"FOR VALUE RECEIVED, [insert] hereby sell, assign and transfers
PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE [insert]
unto
[insert] the Membership Interest represented by the within Certificate,
and does hereby irrevocably constitute and appoint [insert] Attorney to
transfer the said Membership Interest on the books of the within-named
Limited Liability Company with full power of substitution in the
premises
Dated, [insert]
In presence of
[insert] (Member)
[insert] [insert] (Member)"