Sample Transferor'S (Seller'S) Application For Transfer Form Page 2

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Certification
The transferor hereby certifies and represents possession of valid title and all requisite power to assign such interests and that
assignment is in accordance with applicable laws and regulations and further certifies, under penalty of law, the following:
X Reason For Transfer
(Check one) For certain types of transfer additional documentation may be required.
____Re-registration (Change of name, divorce/separation, individual to trust, etc.) ____Sale(for consideration)
____Death ____Gift ____Other (please specify)_____________________________________________________
X Signature Execution
Must be signed by the registered holder(s) exactly as name(s) appear(s) on the Partnership Records (see instruction 7).
Transferor's Signature_______________________________
Date____________________________________
CO-Transferor's Signature____________________________
Date____________________________________
If signature is by trustee(s), executor(s), administrator(s), guardian(s), attorney(s)-in-fact, agent(s), officer(s) of a corporation or
another acting in a fiduciary or representative capacity, please provide the following information.
Name(s):____________________________________
Capacity:(Full Title) _________________________________
____________________________________
_________________________________
____________________________________
_________________________________
X Signature Guarantee/Notary
The signature must be guaranteed by a member of an approved Signature Guarantee Medallion Program.
Instructions
1. TRANSFER FORMS. To effect the requested transfer both transferee and transferor forms must be submitted together
with the required fees.
2. TRANSACTION REFERENCE NUMBER. The use of this space is optional. The number placed in this space shall be
internally generated by a broker or agreed upon by two or more brokers and shall correspond to internal records tracking
system(s).
3. PARTNERSHIP IDENTIFICATION. Partnership Tax ID and Tax Shelter ID Numbers may be obtained from the K-1.
The NASD Symbol and/or CUSIP number may be obtained from the Registration Confirmation Form and/or the NASD
Partnership Symbol Directory.
4. REGISTRATION. Indicate the exact name of the registrant and include any custodial information. If a Custodial Account,
address of record should be that of the custodian/trustee.
5. TAX INFORMATION. If a Custodial Account, Custodian/Trustee's and client's tax numbers should be completed.
6. INVESTOR ID NUMBER. This is the account number established at the Partnership. It may be obtained from the K-1
or the Registration Confirmation Form.
7. SIGNATURE EXECUTION. The signature must correspond with the name of the registered holder exactly as it appears
on the Partnership records. Persons who sign as a representative or other fiduciary capacity must indicate their capacity when
signing and, unless waived by the Partnership or its agent in its sole discretion, must present satisfactory evidence of their
authority to so act.

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