Stock Certificate Assignment and Transfer Form

Contract Categories: Business Finance › Assignment Agreements
Summary

This document is a standard form used to transfer ownership of shares of common stock from one party to another. The seller assigns and transfers the specified number of shares to the buyer, who must provide identifying information. The form requires the signature of the current owner, which must match the name on the stock certificate, and the signature must be guaranteed by an eligible financial institution. This process ensures the proper and secure transfer of stock ownership on the corporation's records.

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EX-4.1 3 b81692exv4w1.htm EX-4.1 exv4w1
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 		      under Uniform Gifts to Minors        
 
  tenants in common       Act                         
                   
                (State)
    
 
        UNIF TRF MIN ACT-                Custodian (until age         ) 
                   
 
          (Cust)              
                         under Uniform Transfers    
                           
 
          (Minor)              
 
 
          to Minors 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
        
 
 
 
    
         
 
  X    
 
       
 
 
  X    
 
       
 
  NOTICE:   THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT, OR ANY CHANGE WHATEVER.
Signature(s) Guaranteed
         
By
  
 
    
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.