Document:

FORM
OF RIGHTS AGREEMENT

 

This
Rights Agreement (the “Agreement”), made and entered into as of this day of _________ 20__, by and between MGT Capital
Investments, Inc., a Delaware corporation (the “Company”), and [                    ] (the “Rights Agent”),

 

W
I T N E S S E T H THAT:

 

WHEREAS,
the Company has filed a Registration Statement on Form S-3 (Registration No. 333-22589) with the Securities and Exchange Commission
(the “Registration Statement”), providing for, among other thing, the offering of rights to acquire securities of
the Company;

 

WHEREAS,
the Company is proposing to offer (the “Rights Offering”) up to [insert number or amount of securities] (the “Rights
Securities”) of transferable rights (the “Rights”), which are to be initially issued to holders of the Company’s
[reference security] (the “Reference Securities”; and the holders of such Reference Securities “Reference Holders”);

 

WHEREAS,
the Company intends to issue to the Reference Holders one Right for each Reference Security held of record as of [          ] (the “Record
Date”), and intends that the Rights will be exercisable to purchase one Rights Security at a price of $__ (U.S.) per Rights
Security (the “Rights Price”);

 

WHEREAS,
the Rights will be evidenced by certificates (the “Rights Certificates”) substantially in the form attached
hereto as Exhibit A; and 

 

WHEREAS,
the Company desires to employ the Rights Agent to act as a Rights Agent in connection with the Rights Offering, including, but
not limited to, the issuance and delivery of the Rights Certificates, and the Rights Agent is willing to act in such capacity:

 

NOW,
THEREFORE, in consideration of the premises and the mutual agreements hereinafter set forth and for the purpose of defining the
terms and provisions of the Rights and the Rights Certificates and the respective rights and obligations thereunder of the Company,
the holders of Rights Certificates and the Rights Agent, the parties agree as follows:

 

Article
I 

APPOINTMENT OF RIGHTS AGENT

 

1.1 Appointment
of Rights Agent. The Company hereby appoints the Rights Agent to act as agent for the Company in accordance with the instructions
set forth in this Agreement, and the Rights Agent hereby accepts such appointment.

 

Article
II 

RIGHTS REGISTER

 

2.1 Maintenance
of the Rights Register. The Rights Agent shall create and maintain, a list of the names, addresses and taxpayer identification
numbers of the Rights Holders and the number of Rights held by each of them (the “Rights Register”). The Rights Agent
shall establish procedures for recording transfer of the Rights of record prior to the Expiration Date (as hereafter defined),
and shall record such transfers on the Rights Register.

 

    	 

    	 

    

 

2.2 Initial
Rights Holders. The initial Rights Holders of record shall be the Reference Holders as of the Record Date, and shall be recorded
as such on the Rights Register. Each such Reference Holder shall receive one Right for each Reference Security held of record
as of the Record Date. Fractional Rights will not be issued.

 

Article
III 

RIGHTS DOCUMENTS

 

3.1 Delivery
of Documents by Company. The Company will cause to be timely delivered to the Rights Agent sufficient copies of such documents
for delivery to holders of the Rights (the “Rights Holders”) as shall be necessary for the conduct of the Rights Offering,
including: (i) the base prospectus included as part of the Registration Statement, and the prospectus supplement relating to the
Rights Offering (together, the “Rights Offering Prospectus”); (ii) blank Rights Certificates, including instructions
for completion; (iii) a transmittal letter to Rights Holders; (iv) instructions for Rights Holders who are nominees; and (v) such
other documents as the Rights Agent and the Company shall mutually agree (collectively, the “Rights Documents”).

 

3.2 Mailing
of Subscription Documents by Rights Agent. The Rights Agent shall mail or cause to be mailed, via first class mail, to each
initial Rights Holder the Rights Documents, as applicable, and shall thereafter make available the Rights Documents upon request
to any holder of record of the Rights. The Rights Agent, as transfer agent and registrar for the Rights, shall cause to be issued
Rights Certificates in the names of the initial Rights Holders and for the number of Rights to which they are each entitled, as
determined in accordance with Section 2 above, and to each transferee of record of the Rights, as provided in Section 2. The Rights
Agent shall make reasonable efforts to identify which of the Rights Holders are likely to be nominee holders and to include the
relevant nominee instructions with such mailing to such Rights Holders. The Rights Agent shall either manually sign or affix a
duly authorized facsimile signature on all Rights Certificates. The signatures of the officers of the Company on the Rights Certificates
shall be facsimile signatures.

 

3.3 Certificate
for Rights Securities. As promptly as practicable after the Expiration Date (as hereafter defined), the Company shall provide,
or cause to be provided to, the Rights Agent certificates representing the Rights Securities purchased in the Rights Offering,
in such amounts or denominations, and in such names, as the Rights Agent shall request in order to deliver such certificates to
Rights Holders that have exercised their Rights.

 

Article
IV 

RIGHTS EXERCISE PROCEDURES

 

4.1 Valid
Exercise of Rights. For a valid exercise of Rights to occur, the Rights Agent must receive, by mail, hand delivery, and otherwise,
prior to 5:00 p.m., New York City time, on ________, 20__ (the “Expiration Date”), the Rights Certificate pertaining
to such Rights, which has been properly completed and endorsed for exercise, as provided in the instructions on the reverse side
of the Rights Certificate, and payment in full in U.S. dollars of the Rights Price for the number of Rights Securities subscribed
by bank check, certified check or money order payable to the order of “[   ], as Rights Agent— MGT Capital Investments,
Inc.,” or by wire transfer of immediately available funds, in each case to the addresses or in the manner set forth in the
Rights Offering Prospectus

 

    	2

    	 

    

 

4.2 Notice
of Guaranteed Delivery. If so provided in the Rights Offering Prospectus, the Rights Agent shall allow Rights to be exercised
in accordance with guaranteed delivery procedures, including that (i) the Rights Holder has caused payment in full of the Rights
Price to be received by the Rights Agent on or prior to the Expiration Date; (ii) the Rights Agent receives, on or prior
to the Expiration Date, a guarantee notice (a “Notice of Guaranteed Delivery”), substantially in the form available
from the Rights Agent, from an Eligible Institution (as hereafter defined), stating the name of the Rights Offeree, the number
of Rights held by the Rights Offeree, the number or amount of the Rights Securities being subscribed for, and guaranteeing the
delivery to the Rights Agent of the Rights Certificate evidencing such Rights at or prior to 5:00 p.m., New York City time, on
the date three (3) business days following the date of the Notice of Guaranteed Delivery; and (iii) the properly completed
Rights Certificate(s) evidencing the Rights being exercised, with any required signatures guaranteed, are received by the Rights
Agent, at or prior to 5:00 p.m., New York City time, on the date three (3) business days following the date of the Notice of Guaranteed
Delivery relating thereto. The Notice of Guaranteed Delivery may be delivered to the Rights Agent in the same manner as Rights
Certificates, at the addresses set forth in the Rights Offering Prospectus.

 

4.3 Guaranteed
Signatures. If a Rights Holder requests that the Rights Securities be issued in a name other than the name of the Rights Holder
or that a certificate representing the Rights Securities be sent to an address other than the address shown on such Rights Holder’s
Rights Certificate (or, if none, then as listed on the Rights Register), the signatures on such Rights Certificate must be guaranteed
by a financial institution (including commercial banks, savings and loan associations and brokerage houses) that is a member of
a recognized signature guarantee or medallion program within the meaning of Rule 17Ad-15 under the Securities Exchange Act of
1934, as amended (each, an “Eligible Institution”).

 

4.4 Deemed
Exercises. If a Rights Holder has not indicated the number of Rights being exercised, or if the Rights Price payment forwarded
by such Rights Holder to the Rights Agent is not sufficient to purchase the number of Rights Securities subscribed for, the Rights
Holder will be deemed to have exercised the Rights with respect to the maximum number of Rights which may be exercised for the
Rights Price delivered to the Rights Agent.

 

Article
V 

DELIVERY OF CERTIFICATES REPRESENTING RIGHTS SECURITIES

 

5.1 Delivery
of Certificates for Rights Securities. As soon as practicable after the Expiration Date and receipt by the Rights Agent of
certificates from the Company in accordance with Section 3.3, the Rights Agent shall mail certificates representing the Rights
Securities subscribed for by the holders of the Rights. The certificates shall be mailed via first class mail to the Rights Holders’
address as shown on the reverse side of the Rights Certificate or, if none, then as listed on the Rights Register (except that
the Rights Agent shall comply with any ancillary written delivery instructions provided by any subscribing Rights Holder). The
Rights Agent shall maintain a mail loss surety bond protecting the Company and the Rights Agent from loss or liability arising
out of non-receipt or non-delivery of such certificates.

 

    	3

    	 

    

 

Article
VI 

FRACTIONAL RIGHTS SECURITIES

 

6.1 Fractional
Rights Securities. No fractional Rights Securities shall be issued by the Company. Any Rights Holder who would be entitled
to purchase a fractional Rights Security shall be given the right to purchase a full Rights Security.

 

Article
VII 

OVERSUBSCRIPTION RIGHTS

 

7.1 Availability
of Oversubscription Rights. The Company may offer rights (“Oversubscription Rights”) to holders of Rights who
have fully subscribed for their Rights to purchase, on a pro rata basis, Rights Securities not subscribed for by other holders
of Rights, on such terms and conditions are as set forth in the Rights Offering Prospectus and as the Company and the Rights Agent
shall mutually agree.

 

7.2 Refund.
In the event any holder who exercises Rights, including Oversubscription Rights, if any, does not receive the Rights Securities
subscribed therefor, the Rights Agent shall refund the Rights Price paid for the Rights Securities not received, without interest,
to such holder promptly after the Expiration Date.

 

Article
VIII 

DEFECTIVE EXERCISE OF RIGHTS; LOST RIGHTS CERTIFICATES

 

8.1 Defective
Exercise of Rights. The Company shall have the right to reject any defective exercise of Rights or to waive any defect in
exercise. If an exercise is not defective except that there is a partial payment of the Rights Price, the Rights Agent shall issue
only the number or amount of Rights Securities for which sufficient payment has been made. Any Rights Certificate with respect
to which defects in exercise are not corrected prior to 5:00 p.m., New York City time, on the Expiration Date, shall be returned
with any applicable tendered funds, without interest, to the holder of such Rights Certificate.

 

8.2 Lost
Rights Certificates. If any Rights Certificate is alleged to have been lost, stolen or destroyed, the Rights Agent shall follow
customary procedures for replacing lost certificates representing securities of the Company, provided such procedures must be
completed prior to the Expiration Date in order to be effective.

 

    	4

    	 

    

 

Article
IX 

PROOF OF AUTHORITY TO SIGN

 

9.1 Proof
of Authority to Sign. The Rights Agent need not procure supporting legal papers, and is authorized to dispense with proof
of authority to sign (including any proof of appointment or authority to sign of any fiduciary, custodian for a minor, or other
person acting in a representative capacity), and to dispense with the signatures of co-fiduciaries, in connection with exercise
of the Rights in the following cases:

 

(i) where
the Rights Certificate is registered in the name of an executor, administrator, trustee, custodian for a minor or other fiduciary,
and is executed by such executor, administrator, trustee, custodian for a minor or other fiduciary, and the Rights Securities
are to be issued in the name of the registered holder of the Rights Certificate, as appropriate;

 

(ii) where
the Rights Certificate is in the name of a corporation and is executed by an officer of such corporation and the Rights Securities
are to be issued in the name of such corporation; and

 

(iii) where
the Rights Certificate is executed by a bank or broker as agent for the registered holder of the Rights Certificate; provided
that, the Rights Securities are to be issued in the name of the registered holder of the Rights Certificate.

 

In
cases other than those set forth above, the Rights Agent shall procure the necessary legal documents. However, in the event that
all legal requirements for proper exercise of the Rights have not been met at the Expiration Date, the Rights Agent may accept
approval from the Company as to whether such Rights Certificates may be accepted and the Rights Securities subscribed for thereunder
issued.

 

Article
X 

ESCROW OF FUNDS

 

10.1 Escrow
of Funds. Any funds received by the Rights Agent as payments in connection with the Rights Offering shall be held in trust
and escrow by the Rights Agent (and shall be invested in a non-interest-bearing bank account or other investment acceptable to
the Company) pending receipt of written disbursement instructions from the Company, at which time the funds shall be disbursed
in accordance with such written instructions from the Company. The Rights Agent is hereby authorized and directed to endorse,
negotiate and deposit all subscription payments into the subscription trust and escrow account to be maintained by the Rights
Agent. All interest on any funds received by the Rights Agent shall inure to the benefit of and belong to the Company, including
interest on any funds returned by the Rights Agent to subscribers. All interest shall be disbursed or invested in accordance with
written instructions from the Company. The Rights Agent shall account on a weekly basis to the Company for all escrowed funds
and on a more frequent basis, if requested by the Company.

 

Article
XI 

REPORTS

 

11.1 Reports
Prior to the Expiration Time. If requested by the Company, the Rights Agent shall notify [                ] on or before 4:00 p.m., New York
City time, on each business day during the period commencing with mailing of the Rights Certificates and ending at the Expiration
Date, which notice if not delivered in writing shall thereafter be confirmed in writing, of (i) the number of Rights Securities
validly subscribed for, (ii) the number of Rights Securities for which defective subscriptions have been received and the nature
of such defects, (iii) the number of Rights Securities validly subscribed for pursuant to Oversubscription Rights, if any, (iv)
the amounts of collected and uncollected funds in the escrow account established under this Agreement, and (v) such other information
as the Company shall reasonably request.

 

    	5

    	 

    

 

11.2 Reports
Following the Expiration Time. At or before 5:00 p.m., New York City time, on the first business day following the Expiration
Date, or upon the request from the Company from time to time thereafter, the Rights Agent shall certify in writing to the Company
the cumulative totals through the Expiration Date of all the information set forth in clauses (i) through (v) above.

 

11.3 List
of Exercising Holders. The Rights Agent shall also maintain and update a listing of Rights Holders of record who have fully
or partially exercised their Rights and holders who have not exercised their Rights.

 

11.4 Information
Requests. The Rights Agent shall provide the Company or its designees with such information compiled by the Rights Agent pursuant
to this Section 11, and any other information concerning the Rights Offering in the custody or control of the Rights Agent, as
any of them shall reasonably request from time to time.

 

Article
XII 

FUTURE INSTRUCTIONS

 

12.1 Future
Instructions. With respect to notices or instructions to be provided by the Company hereunder, the Rights Agent may rely and
act on any written instruction signed by any one or more authorized officers or employees of the Company certified to the Rights
Agent in writing.

 

Article
XIII 

PAYMENT OF EXPENSES

 

13.1 Payment
of Expenses. The Company will pay the Rights Agent for its services under this Agreement in accordance with the fees listed
on Schedule I attached hereto, and will reimburse the Rights Agent for all reasonable and necessary expenses incurred by it in
so acting.

 

Article
XIV 

COUNSEL

 

14.1 Counsel.
The Rights Agent may consult with counsel satisfactory to it, which may be counsel to the Company, and the written advice or opinion
of such counsel shall be full and complete authorization and protection in respect of any action taken, suffered or omitted by
the Rights Agent hereunder in good faith and in accordance with such advice or opinion of such counsel.

 

    	6

    	 

    

 

Article
XV 

INDEMNIFICATION

 

15.1 Indemnification.
The Company covenants and agrees to indemnify and hold the Rights Agent harmless against any costs, expenses (including reasonable
fees for legal counsel), losses or damages, which may be paid, incurred or suffered by or to which the Rights Agent may become
subject, arising from or out of, directly or indirectly, any claim or liability resulting from its actions pursuant to this Agreement
and for which the Rights Agent is not otherwise reimbursed under the mail loss surety bond; provided that such covenant and
agreement does not extend to such costs, expenses, losses and damages incurred or suffered by the Rights Agent as a result of,
or arising out of, any gross negligence, intentional misconduct or bad faith of the Rights Agent.

 

Article
XVI 

MISCELLANEOUS

 

16.1 Notices.
Unless otherwise provided herein, all reports, notices and other communications required or permitted to be given hereunder shall
be in writing and delivered by hand or telecopy or by first class mail, postage prepaid, as follows:

 

	 	(i)	If
    to the Company, to:
	 	 	 
	 	 	MGT
    Capital Investments, Inc.
	 	 	512
    S. Mangum Street, Suite 408
	 	 	Durham,
    NC 27701
	 	 	Attention:
    Robert S. Lowrey
	 	 	Telecopy
    No. 
	 	 	 
	 	(ii)	If
    to the Rights Agent, to:
	 	 	 
	 	 	 __________________________
	 	 	 __________________________
	 	 	 __________________________
	 	 	Attention: __________________
	 	 	Telecopy: __________________

 

16.2 Amendments
and Waivers. This Agreement may not be amended or modified except by a written instrument or document which has been executed
by all of the parties hereto. Any party hereto may waive any of its rights arising under this Agreement only by a written instrument
or document executed by such party, and any such waiver shall not be construed as a waiver of any subsequent, or other, right
of such party.

 

16.3 Invalidity.
If one or more of the terms of this Agreement shall for any reason be held invalid, illegal or unenforceable in any respect, such
invalidity, illegality or unenforceability shall not affect the remaining terms of this Agreement and this Agreement shall be
construed as if such invalid, illegal or unenforceable term or terms had never been contained herein.

 

16.4 Binding
Effect and Assignments. This Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective
legal representatives, successors and permitted assigns; provided, however, that, without the prior written consent of the
Company, the Rights Agent may not assign any of its interests, rights or obligations arising out of this Agreement.

 

16.5 Governing
Law. This Agreement shall be governed by and construed in accordance with the laws of the State of New York, without regard
to principles of confliects of laws.

 

[Remainder
of page intentionally left blank.]

 

    	7

    	 

    

 

IN
WITNESS WHEREOF, the undersigned have hereto set their hands as of the date first written above.

 

	 	MGT
    CAPITAL IVESTMENTS, INC.
	 	 	              
	 	By:	 
	 	Name:	 
	 	Title:	 
	 	 	 
	 	[RIGHTS
    AGENT]
	 	 	 
	 	By:	 
	 	Name:	 
	 	Title:	 

 

    	8

    	 

    

 

SCHEDULE
I

 

RIGHTS
AGENT AGREEMENT

 

FEES
AS RIGHTS AGENT

 

    	 

    	 

    

 

APPENDIX
A

FORM
OF RIGHTS CERTIFICATE

 

[Front
of Rights Certificate]

 

	RIGHTS
    CERTIFICATE NO: ____	NUMBER
    OF RIGHTS: _______ 

 

The
terms and conditions of the rights offering are set forth in the Company’s prospectus supplement dated ________, 20__ (together
with the base prospectus dated ___, 20__, the “Prospectus”) and are incorporated herein by reference. Copies of the
Prospectus are available upon request from _________________________.

 

MGT
CAPITAL INVESTMENTS, INC.

Incorporated
under the laws of the State of Delaware

 

RIGHTS
CERTIFICATE

 

Evidencing
Rights to Purchase [Rights Securities] of MGT Capital Investments, Inc.

 

Rights
Price: __ per [Rights Security]

 

The
Rights will expire if not exercised on or before 5:00 p.m., New York City time, on _______, 20__, unless extended by the Company.

 

REGISTERED
OWNER: _________________________________________________________________

 

[Address]

 

THIS
CERTIFIES THAT the registered owner whose name is inscribed hereon is the owner of the number of rights (“Rights”)
set forth above. Each whole Right entitles the holder thereof to subscribe for and purchase [Rights Security], of MGT Capital
Investments, Inc., a Delaware corporation, at a rights price of $___ per [Rights Security] (the “Rights Price”), pursuant
to a rights offering (the “Rights Offering”), on the terms and subject to the conditions set forth in the Prospectus
and the instructions accompanying this Rights Certificate.

 

The
Rights represented by this Rights Certificate may be exercised by completing the appropriate Items on the reverse side hereof
and by returning the full payment of the Rights Price for each [Rights Security] in accordance with the instructions that accompany
this Rights Certificate.

 

[Add
appropriate text if oversubscription rights are being offered.]

 

This
Rights Certificate is not valid unless countersigned by the Rights Agent.

 

Witness
the seal of MGT Capital Investments, Inc. and the signatures of its duly authorized officers.

 

Dated:
____, 20__

 

	/s/	 	/s/    
	[Officer]
    	 	[Officer]

 

    	 	 	 

    	 

    

 

[Reverse
of Rights Certificate]

 

DELIVERY
OPTIONS FOR SUBSCRIPTION RIGHTS CERTIFICATE

 

Delivery
other than in the manner or to the address listed below will not constitute valid delivery.

 

If
delivering by mail, hand or overnight courier:

 

[Address]

 

Item
1: Exercise of Rights

 

To
subscribe for [Rights Securities], please complete this Item, sign under Item 4 and, if applicable, complete Item 5.

 

	(a)	Exercise
                                         of Rights:

 

	 	I
    apply for____________ [Rights Securities]	x       
    $ ___ =	$_______________
	 	(no.
    of [Rights Securities]) 	(rights
    price) 	(amount)

 

[(b)
Exercise of Oversubscription Rights

 

Add
appropriate text, if oversubscription rights are offered]

 

	(c)	Total
                                         Amount of Payment = $__________________ 

 

METHOD
OF PAYMENT (CHECK ONE)

 

	[  ]	 Wire transfer
of immediately available funds directly to the account maintained by _________________, as Rights Agent, for purposes of accepting
subscriptions in this Rights Offering at ________________________________ FBO MGT Capital Investments, Inc., with reference to
the Rights holder’s name.
	 	 
	[  ]	Check or bank
draft payable to “__________________ (acting as Rights Agent for MGT Capital Investments, Inc.)”.

 

Item
2: Delivery To Different Address

 

If
you request that the [Rights Securities] issuable upon exercise of the Rights represented by this Rights Certificate are to be
delivered to an address different from that shown on the face of this Rights Certificate, please enter the alternate address below,
sign under Item 4 and have your signature guaranteed under Item 5.

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

 

Item
3: Issuance in a Different Name

 

If
you request that the [Rights Securities] issuable upon exercise of the Rights represented by this Rights Certificate are to be
issued and registered in a name different from that shown on the face of this Rights Certificate, please enter the name and address
in which the [Rights Securities] are to be registered below, sign under Item 4 and have your signature guaranteed under Item 5.

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

 

    	 	2	 

    	 

    

 

Item
4: Signature

 

The
undersigned acknowledges that the undersigned has received the Prospectus for this Rights Offering, and hereby irrevocably exercises
the Rights represented hereby for the number of [Rights Securities] indicated above on the terms and conditions specified in the
Prospectus. The undersigned agrees to cooperate with the Company and provide to the Company any and all information requested
by the Company in connection with the exercise of the Rights.

 

	Signature(s):
    	 	 
		 	 
	 	(Print
    Name of Signatory and Capacity in which Signed if an Entity)	 

 

IMPORTANT:
The signature(s) must correspond with the name(s) as printed on the reverse of this Rights Certificate in every particular, without
alteration or enlargement, or any other change whatsoever.

 

Item
5: Signature Guarantee

 

This
Item must be completed if you have completed Item 2 or Item 3.

 

	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 & loan association
or credit union) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission
Rule 17Ad-15.

 

    	 	3MGT
CAPITAL INVESTMENTS, INC.

AND

____________,
AS UNIT AGENT

 

FORM
OF UNIT AGREEMENT

 

DATED
AS OF , 20__

 

MGT
CAPITAL INVESTMENTS, INC.

FORM
OF UNIT AGREEMENT

 

THIS
UNIT AGREEMENT (this “Agreement”), dated as of , 20__, between MGT Capital Investments, Inc., a Delaware
corporation (the “Company”), and __________, a [corporation] [national banking association] organized and existing
under the laws of __________ and having a corporate trust office in __________, as unit agent (the “Unit Agent”).

 

WHEREAS,
the Company proposes to sell unit certificates evidencing one or more units (the “Units” or, individually,
a “Unit”) each Unit consisting of _______ [Title of Unit Securities] and ________ [Title of Unit Securities]
(the “Unit Securities”), such unit certificates and other unit certificates issued pursuant to this Agreement
being herein called the “Unit Certificates”; and

 

WHEREAS,
the Company desires the Unit Agent to act on behalf of the Company, and the Unit Agent is willing so to act, in connection with
the issuance, registration, transfer, exchange, exercise and replacement of the Unit Certificates, and in this Agreement wishes
to set forth, among other things, the form and provisions of the Unit Certificates and the terms and conditions on which they
may be issued, registered, transferred, exchanged, exercised and replaced.

 

NOW
THEREFORE, in consideration of the premises and of the mutual agreements herein contained, the parties hereto agree as follows:

 

ARTICLE
1

ISSUANCE
OF UNITS AND EXECUTION AND

DELIVERY
OF UNIT CERTIFICATES

 

1.1
Issuance of Units. Upon issuance, each Unit Certificate shall evidence one or more Units. Each Unit evidenced thereby shall
consist of the Unit Securities. [Add reference to agreements governing components of the Units.]

 

The
Unit Securities will not be separately transferable until the Separation Date as defined in Section 2.1.

 

1.2
Execution and Delivery of Unit Certificates. Each Unit Certificate, whenever issued, shall be in registered form substantially
in the form set forth in Exhibit A hereto, shall be dated the date of its countersignature by the Unit Agent and may have
such letters, numbers, or other marks of identification or designation and such legends or endorsements printed, lithographed
or engraved thereon as the officers of the Company executing the same may approve (execution thereof to be conclusive evidence
of such approval) and as are not inconsistent with the provisions of this Agreement, or as may be required to comply with any
law or with any rule or regulation made pursuant thereto or with any rule or regulation of any securities exchange on which the
Units may be listed, or to conform to usage. The Unit Certificates shall be signed on behalf of the Company by any of its present
or future chief executive officers, presidents, senior vice presidents, vice presidents, chief financial officers, chief legal
officers, treasurers, assistant treasurers, controllers, assistant controllers, secretaries or assistant secretaries under its
corporate seal reproduced thereon. Such signatures may be manual or facsimile signatures of such authorized officers and may be
imprinted or otherwise reproduced on the Unit Certificates. The seal of the Company may be in the form of a facsimile thereof
and may be impressed, affixed, imprinted or otherwise reproduced on the Unit Certificates.

 

    	 

    	 

    

 

No
Unit Certificate shall be valid for any purpose until such Unit Certificate has been countersigned by the manual signature of
the Unit Agent. Such signature by the Unit Agent upon any Unit Certificate executed by the Company shall be conclusive evidence
that the Unit Certificate so countersigned has been duly issued hereunder.

 

In
case any officer of the Company who shall have signed any of the Unit Certificates either manually or by facsimile signature shall
cease to be such officer before the Unit Certificates so signed shall have been countersigned and delivered by the Unit Agent,
such Unit Certificates may be countersigned and delivered notwithstanding that the person who signed such Unit Certificates ceased
to be such officer of the Company; and any Unit Certificate may be signed on behalf of the Company by such persons as, at the
actual date of the execution of such Unit Certificate, shall be the proper officers of the Company, although at the date of the
execution of this Agreement any such person was not such officer.

 

The
term “holder” or “holder of a Unit Certificate” as used herein shall mean any person in
whose name at the time any Unit Certificate shall be registered upon the books to be maintained by the Unit Agent for that purpose.

 

1.3
Issuance of Unit Certificates. Unit Certificates evidencing Units may be executed by the Company and delivered to the Unit
Agent upon the execution of this Unit Agreement or from time to time thereafter. The Unit Agent shall, upon receipt of Unit Certificates
duly executed on behalf of the Company, countersign such Unit Certificates and shall deliver such Unit Certificates to or upon
the order of the Company.

 

1.4
Unit Certificate Legend. Each Unit Security issued prior to the Separation Date shall bear a legend in substantially the following
form:

 

“THE
[TITLE OF UNIT SECURITIES] EVIDENCED BY THIS CERTIFICATE ARE INITIALLY ISSUED AS PART OF AN ISSUANCE OF UNITS (THE “UNITS”),
EACH OF WHICH CONSIST OF ________ [TITLE OF UNIT SECURITIES] AND ________ [TITLE OF UNIT SECURITIES].

 

“PRIOR
TO THE EARLIEST OF (I) [180] DAYS AFTER THE CLOSING OF THE COMPANY’S OFFERING OF THE UNITS [AND (II) SUCH DATE AS [NAME
OF UNDERWRITER IN OFFERING] IN ITS SOLE DISCRETION SHALL DETERMINE], THE [TITLE OF UNIT SECURITIES] EVIDENCED BY THIS CERTIFICATE
MAY NOT BE TRANSFERRED OR EXCHANGED SEPARATELY FROM, BUT MAY BE TRANSFERRED OR EXCHANGED ONLY TOGETHER WITH, [TITLE OF UNIT SECURITIES].”

 

ARTICLE
2

 

SEPARATION
OF UNIT SECURITIES AND OTHER MATTERS

 

2.1
Separation of the Unit Securities. The Unit Securities will not be separately transferable until the Separation Date. “Separation
Date” means the earliest of (i) [180] days after the closing of the Company’s offering of Units [and (ii) such
date as [Name of Underwriter in offering] in its sole discretion shall determine].

 

2.2
Lost, Stolen, Mutilated or Destroyed Unit Certificates. Upon receipt by the Unit Agent of an affidavit and evidence
reasonably satisfactory to it and the Company of the ownership of and the loss, theft, destruction or mutilation of any Unit
Certificate and indemnity and/or surety bond reasonably satisfactory to the Unit Agent and the Company and, in the case of
mutilation, upon surrender of the mutilated Unit Certificate to the Unit Agent for cancellation, then, in the absence of
notice to the Company or the Unit Agent that such Unit Certificate has been acquired by a bona fide purchaser, the Company
shall execute, and an authorized officer of the Unit Agent shall manually countersign and deliver, in exchange for or in lieu
of the lost, stolen, destroyed or mutilated Unit Certificate, a new Unit Certificate of the same tenor and evidencing Units
for a like number of Unit Securities. Upon the issuance of any new Unit Certificate under this Section 2.2, the
Company may require the payment of a sum sufficient to cover any tax or other governmental charge that may be imposed in
relation thereto and any other expenses (including the fees and expenses of the Unit Agent) in connection therewith. Every
substitute Unit Certificate executed and delivered pursuant to this Section 2.2 in lieu of any lost, stolen or
destroyed Unit Certificate shall represent an additional contractual obligation of the Company, whether or not the lost,
stolen or destroyed Unit Certificate shall be at any time enforceable by anyone, and shall be entitled to the benefits
of this Agreement equally and proportionately with any and all other Unit Certificates duly executed and delivered hereunder.
The provisions of this Section 2.2 are exclusive and shall preclude (to the extent lawful) all other rights and
remedies with respect to the replacement of mutilated, lost, stolen or destroyed Unit Certificates.

 

    	-2-

    	 

    

 

ARTICLE
3

 

EXCHANGE
AND TRANSFER OF UNIT CERTIFICATES

 

3.1
Exchange and Transfer of Unit Certificates. Upon surrender at the corporate trust office of the Unit Agent, Unit Certificates
evidencing Units may be exchanged for Unit Certificates in other denominations evidencing such Units or the transfer thereof may
be registered in whole or in part; provided that such other Unit Certificates evidence Units for the same aggregate number
of Unit Securities as the Unit Certificates so surrendered. The Unit Agent shall keep, at its corporate trust office, books in
which, subject to such reasonable regulations as it may prescribe, it shall register Unit Certificates and exchanges and transfers
of outstanding Unit Certificates, upon surrender of the Unit Certificates to the Unit Agent at its corporate trust office for
exchange or registration of transfer, properly endorsed or accompanied by appropriate instruments of registration of transfer
and written instructions for transfer, all in form satisfactory to the Company and the Unit Agent. No service charge shall be
made for any exchange or registration of transfer of Unit Certificates, but the Company may require payment of a sum sufficient
to cover any stamp or other tax or other governmental charge that may be imposed in connection with any such exchange or registration
of transfer. Whenever any Unit Certificates are so surrendered for exchange or registration of transfer, an authorized officer
of the Unit Agent shall manually countersign and deliver to the person or persons entitled thereto a Unit Certificate or Unit
Certificates duly authorized and executed by the Company, as so requested. The Unit Agent shall not be required to effect any
exchange or registration of transfer which will result in the issuance of a Unit Certificate evidencing a Unit for a fraction
of a Unit Security. All Unit Certificates issued upon any exchange or registration of transfer of Unit Certificates shall be the
valid obligations of the Company, evidencing the same obligations and entitled to the same benefits under this Agreement as the
Unit Certificate surrendered for such exchange or registration of transfer.

 

3.2
Treatment of Holders of Unit Certificates. The Company, the Unit Agent and all other persons may treat the registered holder
of a Unit Certificate as the absolute owner thereof for any purpose and as the person entitled to exercise the rights represented
by the Units evidenced thereby, any notice to the contrary notwithstanding.

 

3.3
Cancellation of Unit Certificates. Any Unit Certificate surrendered for exchange, registration of transfer or exercise of
the Unit evidenced thereby shall, if surrendered to the Company, be delivered to the Unit Agent and all Unit Certificates surrendered
or so delivered to the Unit Agent shall be promptly canceled by the Unit Agent and shall not be reissued and, except as expressly
permitted by this Agreement, no Unit Certificate shall be issued hereunder in exchange therefor or in lieu thereof. The Unit Agent
shall deliver to the Company from time to time or otherwise dispose of canceled Unit Certificates in a manner satisfactory to
the Company.

 

ARTICLE
4

 

CONCERNING
THE UNIT AGENT

 

4.1
Unit Agent. The Company hereby appoints __________ as Unit Agent of the Company in respect of the Units and the Unit Certificates
upon the terms and subject to the conditions herein set forth, and __________ hereby accepts such appointment. The Unit Agent
shall have the powers and authority granted to and conferred upon it in the Unit Certificates and hereby and such further powers
and authority to act on behalf of the Company as the Company may hereafter grant to or confer upon it. All of the terms and provisions
with respect to such powers and authority contained in the Unit Certificates are subject to and governed by the terms and provisions
hereof.

 

4.2
Conditions of Unit Agent’s Obligations. The Unit Agent accepts its obligations herein set forth upon the terms and conditions
hereof, including the following to all of which the Company agrees and to all of which the rights hereunder of the holders from
time to time of the Unit Certificates shall be subject:

 

    	-3-

    	 

    

 

(a)
Compensation and Indemnification. The Company agrees promptly to pay the Unit Agent the compensation to be agreed upon with
the Company for all services rendered by the Unit Agent and to reimburse the Unit Agent for reasonable out-of-pocket expenses
(including reasonable counsel fees) incurred without negligence, bad faith or willful misconduct by the Unit Agent in connection
with the services rendered hereunder by the Unit Agent. The Company also agrees to indemnify the Unit Agent for, and to hold it
harmless against, any loss, liability or expense incurred without negligence, bad faith or willful misconduct on the part of the
Unit Agent, arising out of or in connection with its acting as Unit Agent hereunder, including the reasonable costs and expenses
of defending against any claim of such liability.

  

(b)
Agent for the Company. In acting under this Unit Agreement and in connection with the Unit Certificates, the Unit Agent is
acting solely as agent of the Company and does not assume any obligations or relationship of agency or trust for or with any of
the holders of Unit Certificates or beneficial owners of Units.

 

(c)
Counsel. The Unit Agent may consult with counsel satisfactory to it, which may include counsel for the Company or internal
counsel to the Unit Agent, and the written advice of such counsel shall be full and complete authorization and protection in respect
of any action taken, suffered or omitted by it hereunder in good faith and in accordance with the advice of such counsel.

 

(d)
Documents. The Unit Agent shall be protected and shall incur no liability for or in respect of any action taken or omitted
by it in reliance upon any Unit Certificate, notice, direction, consent, certificate, affidavit, statement or other paper or document
reasonably believed by it to be genuine and to have been presented or signed by the proper parties.

 

(e)
Certain Transactions. The Unit Agent, and its officers, directors and employees, may become the owner of, or acquire any interest
in, Units, with the same rights that it or they would have if it were not the Unit Agent hereunder, and, to the extent permitted
by applicable law, it or they may engage or be interested in any financial or other transaction with the Company and may act on,
or as depositary, trustee or agent for, any committee or body of holders of Unit Securities or other obligations of the Company
as freely as if it were not the Unit Agent hereunder. Nothing in this Unit Agreement shall be deemed to prevent the Unit Agent
from acting as trustee under any indenture to which the Company is a party.

 

(f)
No Liability for Interest. Unless otherwise agreed with the Company, the Unit Agent shall have no liability for interest on
any monies at any time received by it pursuant to any of the provisions of this Agreement or of the Unit Certificates.

 

(g)
No Liability for Invalidity. The Unit Agent shall have no liability with respect to any invalidity of this Agreement or any
of the Unit Certificates (except as to the Unit Agent’s countersignature thereon).

 

(h)
No Responsibility for Representations. The Unit Agent shall not be responsible for any of the recitals or representations
herein or in the Unit Certificates (except as to the Unit Agent’s countersignature thereon), all of which are made solely
by the Company.

 

(i)
No Implied Obligations. The Unit Agent shall be obligated to perform only such duties as are herein and in the Unit Certificates
specifically set forth and no implied duties or obligations shall be read into this Agreement or the Unit Certificates against
the Unit Agent. The Unit Agent shall not be under any obligation to take any action hereunder which may tend to involve it in
any expense or liability, the payment of which within a reasonable time is not, in its reasonable opinion, assured to it. The
Unit Agent shall not be accountable or under any duty or responsibility for the use by the Company of any of the Unit Certificates
authenticated by the Unit Agent and delivered by it to the Company pursuant to this Agreement or for the application by the Company
of the proceeds of the Unit Certificates. The Unit Agent shall have no duty or responsibility in case of any default by the Company
in the performance of its covenants or agreements contained herein or in the Unit Certificates or in the case of the receipt of
any written demand from a holder of a Unit Certificate with respect to such default, including, without limiting the generality
of the foregoing, any duty or responsibility to initiate or attempt to initiate any proceedings at law or otherwise or, except
as provided in Section 5.2 hereof, to make any demand upon the Company.

 

    	-4-

    	 

    

 

4.3
Resignation, Removal and Appointment of Successors.

 

(a)
The Company agrees, for the benefit of the holders from time to time of the Unit Certificates, that there shall at all times
be a Unit Agent hereunder until all the Units have been exercised or are no longer exercisable.

 

(b)
The Unit Agent may at any time resign as agent by giving written notice to the Company of such intention on its part, specifying
the date on which its desired resignation shall become effective; provided that such date shall not be less than three
months after the date on which such notice is given unless the Company otherwise agrees. The Unit Agent hereunder may be removed
at any time by the filing with it of an instrument in writing signed by or on behalf of the Company and specifying such removal
and the intended date when it shall become effective. Such resignation or removal shall take effect upon the appointment by the
Company, as hereinafter provided, of a successor Unit Agent (which shall be a bank or trust company authorized under the laws
of the jurisdiction of its organization to exercise corporate trust powers) and the acceptance of such appointment by such successor
Unit Agent. The obligation of the Company under Section 4.2(a) shall continue to the extent set forth therein notwithstanding
the resignation or removal of the Unit Agent.

 

(c)
In case at any time the Unit Agent shall resign, or shall be removed, or shall become incapable of acting, or shall be adjudged
as bankrupt or insolvent, or shall commence a voluntary case under the Federal bankruptcy laws, as now or hereafter constituted,
or under any other applicable Federal or state bankruptcy, insolvency or similar law or shall consent to the appointment of or
taking possession by a receiver, custodian, liquidator, assignee, trustee, sequestrator (or other similar official) of the Unit
Agent or its property or affairs, or shall make an assignment for the benefit of creditors, or shall admit in writing its inability
to pay its debts generally as they become due, or shall take corporate action in furtherance of any such action, or a decree or
order for relief by a court having jurisdiction in the premises shall have been entered in respect of the Unit Agent in an involuntary
case under the Federal bankruptcy laws, as now or hereafter constituted, or any other applicable Federal or state bankruptcy,
insolvency or similar law, or a decree or order by a court having jurisdiction in the premises shall have been entered for the
appointment of a receiver, custodian, liquidator, assignee, trustee, sequestrator (or similar official) of the Unit Agent or of
its property or affairs, or any public officer shall take charge or control of the Unit Agent or of its property or affairs for
the purpose of rehabilitation, conservation, winding up or liquidation, a successor Unit Agent, qualified as aforesaid, shall
be appointed by the Company by an instrument in writing, filed with the successor Unit Agent. Upon the appointment as aforesaid
of a successor Unit Agent and acceptance by the successor Unit Agent of such appointment, the Unit Agent shall cease to be Unit
Agent hereunder.

 

(d)
Any successor Unit Agent appointed hereunder shall execute, acknowledge and deliver to its predecessor and to the Company
an instrument accepting such appointment hereunder, and thereupon such successor Unit Agent, without any further act, deed or
conveyance, shall become vested with all the authority, rights, powers, trusts, immunities, duties and obligations of such predecessor
with like effect as if originally named as Unit Agent hereunder, and such predecessor, upon payment of its charges and disbursements
then unpaid, shall thereupon become obligated to transfer, deliver and pay over, and such successor Unit Agent shall be entitled
to receive, all monies, securities and other property on deposit with or held by such predecessor, as Unit Agent hereunder.

 

(e)
Any corporation into which the Unit Agent hereunder may be merged or converted or any corporation with which the Unit Agent
may be consolidated, or any corporation resulting from any merger, conversion or consolidation to which the Unit Agent shall be
a party, or any corporation to which the Unit Agent shall sell or otherwise transfer all or substantially all the assets and business
of the Unit Agent, provided that it shall be qualified as aforesaid, shall be the successor Unit Agent under this Agreement
without the execution or filing of any paper or any further act on the part of any of the parties hereto.

 

    	-5-

    	 

    

 

ARTICLE
5

 

MISCELLANEOUS

 

5.1
Amendment. This Agreement may be amended by the parties hereto, without the consent of the holder of any Unit
Certificate, for the purpose of curing any ambiguity, or of curing, correcting or supplementing any defective provision
contained herein, or making any other provisions with respect to matters or questions arising under this Agreement as the
Company and the Unit Agent may deem necessary or desirable; provided that such action shall not materially adversely
affect the interests of the holders of the Unit Certificates.

 

5.2
Notices and Demands to the Company and Unit Agent. If the Unit Agent shall receive any notice or demand addressed to the Company
by the holder of a Unit Certificate pursuant to the provisions of the Unit Certificates, the Unit Agent shall promptly forward
such notice or demand to the Company.

 

5.3
Addresses. Any communication from the Company to the Unit Agent with respect to this Agreement shall be addressed to __________,
Attention: __________ and any communication from the Unit Agent to the Company with respect to this Agreement shall be addressed
to MGT Capital Investments, Inc., 512 S. Mangum Street, Suite 408, Durham, NC 27701, Attention: Chief Executive Officer (or
such other address as shall be specified in writing by the Unit Agent or by the Company).

 

5.4
Governing Law. This Agreement and each Unit Certificate issued hereunder shall be governed by and construed in accordance
with the laws of the State of New York.

 

5.5
Obtaining of Governmental Approvals. The Company will from time to time take all action which may be necessary to obtain and
keep effective any and all permits, consents and approvals of governmental agencies and authorities and securities act filings
under United States Federal and state laws, which may be or become requisite in connection with the issuance, sale, transfer,
and the issuance, sale, transfer and delivery of the Units.

 

5.6
Persons Having Rights under Unit Agreement. Nothing in this Agreement shall give to any person other than the Company, the
Unit Agent and the holders of the Unit Certificates any right, remedy or claim under or by reason of this Agreement.

 

5.7
Headings. The descriptive headings of the several Articles and Sections of this Agreement are inserted for convenience only
and shall not control or affect the meaning or construction of any of the provisions hereof.

 

5.8
Counterparts. This Agreement may be executed in any number of counterparts, each of which as so executed shall be deemed to
be an original, but such counterparts shall together constitute but one and the same instrument.

 

5.9
Inspection of Agreement. A copy of this Agreement shall be available at all reasonable times at the principal corporate trust
office of the Unit Agent for inspection by the holder of any Unit Certificate. The Unit Agent may require such holder to submit
his or her Unit Certificate for inspection by it.

 

[Remainder
of this Page Intentionally Left Blank]

 

    	-6-

    	 

    

 

IN
WITNESS WHEREOF, the parties hereto have caused this Agreement to be duly executed all as of the day and year first above
written.

 

	 	MGT Capital Investments, Inc.,
    as Company
	 	 	                 
	 	By:	 
	 	Name:	 
	 	Title:	 
	 	ATTEST:	 
	 	 
	 	COUNTERSIGNED
	 	 
	 	__________,
                    as Unit Agent

         

	 	By:	 
	 	Name:	 
	 	Title:	 
	 	ATTEST:	 

 

[SIGNATURE
PAGE TO MGT CAPITAL INVESTMENTS, INC. FORM OF UNIT AGREEMENT]

 

    	-7-

    	 

    

 

EXHIBIT
A

 

FORM
OF UNIT CERTIFICATE

 

[FACE
OF UNIT CERTIFICATE]

 

 

MGT
CAPITAL INVESTMENTS, INC.

 

UNITS
CONSISTING OF ________ [TITLE OF UNIT SECURITY] AND

 

____________
[TITLE OF UNIT SECURITY]

 

	No. ______	__________
    Units

 

This
certifies that __________ or registered assigns is the registered owner of the above indicated number of Units, each Unit consisting
of _______ [Title of Unit Securities] and ________ [Title of Unit Securities] (the “Unit Securities”), of MGT
Capital Investments, Inc. (the “Company”). The Unit Securities will not be separately transferable until
the Separation Date as defined in the Unit Agreement (as hereinafter defined). [Add reference to agreements governing components
of the Units.]

 

The
term “Holder” as used herein shall mean the person in whose name at the time this Unit Certificate shall be
registered upon the books to be maintained by the Unit Agent for that purpose pursuant to Section 3 of the Unit Agreement.

 

This
Unit Certificate is issued under and in accordance with the Unit Agreement dated as of , 20__ (the “Unit Agreement”),
between the Company and the Unit Agent and is subject to the terms and provisions contained in the Unit Agreement, to all of which
terms and provisions the Holder of this Unit Certificate consents by acceptance hereof. Copies of the Unit Agreement are on file
at the above-mentioned office of the Unit Agent.

 

Transfer
of this Unit Certificate may be registered when this Unit Certificate is surrendered at the corporate trust office of the Unit
Agent by the registered owner or such owner’s assigns, in the manner and subject to the limitations provided in the Unit
Agreement.

 

After
countersignature by the Unit Agent and prior to the separation of the Unit Securities, this Unit Certificate may be exchanged
at the corporate trust office of the Unit Agent for Unit Certificates representing Units for the same aggregate number of Units.

 

This
Unit Certificate shall not be valid or obligatory for any purpose until countersigned by the Unit Agent.

 

    	-8-

    	 

    

  

IN
WITNESS WHEREOF, the Company has caused this Unit to be executed in its name and on its behalf by the facsimile signatures
of its duly authorized officers.

 

	Dated:	 
	 	MGT Capital Investments, Inc., as Company
	 	 	                
	 	By:	 
	 	Name:	 
	 	Title:	 
	 	ATTEST:	 
	 	 
	 	COUNTERSIGNED
	 	 
	 	__________, as Unit Agent

         

	 	By:	 
	 	Name:	 
	 	Title:	 
	 	ATTEST:	 

 

THE
[TITLE OF UNIT SECURITIES] EVIDENCED BY THIS CERTIFICATE ARE INITIALLY ISSUED AS PART OF AN ISSUANCE OF UNITS (THE “UNITS”),
EACH OF WHICH CONSIST OF ________ [TITLE OF UNIT SECURITIES] AND ________ [TITLE OF UNIT SECURITIES].

 

PRIOR TO THE
EARLIEST OF (I) [180] DAYS AFTER THE CLOSING OF THE COMPANY’S OFFERING OF THE UNITS [AND (II) SUCH DATE AS [NAME OF UNDERWRITER
IN OFFERING] IN ITS SOLE DISCRETION SHALL DETERMINE] THE [TITLE OF UNIT SECURITIES] EVIDENCED BY THIS CERTIFICATE MAY NOT BE TRANSFERRED
OR EXCHANGED SEPARATELY FROM, BUT MAY BE TRANSFERRED OR EXCHANGED ONLY TOGETHER WITH, [TITLE OF UNIT SECURITIES].

 

    	-9-

    	 

    

 

ASSIGNMENT

 

[Form of assignment
to be executed if Unit Holder desires to transfer Unit]

 

FOR VALUE
RECEIVED, ______________ hereby sells, assigns and transfers unto:

 

	 	 	 
	(Please print name and address including zip code)	 	Please print Social Security or other identifying number

 

_________ Units
represented by the within Certificate and appoints attorney to transfer said Units on the books of the Unit Agent with full power
of substitution in the premises.

 

	Dated:	 	 	Name:	 
	 	 	 	 	Signature

 

(Signature must
conform in all respects to name of holder as specified on the face of the Unit)

 

	Signature Guaranteed:	 	 
	 	 	 
	 	 	 

 

	 	 
	Signature	 

 

    	-10-

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