Stock Certificate Assignment and Transfer Form

Summary

This document is a standard stock certificate assignment and transfer form. It allows the current holder of shares in a corporation to sell, assign, and transfer those shares to another party. The form requires the assignee’s identifying information and the number of shares being transferred. The transfer must be authorized by the current holder’s signature, which must match the name on the certificate and be guaranteed by an eligible financial institution. A transfer fee applies. The form also explains common abbreviations used in stock certificates.

EX-4.1 5 ex4_1.htm 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 the right of survivorship and not as tenants in common	Act
			(State)

	Additional abbreviation 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 ZIP CODE, OF ASSIGNEE)





shares of the capital stock represented by the written 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
		THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE, THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (Banks, Stockbrokers, Savings and Loan Associations and Credit Unions).

SIGNATURE GUARANTEED:

TRANSFER FEE WILL APPLY