STOCK PLEDGE AGREEMENT
EXHIBIT
10.4
THIS
STOCK PLEDGE AGREEMENT
(this
“Agreement”)
is
made and entered into by and among Xxxxx X. Xxxxxxxxx, a natural person
(“Xxxxxxxxx”),
Xxxxxxx X. Xxxxxxx, a natural person (“Xxxxxxx”
and,
together with Xxxxxxxxx, the “Pledgors”),
CAMOFI Master LDC, a Cayman Islands limited duration company (the “Agent”),
and
each of the purchasers set forth on the counterpart signature pages hereto
(the
“Purchasers,”
and
each a “Pledgee”
or
together the “Pledgees”),
is
acknowledged by Debt Resolve, Inc., a Delaware corporation, with its principal
executive offices located at 000 Xxxxxxxxxxx Xxxxxx, Xxxxx X0, Xxxxx Xxxxxx,
Xxx
Xxxx 00000 (the “Company”),
and
is dated with respect to each of the Purchasers as of the date noted on each
such Purchaser’s counterpart signature page.
WHEREAS,
in
connection with the Securities Purchase Agreement by and among the Company
and
the Purchasers of even date herewith (the “Securities
Purchase Agreement”),
the
Company has agreed, upon the terms and subject to the conditions contained
therein, to issue and sell to the Purchasers (i) 15% senior secured convertible
promissory notes, or 15% senior secured promissory notes in the case of one
Purchaser, of the Company in the aggregate principal amount of up to Four
Million Dollars ($4,000,000), which includes a $1,000,000 over-allotment
option
(together with any note(s) issued in replacement thereof or as a dividend
thereon or otherwise with respect thereto in accordance with the terms thereof,
the “Notes”),
a
portion of which Notes is convertible into shares of common stock, par value
$.001 per share, of the Company (the “Common
Stock”),
and
(ii) warrants to purchase shares of Common Stock of the Company (the
“Warrants”);
WHEREAS,
the
Pledgors are the co-chairmen of the Company and own 16,500,000 shares of
Common
Stock; and
WHEREAS,
in
order to induce the Purchasers to purchase the Notes and Warrants, the Pledgors
have agreed to pledge to the Pledgees all of the Securities (as such term
is
hereinafter defined) and all proceeds thereof as collateral security for
the
Secured Obligations (as such term is hereinafter defined).
NOW,
THEREFORE,
in
consideration of the premises and the mutual covenants herein contained,
and for
other good and valuable consideration, the receipt and sufficiency of which
are
hereby acknowledged, the parties hereby agree as follows:
1. Definitions.
In
addition to those terms defined elsewhere in this Agreement, the following
terms
shall have the following meanings wherever used in this Agreement:
(a) “Event
of Default”
shall
have the same meaning ascribed thereto in the Security Agreement, except
as
modified by the terms of Section 5(b) hereof.
(b) “Satisfaction
Date”
shall
mean that date on which all of the Secured Obligations have been paid in
full.
(c) “Secured
Obligations”
shall
have the same meaning ascribed thereto in the Security Agreement.
(d) “Securities”
shall
mean, collectively, (i) an aggregate of 6,500,000 shares of Common Stock
currently outstanding and held (beneficially and of record) by Xxxxxxxxx
(the
“Xxxxxxxxx
Shares”),
(ii)
an aggregate of 10,000,000 shares of Common Stock currently outstanding and
held
(beneficially and of record) by Xxxxxxx and Arisean Capital Ltd., an entity
controlled by Xxxxxxx (the “Xxxxxxx
Shares”
and
together with the Xxxxxxxxx Shares, the “Shares”),
(iii)
any and all securities which may hereafter be issued upon, in respect of
or in
exchange for such Shares (whether by reason of any stock split, stock dividend,
recapitalization, merger, consolidation or otherwise), (iv) any dividends
or
distributions paid in respect of any Securities in contemplation of or in
respect of the dissolution, liquidation or winding up of the Company or any
other issuer of Securities (“Liquidating
Distributions”),
and
(v) any and all dividends or distributions paid in respect of any Securities
during the continuance of any Event of Default.
(e) “Security
Agreement”
shall
mean that certain Security Agreement, of even date herewith, by and among
the
Company, the Agent and the Purchasers.
2. Pledge
of the Securities; Appointment of Agent.
(a) As
security for the due and timely payment (whether upon maturity, by acceleration
or otherwise) and performance of all of the Secured Obligations from time
to
time, the Pledgors hereby pledge to the Pledgees, and grant to the Pledgees
a
first priority lien and security interest in, all of the Securities (as same
are
constituted from time to time) and all proceeds thereof (other than dividends
or
distributions which do not constitute Liquidating Distributions and which
are
paid when no Event of Default exists), until the Satisfaction Date.
(b) The
Pledgees hereby irrevocably designate CAMOFI Master LDC (and its successors
and
assigns) as their agent and CAMOFI Master LDC hereby accepts such designation,
in order to execute any and all instruments or other documents on behalf
of the
Pledgees and to do any and all other acts or things on behalf of the Pledgees
that CAMOFI Master LDC (or its successors or assigns) in its sole discretion
deems necessary or advisable or that may be required pursuant to this Agreement
or otherwise, to exercise the Pledgees’ rights and remedies under this
Agreement. None of the Pledgees may take any action or exercise any rights
under
this Agreement except through CAMOFI Master LDC as their agent. Each Pledgee
hereby appoints the Agent the attorney-in-fact of such Pledgee solely for
the
purpose of carrying out the provisions of this Agreement and taking any action
and executing any instrument which the Agent may reasonably deem necessary
or
advisable to accomplish the purposes hereof, which appointment is irrevocable
so
long as this Agreement has not been terminated and coupled with an
interest.
(c) In
furtherance of the pledge hereunder, the Pledgors will, within ten business
days, deliver to the Agent the certificate(s) representing all of the Shares,
accompanied by appropriate undated stock powers duly endorsed in blank by
the
Pledgors. The Pledgors shall hereafter take similar action from time to time
if,
as and when additional Securities may be issued, created or arise, and shall
promptly pay over to the Agent (for application to the Secured Obligations)
any
and all Liquidating Distributions received by the Pledgors at any time and
from
time to time.
2
3. Retention
of the Securities.
(a) Except
as
otherwise provided herein, the Agent shall have no obligation with respect
to
the Securities or any other property held or received by the Agent hereunder,
except to use reasonable care in the custody and preservation thereof, to
the
extent required by law.
(b) The
Agent
shall hold the Securities and any other property held or received by the
Pledgee
hereunder in the form in which same are delivered herewith, unless and until
there shall occur an Event of Default.
4. Rights
of the Pledgors.
Throughout the term of this Agreement, so long as no Event of Default has
occurred and is continuing, the Pledgors shall have the right (a) to vote
the
Securities in all matters, except in a manner inconsistent with the terms
of
this Agreement or in a manner which would frustrate or impair the provisions
or
intent of this Agreement, and (b) to receive and retain any and all dividends
and distributions (other than Liquidating Distributions) in respect of the
Securities which are paid at any time and from time to time when no Event
of
Default exists.
5. Event
of Default; Power of Attorney.
(a) Upon
the
occurrence and during the continuance of any Event of Default, the Agent
shall
have the right to (i) vote the Securities in all matters, (ii) apply any
funds
or other property received in respect of the Securities to the Secured
Obligations, and receive in the Pledgees’ name any and all further distributions
which may be paid in respect of the Securities, all of which shall, upon
receipt
by the Agent, be applied to the Secured Obligations on a pro-rata basis,
(iii)
transfer all or any portion of the Securities (as determined by the Agent
in its
discretion) on the books of the issuer thereof to and in the name of the
Pledgees or such other person or persons as the Pledgees may designate, (iv)
effect any sale, transfer or disposition of all or any portion of the Securities
in accordance with Paragraph 6 below, and in furtherance thereof, take
possession of and endorse any and all checks, drafts, bills of exchange,
money
orders or other documents and instruments received on account of the Securities,
and apply the net proceeds thereof to the Secured Obligations on a pro-rata
basis, (v) collect, xxx for and give acquaintance for any money due on account
of any of the foregoing, and (vi) take any and all other action contemplated
by
this Agreement, or as otherwise permitted by law, or as the Agent may reasonably
deem necessary or appropriate, in order to accomplish the purposes of this
Agreement.
(b) Notwithstanding
anything to the contrary contained herein or in the Security Agreement, the
liability and obligation of the Pledgors hereunder is a secondary and not
a
primary liability and obligation, and under no circumstances shall the Pledgors
be responsible to pay or perform the Secured Obligations, or shall an Event
of
Default have or be deemed to have occurred, without recourse first being
had
against the Company. If the Company does not comply with the Secured
Obligations, the Pledgors shall have no liability hereunder unless and until
the
Agent has obtained a final judgment against the Company, or an injunction
compelling performance by the Company of the Secured Obligations under the
Security Agreement, and despite its best efforts to (i) collect from the
Company
the amount of such judgment or (ii) compel performance of the injunction,
the
judgment remains unsatisfied and/or the injunction is not followed. Prior to any
Event of Default hereunder, the Agent shall provide written notice to the
Pledgors not less than 180 days prior thereto, stating the details of the
Event
of Default and the recourse previously taken against the Company, during
which
period the Pledgors shall have the right to cure any such Event of
Default.
3
(c) In
furtherance of the foregoing powers of the Agent, the Pledgors hereby authorize
and appoint the Agent, with full powers of substitution, as the true and
lawful
attorney-in-fact of the Pledgors, in their name, place and xxxxx, solely
during
the continuance of an Event of Default, to take any and all such action as
the
Agent, in its sole discretion, may deem necessary or appropriate in furtherance
of the exercise of the aforesaid powers. Such power of attorney shall be
coupled
with an interest, and shall be irrevocable until the Satisfaction Date. Without
limitation of the foregoing, such power of attorney shall not in any manner
be
affected or impaired by reason of any act of the Pledgors or by operation
of
law. Nothing herein contained, however, shall be deemed to require or impose
any
duty upon the Agent to exercise any of the rights or powers granted
herein.
(d) The
foregoing rights and powers granted to the Agent, and the foregoing power
of
attorney, are granted for the benefit of the Pledgees and shall be fully
binding
upon any person who may acquire any beneficial interest in any of the Securities
or any other property held or received by the Agent hereunder.
6. Foreclosure;
Sale of Securities.
(a) In
the
event that the Agent shall make any sale or other disposition of any or all
of
the Securities following an Event of Default, the Agent may:
(i) offer
and
sell all or any portion of the Securities by means of a (X) private placement
restricting the offer or sale to a limited number of prospective purchasers
who
meet such suitability standards as the Agent and its counsel may deem
appropriate, and who may be required to represent that they are purchasing
Securities for investment and not with a view to distribution, (Y) pursuant
to
Rule 144 promulgated under the Securities Act of 1933 (the “Securities
Act”,
as
amended, if a sale under Rule 144 is available, or (Z) pursuant to an effective
registration statement under the Securities Act, if applicable; and the Pledgors
hereby acknowledge, confirm and consent that (A) the requirement to effect
the
offer and sale of Securities in such manner may result in lower proceeds
and/or
less favorable terms than would otherwise obtain if the subject Securities
were
registered for public sale and sold by means of public offer and sale, (B)
the
Agent shall not be required to defer or delay any sale of Securities in order
to
effect any registration thereof under applicable securities laws, and (C)
the
sale of Securities in such manner shall not, by reason thereof, be deemed
to
have been made in a commercially unreasonable manner;
(ii) sell
all
or any portion of the Securities to the Pledgees for the Pledgees’ own accounts
at a price not less than the highest bona fide
offer
received therefor, which if effected in a manner in compliance with applicable
law, shall be deemed to be a commercially reasonable disposition of the subject
Securities; and
(iii) receive
and collect the net proceeds of any sale or other disposition of any Securities,
and apply same first to costs, then to accrued interest and then to principal
on
the Secured Obligations.
(b) The
Agent
shall give the Pledgor not less than ten (10) days’ prior written notice of the
time and place of any sale or other intended disposition of any of the
Securities, and the parties hereby agree that such notice constitutes
“reasonable notification” within the meaning of the Uniform Commercial Code.
Such notice shall state the time and place fixed for such sale or disposition,
and in the case of sale at a broker’s board or on a securities exchange, shall
state the board or exchange at which such sale or disposition is to be made
and
the time and day on which the subject Securities will first be offered for
sale
at such board or exchange. Any such sale shall be held at such time or times
within ordinary business hours and at such place or places as the Agent may
fixed in the notice of such sale.
4
(c) Upon
any
sale of any of the Securities in accordance with this Agreement, the Agent
shall
have the right to assign, transfer and deliver the subject Securities to
the
purchaser(s) thereof, and each such purchaser shall be entitled to hold such
Securities absolutely free from any right or claim of the Pledgors and/or
any
other person claiming any beneficial interest in the Securities, including
any
equity of redemption (which right and all other such rights are hereby waived
by
the Pledgors to the fullest extent permitted by law).
(d) Nothing
herein contained shall be deemed to require the Agent to effect any sale
or
disposition of any Securities at any time, or to consummate any proposed
public
or private sale at the time and place at which same was initially called;
and
any such public or private sale may, without notice or publication, be adjourned
from time to time by announcement at the time and place fixed for the sale,
and
such sale may be made at any time or place to which the same may be so
adjourned. It is the intention of the parties hereto that the Agent shall,
subject to any further conditions imposed by this Agreement, at all times
during
the continuance of an Event of Default, have the right to use or deal with
the
Securities as if the Pledgees were the outright owners thereof, and to exercise
any and all rights and remedies, as a secured party in possession of collateral
or otherwise, under any and all provisions of law. The Pledgors hereby waive
any
requirement for marshalling of assets, or for the Agent to proceed against
any
guarantor of the Secured Obligations or any other collateral for the Secured
Obligations.
7. Covenants,
Representations and Warranties.
In
connection with the transactions contemplated by this Agreement, and knowing
that the Pledgees are and shall be relying hereon, the Pledgors hereby covenant,
represent and warrant that:
(a) the
Shares have been validly issued and are fully paid and nonassessable, are
owned
by the Pledgors free and clear of any and all Liens (as defined in the
Securities Purchase Agreement) of any kind (other than the pledge to the
Pledgees pursuant to this Agreement), and constitute, on the date hereof,
55.55%
of the issued and outstanding common stock of the Company;
(b) this
Agreement has been duly authorized, executed and delivered by the Pledgors,
and
constitutes the legal, valid and binding obligation of the Pledgors, enforceable
against the Pledgors in accordance with its terms;
(c) neither
the execution or delivery of this Agreement, nor the consummation of the
transactions contemplated hereby, nor the compliance with or performance
of this
Agreement by the Pledgors, conflicts with or will result in the breach or
violation of or a default under the terms of (i) any note, indenture, other
evidence of indebtedness, mortgage, security agreement or other agreement,
instrument, obligation or undertaking to which the Pledgors are a party or
by
which the Pledgors are bound, or (ii) any provision of law, any order of
any
court or administrative agency, or any rule or regulation applicable to the
Pledgors; and there are no actions, suits or proceedings pending or threatened
against or affecting either of the Pledgors that involve or relate to the
Shares;
5
(d) the
Pledgors have not taken (and, during the effectiveness of this Agreement,
will
not take) any action to assign, transfer, encumber or place a Lien on any
of the
Securities or any interest therein, other than pursuant to this
Agreement;
(e) each
Pledgor is the direct and beneficial owner of each of their respective
Shares;
(f) there
are
no pending or, to the best of each Pledgor's knowledge, threatened actions
or
proceedings before any court, judicial body, administrative agency or arbitrator
which may materially adversely affect the Shares or the ownership interest
of
the Pledgor’s therein;
(g) none
of
the Shares have been issued or transferred in violation of the securities
registration, securities disclosure or similar laws of
any
jurisdiction to which such issuance or transfer may be subject;
(h) the
pledge and assignment of the Shares and the grant of a security interest
under
this Agreement vest in the Pledgees all rights of each Pledgor
in the Shares as contemplated by this Agreement;
and
(i) the
Pledgors have made no other representations or warranties with respect to
the
nature or value of the Shares or any other Securities.
8. Value
of the Collateral.
Each Pledgee acknowledges that it is familiar with the Company or has
independent access to information regarding the Company, and is not relying
upon
any representations of the Pledgors as to the value of the Securities being
pledged hereunder or the present or future prospects or value of the
Company.
9. Satisfaction
of Secured Obligations; Return of the Securities.
To the
extent that the Agent shall not previously have taken, acquired, sold,
transferred, disposed of or otherwise realized value on the Securities in
accordance with this Agreement, the Agent shall release the lien hereunder,
and
return the Securities to and in the name of the Pledgors, at the Satisfaction
Date. The foregoing notwithstanding, in the event and to the extent that
any
payment received by the Agent in respect of the Secured Obligations is reduced
or rescinded or is required to be repaid to the Pledgors or to any trustee
or
other official on behalf of the Pledgors, then such Secured Obligations shall
be
restored and the Pledgees shall be restored to their collateral position
with
respect to any and all Securities theretofore returned hereunder.
10. Expenses
of the Pledgee. All
expenses incurred by the Agent (including but not limited to reasonable
attorneys’ fees) in connection with any actual or attempted sale or other
disposition of Securities hereunder during the continuance of an Event of
Default shall be reimbursed to the Agent by the Pledgor on demand, or, at
the
Agent’s option, such expenses may be added to the Secured Obligations and shall
be payable on demand and may (in addition to any and all other means of
collection) be recovered out of any proceeds of sale of Securities.
6
11. Further
Assurances. From
time
to time hereafter, each party shall take any and all such further action,
and
shall execute and deliver any and all such further documents and/or instruments,
as the other party may request in order to accomplish the purposes of and
fulfill the parties’ obligations under this Agreement, in order to enable the
Pledgees to exercise any of their rights hereunder, and/or in order to secure
more fully the Pledgees’ interest in the Securities.
12. Miscellaneous.
(a) Any
notices required or permitted to be given under the terms hereof shall be
sent
by certified or registered mail (return receipt requested) or delivered
personally or by courier (including a recognized overnight delivery service)
or
by facsimile and shall be effective five days after being placed in the mail,
if
mailed by regular United States mail, or upon receipt, if delivered personally
or by courier (including a recognized overnight delivery service) or by
facsimile, in each case addressed to a party. The addresses for such
communications shall be:
(i) If
to the
Pledgors:
Xxxxx
X.
Xxxxxxxxx
c/o
Debt
Resolve, Inc.
000
Xxxxxxxxxxx Xxxxxx, Xxxxx Xxxxx
Xxxxx
Xxxxxx, Xxx Xxxx 00000
Telephone:
(000) 000-0000
Facsimile:
(000) 000-0000
and
Xxxxxxx
X. Xxxxxxx
c/o
Cybersettle, Inc.
00
Xxxxx
Xxxxxxxx, Xxxxx 000
Xxxxx
Xxxxxx, Xxx Xxxx 00000
Telephone:
(000) 000-0000
Facsimile:
(000) 000-0000
(ii) If
to the
Agent:
CAMOFI
Master LDC
c/o
Centrecourt Asset Management
000
Xxxxxxx Xxxxxx, 0xx
Xxxxx
Xxx
Xxxx,
Xxx Xxxx 00000
Attention:
Xxxxx X. Xxxxxxx, General Counsel
Telephone:
(000) 000-0000
Facsimile:
(000) 000-0000
(i) If
to the
Company:
Debt
Resolve, Inc.
000
Xxxxxxxxxxx Xxxxxx, Xxxxx Xxxxx
Xxxxx
Xxxxxx, Xxx Xxxx 00000
Attention:
Xxxxx X. Xxxxxxxxx
Telephone:
(000) 000-0000
Facsimile:
(000) 000-0000
7
With
a
copy to:
Xxxxxxxxx
Xxxxxxx LLP
MetLife
Building
000
Xxxx
Xxxxxx, 00xx Xxxxx
Xxx
Xxxx,
XX 00000
Attention:
Xxxxxxx X. Xxxxxxx, Esq.
Telephone:
(000) 000-0000
Facsimile:
(000) 000-0000
|
(iii)
|
If
to a Pledgee: To the address and fax number set forth immediately
below
such Pledgee’s name on the signature pages to this
Agreement.
|
With
copy
to:
Capital
Growth Financial, Inc.
000
XX
Xxxxxx Xxxxxxxxx, Xxxxx #000
Xxxx
Xxxxx, XX 00000
Attention:
Xxxx Xxxxxx
Telephone:
(000) 000-0000
Facsimile:
(000) 000-0000
and
Maxim
Group LLC
000
Xxxxxxxxx Xxxxxx
Xxx
Xxxx,
XX 00000
Attention:
Xxxxxxxx X. Xxxxxx
Telephone:
(000) 000-0000
Facsimile:
(000) 000-0000
Each
party shall provide notice to the other party of any change in
address.
(b) The
laws
of the State of New York shall govern the construction and enforcement of
this
Agreement and the rights and remedies of the parties hereto. The parties
hereby
consent to the jurisdiction of all courts (state and federal) sitting in
the
State of New York in connection with any action or proceeding under or relating
to this Agreement, and waive trial by jury in any such action or
proceeding.
(c) This
Agreement may be executed in counterparts and by facsimile. This Agreement
shall
be binding upon and shall inure to the benefit of the parties hereto and
their
respective successors and permitted assigns. The Pledgors shall not, however,
assign any of their rights or obligations hereunder without the prior written
consent of the Agent. Except as otherwise referred to herein, this Agreement,
and the documents executed and delivered pursuant hereto, constitute the
entire
agreement between the parties relating to the specific subject matter
hereof.
8
(d) Neither
any course of dealing between the Pledgors, the Agent and the Pledgees nor
any
failure to exercise, or any delay in exercising, on the part of the Agent
or the
Pledgees, any right, power or privilege hereunder shall operate as a waiver
thereof; nor shall any single or partial exercise of any right, power or
privilege operate as a waiver of any other exercise of such right, power
or
privilege or any other right, power or privilege.
(e) The
Pledgees’ rights and remedies, whether hereunder or pursuant to any other
agreements or by law or in equity, shall be cumulative and may be exercised
singly or concurrently
(f) No
change, amendment, modification, waiver, assignment of rights or obligations,
cancellation or discharge hereof, or of any part hereof, shall be valid unless
the Pledgees and the Agent (and, in the case of any change, amendment or
modification, the Pledgors) shall have consented thereto in
writing.
(g) The
captions and paragraph headings in this Agreement are for convenience of
reference only, and shall not in any way define, limit or describe the
construction, terms or provisions of this Agreement.
(h) If
any
provision of this Agreement is held invalid or unenforceable, either in its
entirety or by virtue of its scope or application to given circumstances,
such
provision shall thereupon be deemed modified only to the extent necessary
to
render same valid, or not applicable to given circumstances, or excised from
this Agreement, as the situation may require, and this Agreement shall be
construed and enforced as if such provision had been included herein as so
modified in scope or application, or had not been included herein, as the
case
may be.
[Remainder
of page intentionally left blank; signature pages
follow.]
9
IN
WITNESS WHEREOF,
the
parties have duly executed and delivered this Stock Pledge Agreement as of
the
date and year first written above.
| PLEDGORS: | ||
| |
/s/Xxxxx
X. Xxxxxxxxx
Xxxxx X.
Xxxxxxxxx
|
|
| |
/s/
Xxxxxxx
X. Xxxxxxx
Xxxxxxx X. Xxxxxxx |
|
| AGENT: | ||
| |
CAMOFI
MASTER LDC
|
|
| By: | /s/ Xxxxxxx X. Xxxx | |
|
Name:
Xxxxxxx X. Xxxx
Title:
Authorized
Signatory
|
||
|
PLEDGEES:
The
Pledgees executing the Signature Page in the form attached hereto
as
Annex
A
and delivering the same to the Company or its agents shall be deemed
to
have executed this Agreement and agreed to the terms
hereof.
|
| ACKNOWLEDGEMENT BY THE COMPANY: | ||||
| DEBT RESOLVE, INC. | ||||
| By: | /s/ Xxxxx X. Xxxxxxxxx | |||
|
Name:
Xxxxx X. Xxxxxxxxx
Title:
Co-chairman, President and CEO
|
||||
10
Annex
A
Pledgee
Counterpart Signature Page
The
undersigned, desiring to enter into this Stock Pledge Agreement dated as
of
_________________ ___, 2006 (the “Agreement”),
between the undersigned, Xxxxx X. Xxxxxxxxx, Xxxxxxx X. Xxxxxxx, CAMOFI Master
LDC, a Cayman Islands limited duration company (the “Agent”),
and
the other parties thereto, in or substantially in the form furnished to the
undersigned, hereby agrees to join the Agreement as a party thereto, with
all
the rights and privileges appertaining thereto, and to be bound in all respects
by the terms and conditions thereof.
IN
WITNESS WHEREOF,
the
undersigned has executed the Agreement as of _________________ ___,
2006.
|
PLEDGEE:
|
||
|
Name
and Address, Fax No. and Social
Security No./EIN of Purchaser: |
||
|
|
||
|
|
||
|
|
||
|
|
||
| Fax No.: __________________________________ | ||
|
Soc.
Sec. No./EIN:
___________________________
|
||
|
If
a partnership, corporation, trust or other
business
entity: |
||
| By: | ||
|
Name:
Title:
|
||
|
If an individual:
|
||
|
Signature
|
||
11
