Our investment firm is TD Ameritrade

IRREVOCABLE STOCK/BOND POWER FORM

Date_________________________

For value received, the Undersigned does (do) hereby sell, assign and transfer to

______________________________________________________________________________

______________________________________________________________________________
 

Social Security or Taxpayer Identifying No_____________________

If Stock,  >             ______shares of the ________stock of _________________________________
complete>
this                       represented by Certificate(s) No.(s) ______________________________inclusive,
portion                 standing in the name of the undersigned on the books of said Company.


If Bonds,>          _________________________bonds of________________________________
complete>
this                       in the principal amount of $__________, No.(s)_____________________inclusive,
portion                standing in the name of the undersigned on the books of said Company.

The undersigned does (do) hereby irrevocably constitute and appoint _____________________
_____________________________________ Attorney to transfer the said stock or bond(s), as
the case may be, on the books of said Company, with full power of substitution in the premises.
 

In Presence of                                                            __________________________________(SEAL)
                                                                                          (Person executing this power signs here)
__________________________________               S I G N A T U R E G U A R A N T E E D
 

IMPORTANT – READ CAREFULLY                      ____________________________________
                                                                                            (Name of Bank, Trust Company or Broker)
The signature(s) to this Power must
correspond with the name(s) as written
upon the face of the stock certificate(s)                 ____________________________________
or bond(s), as the case may be, in every                           (Official Signature)
particular without alteration or
enlargement or any change whatever.