For value received, I, _________________________,
of ________________________,
assign to __________________, of _____________________,
assignee _______ shares of stock of
________________________, which shares stand in my
name on the books of such corporation
and are represented by certificate No. _________.
I warrant that the assigned certificate is genuine
and, to my knowledge, valid, and that I have the legal
right to transfer it.
I appoint assignee my attorney in fact to effect
a transfer of the assigned shares on the
books of ________________ with full power of substitution
in the premises.
Dated _______________________, 20_____)_.
______________________________
NOTICE
The information in this document is designed to
provide an outline that you can follow when formulating
business or personal plans. Due to the variances of
many local, city, county and state laws, we recommend
that you seek professional legal counseling before
entering into any contract or agreement.
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