Specimen Stock Certificate Assignment and Transfer Form

Contract Categories: Business Finance › Stock Agreements
Summary

This document is a specimen stock certificate form used to transfer ownership of shares in a corporation. It outlines how shares can be assigned or transferred to another party, including instructions for providing the assignee's information and the requirement for a signature guarantee by an authorized institution. The form also explains common abbreviations for different types of ownership and specifies that signatures must match the name on the certificate exactly. This form is typically used by shareholders to sell or assign their stock to others.

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EX-4.1 2 ex4-1.htm SPECIMEN STOCK CERTIFICATE ex4-1.htm
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 lull according to applicable laws or regulations:
 
TCM COM - as tenants in common
 UNIF GIFT WIN ACT-   
               Custodian                  
TEN &NT - as tenants by the entireties
  
(Cust)       (Minor)
JT TEN - as joint tenants with right of
  
under Uniform Gifte 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
 
Purchaser 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    
     
 
 

 
NOTICE:        sIGNATURE MUST CORRESPOND TO THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR
                                     WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER AND MUST BE GUARANTEED BY A BANK, BROKER OR ANY
                                     OTHER ELIGIBLE GUARANTOR INSTITUTION THAT IS AUTHORIZED TO DO SO UNDER THE SECURITIES TRANSFER AGENTS MEDALLION
                                     PROGRAM (SYAMP) UNDER RULES PROMULGATED BY THE US SECURITIES AND EXCHANGE COMMISSION.