Assignment and Transfer of Stock Certificate - DOC by Megadox

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									          ASSIGNMENT AND TRANSFER OF STOCK CERTIFICATE

FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers to [NAME OF
ASSIGNEE] the following shares of the stock of [NAME OF COMPANY ON STOCK CERTIFICATE]
(the "Corporation") standing in the name of the undersigned on the books of the Corporation and
represented by the following Certificate No(s).:

        Certificate No.                                  Number and Class of Shares




The undersigned hereby and irrevocably constitutes and appoints [NAME OF ATTORNEY] as his/her/its
attorney to transfer the said stock on the books of the Corporation with full power of substitution in the
premises.



Dated this [number] day of [month], [year].


IN WITNESS WHEREOF, this Assignment and Transfer is executed on the date first above written.




_________________________________                        ____________________________________
Assignor                                                 Name of Assignor



SIGNED, SEALED AND DELIVERED in the pr
								
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