Specimen Certificate for Common Stock
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EX-4.1 4 d38301a1exv4w1.htm SPECIMEN CERTIFICATE FOR COMMON STOCK exv4w1
Exhibit 4.1
Hallmark Financial Services, Inc.
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 tenant with right | ||||
of survivorship and not as | under Uniform Gifts to Minors Act | |||||
tenants in common | ||||||
(State) | ||||||
UNIF TRANS MIN ACT | custodian | |||||
(Cust) (Minor) | ||||||
under Uniform Transfer to Minors | ||||||
Act of | ||||||
(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 |
(please print or typewrite name and address including postal zip code of assignee)
Shares of the Common Stock represented by the within Certificate, and does hereby irrevocably constitute and appoint
Attorney to transfer the said shares on the books of the withinnamed bank with full power of substitution in the premises.
Dated, | ||||
In the presence of | Signature: | |||
NOTE: | THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME OF THE STOCKHOLDER(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE, IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER. | |||
By | ||||
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. |
KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, MUTILATED OR DESTROYED, THE BANK WILL A REQUIRE BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.