Assignment of Stock Certificate (United States)
This is a form to transfer a stock certificate. The form provided here is simply a sample of what the actual form looks like.
ASSIGNMENT OF STOCK CERTIFICATE
For value received, I, ____________(1)______________,
of __________(2)___________,
assign to ________(3)_______,
of ________(4)__________,
assignee ______(5)_______
shares of stock of __________(6)___________, which shares stand in my name on the books of such corporation and are represented by
certificate No. ________(7)__________.
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 _______(8)_______ with full power of substitution in the premises.
Dated _________(9)___________, _______(10)________.
_____________(11)_____________