EX-99.6 12 a10-16528_1ex99d6.htm EX-99.6

Exhibit 99.6

 

ASSIGNMENT OF SUBSCRIPTION RIGHTS

 

Assignment Separate From Subscription Rights Certificate

 

FOR VALUE RECEIVED                                      hereby sells, assigns and transfers unto [print name]                                       , at [print address]                                                                         , with a social security or tax identification number of                               , Subscription Rights to Purchase                                 shares of the common stock of Mission Community Bancorp and accompanying warrants represented by Subscription Rights Certificate No.                .

 

ASSIGNEE

 

SUBSCRIPTION RIGHTS HOLDER

 

 

 

 

 

 

Signature:

 

 

Signature:

 

Print Name:

 

 

Print Name:

 

 

 

 

 

 

IMPORTANT:  The signature(s) must correspond with the name(s) as printed on the front of the Subscription Rights Certificate in every particular, without alteration

 

 

 

Dated:                                , 2010

 

Dated:                                , 2010

 

 

 

 

 

MEDALLION GUARANTEE OF SUBSCRIPTION RIGHTS HOLDER SIGNATURE

 

 

 

 

 

Signature Guaranteed:

 

 

 

 

(Name of Bank or Firm)

 

 

 

 

 

By:

 

 

 

 

(Signature of Officer)

 

 

 

 

 

IMPORTANT:  The signature(s) should be guaranteed by an eligible guarantor institution (bank, stock broker, savings and loan association or credit union) with membership in an approved signature guarantee medallion program.