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 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.

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EX-4.1 2 dex41.htm SPECIMEN COMMON STOCK CERTIFICATE Specimen Common Stock Certificate

 

 

 

 

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

        


under Uniform
Gifts to Minors

          
    

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
sell,
assign
and
transfer
unto

  

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
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) 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.