Specimen Common Stock Certificate Assignment and Transfer Form
This document is a specimen form used for the assignment and transfer of common stock certificates. It allows the current holder to sell, assign, and transfer shares to another party by providing the assignee's details and authorizing an attorney to complete the transfer on the corporation's records. The form requires the signature of the current holder, which must match the name on the certificate and be guaranteed by an eligible financial institution. A transfer fee applies. The document also explains common abbreviations used in stock certificate inscriptions.
Exhibit 4.1
The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations.
TEN COM TEN ENT JT TEN | - - - | as tenants in common as tenants by the entireties as joint tenants with the right of survivorship and not as tenants in common | UNIF GIFT MIN ACT ……………… Custodian …………… (Cust) (Minor)
Act …………………………… (State) |
Additional abbreviations may also be used though not in the above list.
| For value received, | hereby sell, assign and transfer unto |
| PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE | |
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)
| shares |
of the capital stock represented by the within Certificate, and do hereby irrevocably constitute and appoint
| , Attorney |
to transfer the said stock on the books of the within named Corporation with full power of substitution in the premises.
| Dated |
| X |
THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE. THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (Banks, Stockbrokers, Savings and Loan Associations and Credit Unions).
SIGNATURE GUARANTEED:
TRANSFER FEE WILL APPLY
