Delta Airlines 2003 Annual Report Download - page 247

ASSIGNMENT FORM
To assign this Note, fill in the form below:
(I) or (we) assign and transfer this Note to
________________________________________________________________________________
(Insert assignee's social security or tax I.D. no.)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
(Print or type assignee's name, address and zip code)
and irrevocably appoint ____________________________________ as agent to
transfer this Note on the books of the Company. The agent may substitute another
to act for him.
Your Signature: _______________________________________________________________
(Sign exactly as your name appears on the other side of this Note)
Date:_______________________________
Medallion Signature Guarantee: _______________________________________________
[FOR INCLUSION ONLY IF THIS NOTE BEARS A RESTRICTED SECURITIES LEGEND]
In connection with any transfer of any of the Notes evidenced by this
certificate that are "restricted securities" (as defined in Rule 144 (or any
successor thereto) under the Securities Act), the undersigned confirms that such
Notes are being transferred:
CHECK ONE BOX BELOW
(1) [_] to the Company; or
(2) [_] pursuant to and in compliance with Rule 144A under
the Securities Act of 1933; or
(3) [_] pursuant to and in compliance with Regulation S under
the Securities Act of 1933; or
(4) [_] pursuant to an exemption from registration under the
Securities Act of 1933 provided by Rule 144
thereunder.
Unless one of the boxes is checked, the Registrar will refuse to register any of
the Notes evidenced by this certificate in the name of any person other than the
registered Holder thereof; provided, however, that if box (3) or (4) is checked,
the Trustee may require, prior to registering any such transfer of the Notes,
such certifications and other information, and if box (4) is checked such legal
opinions, as the Company has reasonably requested in writing, by delivery to the
Trustee of a standing letter of instruction, to confirm that such transfer is
being made pursuant to an exemption from, or in a transaction not subject to,
the registration requirements of the Securities Act of 1933; provided that this
paragraph shall not be applicable to any Notes which are not "restricted
securities" (as defined in Rule 144 (or any successor thereto) under the
Securities Act).
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