Exhibit 4.1
Number Formed under the Laws of the State of Delaware Units
0 [ ]
CATSKILL LITIGATION TRUST
THIS CERTIFIES THAT ____________________________________ is a
Beneficiary of the above named Statutory Trust and is entitled to the full
benefits and privileges of a Beneficiary of CATSKILL LITIGATION TRUST as set
forth in the Declaration of Trust of CATSKILL LITIGATION TRUST.
IN WITNESS WHEREOF, the STATUTORY TRUST has caused this Certificate to
be executed by its duly authorized TRUSTEES this __________ day of __________,
________, and its STATUTORY TRUST seal to be hereunto affixed.
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Paul A. deBary, Trustee Joseph E. Bernstein, Trustee
The following abbreviations, when used in the inscription on the face
of this certificate, shall be construed as though they were written out in full
according to applicable laws or regulations.
TEN COM - as tenants in common UNIF GIFT MIN ACT - ......CUSTODIAN....
(Cust) (Minor)
TEN ENT - as tenants by the entireties Under Uniform Gifts to Minors
Act..........................
JT TEN - as joint tenants with right of (State)
survivorship and not as tenants in common
Additional abbreviations may also be used though not in the above list
For Value received, the undersigned hereby sell, assign and transfer unto
Please insert social security or other
identifying number of assignee
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(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIPCODE OF ASSIGNEE)
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Units
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represented by the within Certificate, and do hereby irrevocably constitute and
appoint
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Attorney to transfer the said Units on the books of the within named Trust with
full power of substitution in the premises.
Dated
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In presence of
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NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND
WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE
IN EVERY PARTICULAR WITHOUT ALTERATION OR ENLARGEMENT OR
ANY CHANGE WHATEVER
