Stock Certificate Assignment and Transfer Form for Shareholders

Contract Categories: Business Finance › Assignment Agreements
Summary

This document is a standard stock certificate assignment and transfer form used by shareholders to sell, assign, or transfer shares of stock to another party. The form requires the assignee's identifying information and authorizes an attorney to transfer the shares on the corporation's books. It also includes instructions for proper signature and information about shareholder rights to request details about share classes and preferences. The document is typically used when a shareholder wishes to transfer ownership of their stock to someone else.

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EX-4.1 2 d81096a1exv4w1.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       under Uniform Gifts to Minors
 
      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 ZIP CODE, OF ASSIGNEE)
 
 
                                                            Shares of the 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 WHATSOEVER.
THE CORPORATION WILL FURNISH TO ANY STOCKHOLDER, UPON REQUEST AND WITHOUT CHARGE, A FULL STATEMENT OF THE DESIGNATIONS, RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF THE SHARES OF EACH CLASS AND SERIES AUTHORIZED TO BE ISSUED, SO FAR AS THE SAME HAVE BEEN DETERMINED, AND OF THE AUTHORITY, IF ANY, OF THE BOARD TO DIVIDE THE SHARES INTO CLASSES OR SERIES AND TO DETERMINE AND CHANGE THE RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF ANY CLASS OR SERIES. SUCH REQUEST MAY BE MADE TO THE SECRETARY OF THE CORPORATION OR TO THE TRANSFER AGENT NAMED ON THIS CERTIFICATE.
THE SIGNATURE TO THE ASSIGNMENT MUST CORRESPOND TO THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER, AND MUST BE GUARANTEED BY A COMMERCIAL BANK OR TRUST COMPANY OR A MEMBER FIRM OF A NATIONAL OR REGIONAL OR OTHER RECOGNIZED STOCK EXCHANGE IN CONFORMANCE WITH A SIGNATURE GUARANTEE MEDALLION PROGRAM.
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