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Sample assignment and transfer of stock certificate

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					Sample assignment and transfer of stock certificate
Sample letter template or example form:
ASSIGNMENT AND TRANSFER OF STOCK CERTIFICATE

FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers to _, [_] shares of the stock of _ [Corporation] standing in the name of the undersigned on the books of the Corporation and represented by Certificate No. _. The undersigned hereby and irrevocably constitutes and appoints _, attorney-in-fact, to transfer the said stock on the books of the within named Corporation with full power of substitution in the premises.

Dated: _

_______________________________

In the presence of: _______________________________

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Description: Sample assignment and transfer of stock certificate.