Specimen Common Stock Certificate Assignment and Transfer Form

Contract Categories: Business Finance › Stock Agreements
Summary

This document is a specimen form used for the assignment and transfer of common stock certificates. It outlines how shares can be transferred from the current holder to a new owner, requiring the assignee's identifying information and a signature guarantee from an eligible financial institution. The form also includes standard legal abbreviations for different types of ownership. The transfer is irrevocable once executed, and the signature must match the name on the certificate exactly.

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EX-4.1 4 dex41.htm SPECIMEN COMMON STOCK CERTIFICATE Specimen Common Stock Certificate

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       (Cust)     (Minor)

JT TEN

    –   as joint tenants with right of       under Uniform Gifts to Minors
     survivorship and not as tenants       Act                                       
     in common       (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 common 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                                                  

 

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

 

  THE SIGNATURE(S) SHOULD 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 S.E.C. RULE 17Ad-15.