Specimen Common Stock Certificate Assignment and Transfer Form

Contract Categories: Business Finance › Stock Agreements
Summary

This document is a specimen of a common stock certificate assignment and transfer form. It outlines how the holder of common stock can transfer ownership to another party by filling in the assignee's details and providing a signature, which must be guaranteed by an eligible financial institution. The form also explains standard abbreviations for different types of ownership and references compliance with SEC rules. The main parties involved are the current stockholder, the assignee, and the corporation issuing the stock.

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EX-4.1 2 dex41.htm SPECIMEN COMMON STOCK CERTIFICATE Specimen common stock certificate

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          Custodian   
TEN ENT   —    as tenants by the entireties    UNIF GIFT MIN ACT-    (Cust)       (Minor)
JT TEN   —    as joint tenants with right of       Under Uniform Gifts to Minors
     Survivorship and not as tenants       Act      
     in common          (State)   
                
        UNIF TRF MIN ACT-       Custodian (until age)
           (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
 
 
 
Of the Common Stock represented by the within Certificate, and do(es) 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.