Sample Transferor'S (Seller'S) Application For Transfer Form Page 4

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California Residents:
It is unlawful to consummate a transfer or sale of limited partnership interests or any interest therein, or to receive any compensation therefore, without the prior written
consent of the Commissioner of Corporations of the State of California, except as permitted by the Commissioner's rules.
Secondary Address Information
If Custodial account, indicate investor's mailing address. If other than custodial account, this address may be used for distribution and other purposes (see instruction 4)
Tax Identification Information
Complete applicable sections (see instruction 5)
X Social Security or Tax ID Number*:_____________________
Custodian/Trustee Tax ID Number*:____________________
Broker/Dealer
(OPTIONAL)
Registered Representative:_____________________
Telephone: ______________________________________
__________________________________________
NAME AND NUMBER
__________________________________________
Client Account Number:______________________________
__________________________________________
Wire Code:________________________________________
ADDRESS
OPTIONAL
__________________________________________
NAME OF TRANSFEREE
Certification
Signature Execution
: (see instruction 6). The transferee certifies, under penalty of law, as
: (see instruction 7) The foregoing grant of authority
to the accuracy of the information contained herein and grants the following durable
(a) Is a Special Power of Attorney coupled with an interest, is irrevocable and shall
Power of Attorney: The undersigned hereby irrevocably makes, constitutes and
survive and not be affected by the subsequent death, incapacity or disability of the
appoints the General Partner with full power of substitution, his true and lawful
undersigned: (b) May be exercised by the General Partner for each Limited Partner by a
attorney-in-fact, for him and his name, place and stead and for his use and benefit
facsimile signature of one of the officers or with a single signature of one of its officers;
to execute and acknowledge and, to the extent necessary, to file and record:
(c ) Shall be retained by the General Partner; and (d) Shall survive the delivery of any
(a) A Certificate of Limited Partnership, as well as amendments thereto, under the
assignment by a Limited Partner of the whole or any portion of his interest in the
laws of the applicable State and under the laws of any other state in which the
Partnership; except that where the transferee thereof has been approved by the
General Partner deems it advisable to file such a certificate; (b) Any other
General Partner for admission to the Partnership as a substituted Limited Partner,
instrument which may be required to be filed by the Partnership under the laws of
the Power of Attorney shall survive the delivery of such assignment for the sole
any state or by any governmental agency, or which the General Partner deems it
purpose of enabling the General Partner to execute, acknowledge and file any instrument
advisable to file; (c )The Partnership Agreement; and (d) Any documents which
necessary to effect such substitution. In the event of any conflict between the provisions
may be required to effect the continuation of the Partnership, the admission of an
of the Partnership Agreement and any document executed or filed by the General Partner
additional or substituted Limited or General Partner or the dissolution and
pursuant to the power of attorney granted herein, the Partnership Agreement
termination of the Partnership, provided such continuation, admission or dissolution
shall govern.
and termination are in accordance with the terms of the Partnership Agreement.
X
X
TRANSFEREE'S SIGNATURE
DATE
CO-TRANSFEREE'S SIGNATURE
DATE
Must be signed by the transferee as indicated in the Registration section of this form. 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 indicate capacity.
X Signature Guarantee/Notary:
Signature must be guaranteed by a member of an approved Signature Guarantee Medallion Program.
1. TRANSFER FORMS. To effect the requested transfer both transferee and transferor forms must be submitted together
with the required fee.
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.
If individual, only Social Security number
is required.
6. CERTIFICATION. If a Custodial/Trustee account, indicate name of Custodian/Trustee and Beneficial Owner.
7. SIGNATURE EXECUTION. Transferee(s) must sign their names exactly as they appear in the Registration section. 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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