Assignment of Stock Separate from Certificate by pellcity27

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									                    Assignment of Stock Separate from Certificate

        For value received, I, (Name of Assignor), of (street address, city, state, zip code),
assign and transfer to (Name of Assignee), of (street address, city, state, zip code),
(his/her/its) representatives and assigns, with full power to transfer on the books of the
corporation, (number) shares of stock of (Name of Corporation), represented by
certificates as follows:
       (Certificate Number)                              (Number of Shares)
       (Certificate Number)                              (Number of Shares)
       (Certificate Number)                              (Number of Shares)
       The Corporation has its principal place of business at (street address, city, state,
zip code).
      I covenant that such shares of stock now stand in my name on the Boo
								
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