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 to sell, assign, and transfer ownership of the shares to another party by providing the assignee's details and authorizing an attorney to record the transfer on the corporation's books. The form requires the signature of the current holder, which must match the name on the certificate exactly and be guaranteed by a recognized financial institution. The document also explains common abbreviations used in stock certificates.

EX-4.1 7 ex4_1.htm EXHIBIT 4.1 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
TEN ENT  - as tenants by the entireties
JT TEN- as joint tenants with right of
 survivorship and not as tenants
 in common
UNIF GIFT MIN ACT -  .............Custodian................
  (Cust)         (Minor)
under Uniform Gifts 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  TYPE  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 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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