Stock Certificate Assignment and Transfer Form

Summary

This document is a standard assignment and transfer form for shares of common stock in a corporation. It allows the current holder to sell, assign, and transfer ownership of their shares to another party by specifying the assignee's details. The form requires the signature of the current holder, which must match the name on the certificate, and the signature must be guaranteed by an eligible financial institution. This process ensures the proper and legal transfer of stock ownership on the corporation's records.

EX-4.1 4 d191056dex41.htm EX-4.1 EX-4.1

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   -   as tenants in common       UNIF GIFT MIN ACT                                Custodian                              
TEN ENT   -   as tenants by the entireties         (custodian)         (Minor)
JT TEN   -   as joint tenants with right         under Uniform Gifts to
    of survivorship and not as tenants         Minors Act of     
    in common        

 

                                            

 

  

 
            (State)    
    Additional abbreviations may also be used though not in the above list.                 
        
  FOR VALUE RECEIVED,                                                      HEREBY SELLS, ASSIGNS AND TRANSFERS 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 Common Stock of the Corporation represented by this Certificate, and do hereby irrevocably constitute and appoint                              attorney to transfer the said shares on the books of the Corporation, with full power of substitution in the premises.

 

Dated                                                                      

 
      NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.

 

SIGNATURES GUARANTEED:    
 
THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO SEC RULE 17Ad-15.