PLEASE INSERT SOCIAL INSURANCE NUMBER OF ASSIGNEE PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS OF ASSIGNEE
For Value Received, ______________________________________ hereby sell, assign and transfer unto
PLEASE INSERT SOCIAL INSURANCE NUMBER OF ASSIGNEE |
PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS OF ASSIGNEE |
________________________________________________________________________
Shares
Of the capital stock represented by the within certificate, and do
hereby irrevocably constitute and appoint
________________________________________________________________________
Attorney,
to transfer the said common shares on the Books of the within-named Corporation,
with full power of substitution in the premises.
Dated ______________________________________
In the presence of | |
NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE, IN EVERY PARTICULAR WITHOUT ALTERATION OR ENLARGEMENT, OR ANY CHANGE WHATEVER.