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IM-11560. Sample Ownership Transfer Indemnification Stamp

This rule is no longer applicable. NASD Rule 11000 Series has been superseded by FINRA Rule 11000 Series. Please consult the appropriate FINRA Rule.

    Date:
 
    The undersigned owner of this certificate (number) representing _____________________ shares of _____________________ hereby certifies the transfer of all ownership therewith to the bearer hereby. We acknowledge that the transfer books of the herein named corporation are closed and agree to accept responsibility in accordance with the provisions of Rule 11560 of the NASD's Uniform Practice Code.
 

____________________________

NAME OF MEMBER

____________________________

AUTHORIZED SIGNATURE