Stock Power and Assignment Form for Transfer of Capital Stock

Summary

This document is a stock power and assignment form used to transfer shares of capital stock from one party to another. The seller authorizes the transfer of the specified shares to a new owner and appoints an attorney or public notary to execute the transfer on the corporation's records. The form requires signatures and witness information to be valid. It is typically used in connection with the sale or assignment of stock certificates.

EX-4.1 4 d525525dex41.htm EX-4.1 EX-4.1

Exhibit 4.1


For value received, ........................................................................................ hereby sell, assign and transfer unto



			Shares

of the Capital Stock represented by the within Certificate, and do hereby irrevocably constitute and appoint

Attorney or Public Notary to transfer the said stock on the books of the within-named Corporation with full power of substitution in the premises.

Dated, ...............................................

..............................................................................

In Presence of

.................................................................................