Stock Certificate Assignment and Transfer Form for Common Stock

Contract Categories: Business Finance › Stock Agreements
Summary

This document is a standard form used to transfer ownership of common stock from one party to another. The current holder of the stock certificate authorizes the sale, assignment, and transfer of shares to a new owner, whose details must be provided. The form requires the signature of the current holder, which must match the name on the certificate and be guaranteed by an eligible financial institution. It also includes instructions for handling lost, stolen, or destroyed certificates. The form is governed by applicable laws and regulations regarding stock transfers.

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EX-4.1 5 dex41.htm EXHIBIT 4.1 Exhibit 4.1

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 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 of

survivorship and not as

tenants in common

    

 

                under Uniform Gifts to Minors Act                

                                                   (State)
        UNIF TRANS MIN ACT–  

 

                                    Custodian                                     

                        (Cust)                                           (Minor)
                      under Uniform Transfers to Minors Act            
                                                   (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

IDENTIFICATION NUMBER OF ASSIGNEE

 

       
       

                                                                                                                                                                                                                                                                       

                                             Please print or typewrite name end address including postal zip code of assignee

                                                                                                                                                                                                                                                                       

                                                                                                                                                                                                                                                                       

                                                                                                                                                                                                                                                                       

Shares of the Common Stock evidenced by this 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.

KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, MUTILATED OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.