Stock Certificate Assignment and Transfer Form

Summary

This document allows the holder of a stock certificate to sell, assign, and transfer shares of capital stock to another party. The current holder authorizes the transfer by providing the assignee's details and appoints an attorney to complete the transfer on the corporation's records. The signature of the current holder must match the name on the certificate and be guaranteed by an eligible financial institution. A transfer fee applies.

EX-4.1 4 ex4_1.htm EXHIBIT 4.1

The following abbreviations, when used in the inscription on the face of this certificate, shall be constructed as though they were written out in full according to applicable laws or regulations.

TEN COM	- as tenants in common	UNF GIFT MIN ACT		Custodian
TEN ENT	- as tenants by entireties
JT TEN	as joint tenants with the right of 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 INDENTIFYING NUMBER OF ASSIGNEE


(please print or typewrite name and address, including zip code, of assignee)







			shares

of the capital 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 name 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 Association and Credit unions).

SIGNATURE GUARANTEED:

TRANSFER FEE WILL APPLY