EXHIBIT 4.1
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Number Shares
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HEADLANDS(R) MORTGAGE COMPANY
INCORPORATED UNDER THE LAWS OF THE STATE OF CALIFORNIA
COMMON STOCK COMMON STOCK
CUSIP [___________]
THIS CERTIFIES THAT
IS THE OWNER OF
FULLY PAID AND NON ASSESSABLE SHARES OF THE COMMON STOCK, WITHOUT PAR VALUE, OF
HEADLANDS(R) MORTGAGE COMPANY
transferable on the books of the Corporation by the holder hereof in person or
by duly authorized attorney upon surrender of this Certificate properly
endorsed. This Certificate is not valid until countersigned and registered by
the Transfer Agent and Registrar. This Certificate and the shares represented
are issued and shall be held subject to all the provisions of the Articles of
Incorporation and the Bylaws of the Corporation and any amendments thereto, to
all of which the holder of this Certificate, by acceptance hereof, assents. See
reverse hereof for a statement regarding the rights, preferences, privileges and
restrictions granted to or imposed upon the respective classes or series of
shares of stock of the Corporation
WITNESS the facsimile seal of the Corporation and the facsimile
signatures of its duly authorized officers.
Dated:
PRESIDENT COUNTERSIGNED AND REGISTERED:
THE BANK OF NEW YORK
SECRETARY
TRANSFER AGENT AND REGISTRAR
BY
AUTHORIZED SIGNATURE
A statement of the rights, preferences, privileges and restrictions granted
to or imposed upon the respective classes or series of shares of stock of the
Corporation, and upon the holders thereof as established by the Articles of
Incorporation or by any certificate of determination of preferences, and the
number of shares constituting each series or class and the designations thereof,
may be obtained by any shareholder of the Corporation upon request and without
charge from the Secretary of the Corporation at the principal office of the
Corporation.
The following abbreviations, when used in the inscription on the face of
this certificate, shall be construed as though they were written out in full
according to applicable laws or regulations:
TEN COM - as tenants in common
TEN ENT - as tenants by the entireties
JT TEN - as joint tenants with right of survivorship and not as tenants in
common
UNIF GIFT MIN ACT - ________________ Custodian ________________
(Cust) (Minor)
Under Uniform Gifts to Minors
Act__________________________
(State)
UNIF TRF MIN ACT - _________________ Custodian (until age ____)
(Cust)
_______________ under Uniform Transfers to Minors Act ___________
(Minor) (State)
Additional abbreviations may also be used though not in the above list.
FOR VALUE RECEIVED, ___________ hereby sell, assign and transfer unto
________________________________________________________________________________
(PLEASE PRINT OR TYPEWRITE, NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)
________________________________________________________________________________
________________________________________________________________________________
__________________________________________________________________________Shares
of the common stock represented by the within Certificate, and do hereby
irrevocably constitute and appoint
________________________________________________________________________Attorney
to transfer the said stock on the books of the within-named Corporation with
full power of substitution in the premises.
Date_____________________ ________________________________________
________________________________________
NOTICE THE SIGNATURE(S) TO THIS
ASSIGNMENT MUST CORRESPOND
WITH THE NAME(S) AS WRITTEN
UPON THE FACE OF THE
CERTIFICATE IN EVERY
PARTICULAR, WITHOUT ALTERATION
OR ENLARGEMENT OR ANY CHANGE
WHATEVER.
Signature(s) Guaranteed:
_____________________________________
The signature should be guaranteed
by a brokerage firm or a financial
institution that is a member of a
securities approved Medallion
program, such as Securities Transfer
Agents Medallion Program (STAMP), Stock
Exchanges Medallion Program (SEMP) or
New York Stock Exchange, Inc.
Medallion Signature Program (MSP).
