TRANSFER OF MEMBERSHIP Description text ARGYLE WATER SUPPLY CORPORATION PO BOX 249 ARGYLE, TX 76226 MEMBERSHIP TRANSFER AUTHORIZATIONTransferee hereby surrenders to Argyle Water Supply Corporation his/ her/ their Argyle Water Supply Corporation Membership in the name below Transferee at the location represented below. Transferor understands that the transfer cannot be completed until the following terms are met: The Transferor must complete this Membership Transfer Authorization Form. The Transferee has completed the required application form. All indebtedness due to the corporation has been paid. The membership certificate has been surrendered, properly endorsed, by the record Transferor; or The membership is transferred by will to a person related to the Transferor within the second degree by consanguinity; or The membership is transferred without compensation to a person related to the Transferor within the second degree of consanguinity; or The membership is transferred without compensation or by sale to the corporation; or The membership is transferred as part of the conveyance of real estate from which the membership arose. By execution hereof, the undersigned hereby acknowledge that the Membership Transferee complies with the terms of one of the above items (5) through (8) Relative to qualification for transfer of Membership according to laws of the State of Texas.Signature of Transferor(Seller)Signature of Transferee(Buyer)ACKNOWLEDGEThe State of Texas County of Denton IN WITNESS WHEREOF the said Transferor and Transferee have executed this instrument this ______day of ___________________, ________ BEFORE ME, The undersigned, a Notary Public in and for said County and State, on the day personally appeared ____________________________________________________. Known to me to be the persons whose names are subscribed to the for going instrument, and acknowledge to me that they execute the same for the purpose and consideration therein expressed. GIVEN UNDER MY HAND AND SEAL OF THIS OFFICE THIS ________ DAY OF ___________, _________. SEAL ________________________________________________________________ Notary Public in and for DENTON COUNTY, TEXAS _____________________________________________ My Commission ExpiresTransferor's Name Account # Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneFinal Reading Taken Transferred To Date MM slash DD slash YYYY Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneNOTE: A fee of $25.00 is charged to the Transferee on all transfers.