Legal Redemption Request Form

LEGAL REDEMPTION REQUEST FORM

This Legal Redemption Request Form (the "Request") is made as of by and between Holder Name: (the "Holder"), and Issuer Name: (the "Issuer"). Holder hereby submits this Request for redemption of the securities described below in accordance with the terms of the applicable governing documents.

RECITALS

WHEREAS, the Holder is the record and beneficial owner of certain issued securities of the Issuer identified by certificate number(s) or account reference(s) as set forth below; and

WHEREAS, under the governing instrument(s) between the parties and applicable law, the Holder is entitled to request redemption of such securities in whole or in part upon the terms and conditions set forth herein; and

WHEREAS, the Holder desires that the Issuer effect the redemption and the Issuer requires certain representations, documents and undertakings as a condition to such redemption.

NOW, THEREFORE

In consideration of the mutual covenants and agreements set forth below, and intending to be legally bound, the parties agree as follows:

1. REDEMPTION REQUEST

1.1 Redemption of Securities. The Holder hereby requests redemption of the following securities (the "Securities"):

Security Type:    Certificate/Account No.:

Number of Units/Shares to be Redeemed:    Redemption Price per Unit: $

Redemption Effective Date Requested:    Redemption Type: Full    Partial

2. PAYMENT

2.1 Payment Method. Payment for the redeemed Securities shall be made by the Issuer to the Holder by the method selected below and in accordance with the governing instrument(s):

Wire Transfer    Check    Other:

2.2 Withholding. The Holder acknowledges that the Issuer may withhold amounts required by applicable law. If withholding applies, Holder authorizes deduction of: $    Taxpayer Identification Number:

3. ACCEPTANCE; TIMING

3.1 Issuer Acceptance. The Issuer shall deliver a written acceptance or rejection of this Request to the Holder within days of receipt. If accepted, payment shall be made within days following the Acceptance Date.

3.2 Acceptance Date means the date on which the Issuer's authorized representative signs and delivers written acceptance of this Request in accordance with the Notices section below.

4. REPRESENTATIONS AND WARRANTIES OF HOLDER

The Holder represents and warrants to the Issuer that as of the Effective Date:

(a) Holder is the sole legal and beneficial owner of the Securities specified in Section 1, free and clear of any lien, pledge, security interest or adverse claim, except as disclosed to the Issuer in writing; and

(b) The execution, delivery and performance of this Request by the Holder have been duly authorized by all necessary action and do not violate any agreement or law binding on the Holder; and

(c) No consent, approval or notice from any governmental authority or third party is required for the Holder's submission of this Request, except as disclosed in writing to the Issuer; and

5. HOLDER COVENANTS; DELIVERABLES

5.1 Deliverables. The Holder shall deliver to the Issuer, contemporaneously with this Request or prior to the Acceptance Date, all instruments, endorsements, powers of attorney and other documents reasonably required by the Issuer to effect the redemption, including properly endorsed certificates or transfer instructions.

5.2 Indemnity. The Holder shall indemnify, defend and hold harmless the Issuer and its officers, directors and agents from and against any loss, liability or expense (including reasonable attorneys' fees) arising out of any breach of the representations, warranties or covenants made by the Holder in this Request.

6. CONDITIONS TO REDEMPTION

Redemption is subject to satisfaction of the following conditions precedent: (a) Issuer's acceptance in writing; (b) receipt of all deliverables described in Section 5; (c) absence of any legal restraint or pending litigation that would prohibit or materially impair the redemption; and (d) compliance with applicable law and the terms of the governing instrument(s).

7. NOTICES

7.1 Notices to Holder: The Holder's notice address for purposes of this Request is set forth below. Notices shall be effective upon receipt when sent by overnight courier, personal delivery, or email with confirmation.

7.2 Notices to Issuer: The Issuer's notice address for purposes of this Request is set forth below.

8. MISCELLANEOUS

Governing Law. This Request and any claim, dispute or controversy arising out of or relating to this Request shall be governed by and construed in accordance with the laws of the state or jurisdiction specified below, without regard to conflict of laws principles.

Governing Law State:

Entire Agreement. This Request, together with the governing instrument(s) expressly incorporated herein by reference, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior agreements, understandings and communications on that subject.

Severability. If any provision of this Request is determined to be invalid or unenforceable, such determination shall not affect the remaining provisions, which shall remain in full force and effect.

Amendments and Waiver. No amendment, modification or waiver of any provision of this Request shall be effective unless in writing and signed by the party against whom enforcement is sought. A failure to enforce any provision shall not constitute a waiver.

Counterparts. This Request may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument. Signatures transmitted by electronic means shall be binding.

9. CERTIFICATION

The Holder certifies under penalty of perjury that the information provided in this Request is true, correct and complete to the best of Holder's knowledge and belief, that Holder is authorized to make this Request, and that Holder will promptly notify the Issuer of any change to the information provided herein.

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