayment date, to the undersigned, at: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ (Please print or typewrite name and address of the undersigned.) For this Note to be repaid in whole or in part, the Paying Agent must receive at 000 Xxxxxxx Xxxxxx, Floor 21 West, New York, New York 10286 (or at such other office or offices in The City of New York, New York of which the Company shall from time to time notify the Holder of this Note), not more than 60 nor less than 30 days prior to an Optional Repayment Date, if any, shown on this Note, either (i) this Note with this "Option to Elect Repayment" form duly completed or (ii) a telegram, telex, facsimile transmission or letter from a member of a national securities exchange or the National Association of Securities Dealers, Inc. or a commercial bank or trust company in the United States setting forth the name of the Holder of this Note, the principal amount of this Note, the principal amount of this Note to be repaid, the certificate number or a description of the tenor and terms hereof, a statement that the option to elect repayment is being exercised thereby and a guarantee that this Note with this "Option to Elect Repayment" form duly completed will be surrendered to the Paying Agent not later than five Business Days after the date of such telegram, telex, facsimile transmission or letter and this Note, with this form duly completed, are received by the Paying Agent by such fifth Business Day. 6 If less than the entire principal amount of this Note is to be repaid, specify the portion hereof (which must be in denominations of $1,000 principal amount) which the Holder elects to have repaid and specify the denomination or denominations (which shall be $1,000 or an integral multiple of $1,000) of the Notes to be reissue...
TEN ENT tenants by the entireties (Cust) Minor JT TEN -- as joint tenants with right under Uniform Gifts to Mxxxxx of survivorship and not as Act . . . . . tenants in common (State)
TEN ENT as tenants by the entireties JT TEN--as joint tenants with right of survivorship and not as tenants in common Additional abbreviations may also be used though not in the above list. FOR VALUE RECEIVED, the undersigned hereby sell(s), assign(s) and transfer(s) unto -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- (please print or typewrite name and address including zip code of assignee and insert Taxpayer Identification No.) this Note and all rights hereunder, hereby irrevocably constituting and appointing _____________________________ attorney to transfer this Note on the books of the Issuer, with full power of substitution in the premises. (The following is not required for sales or other transfers of this Note to or through or with the written approval of the Issuer.)
TEN ENT as tenants by the entireties (Cust) (Minor) JT TEN -- as joint tenants with right under Uniform Gifts to Minors of survivorship and not as Act.............................. tenants in common (State) UNIF TRANS MIN ACT--.............Custodian.............. (Cust) (Minor) under Uniform Gifts to Minors Act.............................. (State) Additional abbreviations may also be used though not in the above list. For value received,........................hereby sell, assign and transfer unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE -------------------------------------- --------------------------------------......................................
TEN ENT as tenants by the (Cust) (Minor) entireties JT TEN --as joint tenants with Under Uniform Gifts to Minors Act right of survivorship and not as tenants in common ........................................... Additional abbreviations may also be used though not in the above list. FOR VALUE RECEIVED, the undersigned hereby sell(s), assign(s) and transfer(s) unto Please Insert Social Security or Other Identifying Number of Assignee /__________________________________/_______________________________________ PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE ___________________________________________________________________________ ___________________________________________________________________________ the within Note of PHILLIPS PETROLEUM COMPANY and does hereby irrevocably xxxxxxtute and appoint ______________________________________________ attorney to transfer the said Note on the books of the Company, with full power of substitution in the premises. Dated:_______________ _________________________________________ _________________________________________
