DIY Legal Forms

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Assignment & Transfer Of Share Certificate

FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers to (---) of the shares of (Corporation) standing in the name of the undersigned on the books of the Corporation and represented by Certificate No. (Number).

The undersigned hereby and irrevocably constitutes and appoints (Attorney), to transfer the said shares on the books of the within named Company with full power of substitution in the premises.

Dated:

___________________________

In the presence of:

___________________________

*** If Required By State Law ***

This Section for Notary:

Acknowledgment

STATE OF -------)

) ss: [date]

COUNTY OF ------)

On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal.

[signature]

[Name of Notary Public]

My commission expires: [date]

(Seal)