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© Copyright Envision SBS. 2007. All rights reserved. Protected by the copyright laws of the United States & Canada and by international treaties. IT IS ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW. Assignment and Transfer of Stock Certificate Page 1 of 1 ASSIGNMENT AND TRANSFER OF STOCK CERTIFICATE This Assignment and Transfer of Stock Certificate (the “Assignment”) is made and effective [DATE], BETWEEN: [YOUR COMPANY NAME] (the "Company"), a company organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at: [YOUR COMPLETE ADDRESS] AND: [TRANSFEROR NAME] (the "Transferor"), an individual having his main residence located at: [COMPLETE ADDRESS] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers to [TRANSFEREE NAME], [AMOUNT] shares of the stock of [YOUR COMPANY NAME] (the Company) standing in the name of the undersigned on the books of the Company and represented by Certificate [NUMBER]. The undersigned hereby and irrevocably constitutes and appoints [ATTORNEY NAME], attorney-in-fact, to transfer the said stock on the books of the within named Company with full power of substitution in the premises. Dated: [DATE] COMPANY TRANSFEROR Authorized Signature Authorized Signature Print Name and Title Print Name and Title In the presence of: Authorized Signature Print Name and Title
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12/19/2007
English
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