Specimen Common Stock Certificate Assignment and Transfer Form
This document is a specimen form used for the assignment and transfer of common stock certificates. It outlines how shares can be transferred from one party to another, requiring the assignee's identifying information and a signature that matches the name on the certificate. The transfer must be authorized by a guaranteed signature from an eligible financial institution, in compliance with SEC regulations. The form also explains common abbreviations used in stock certificate inscriptions and provides instructions for proper completion.
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 | Custodian | |||||||
TEN ENT | as tenants by the entireties | (Cust) | (Minor) | |||||||
JT TEN | as joint tenants with right | under Uniform | ||||||||
of survivorship and not as | ||||||||||
tenants in common | Act | |||||||||
(State) |
Additional abbreviations may also be used though not in the above list.
For value received, | hereby | |||
PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE | ||||
PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL 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 | ||||
| THE NAME AS | | ||
| EVERY | | ||
| ANY CHANGE | | ||
SIGNATURE(S) 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 S.E.C. RULE 17Ad-15. |