Irrevocable [Stock/Bond] Power
For value received, the undersigned sell[s], assign[s], and transfer[s] to [name[s], address[es], Social Security or tax identification number[s] [number[s]]] [[number] shares of the [designation] stock of [name of company], represented by certificate[s] number[s] [number[s]] inclusive/[number] bonds of [name of company], in the principal amount of $[amount], number[s] [number[s]] inclusive], standing in the name of the undersigned on the books of the company.
The undersigned irrevocably constitute[s] and appoint[s] [name] attorney to transfer the [stock/bonds] on the books of the company, with full power of substitution in the premises.
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Important: The signature(s) on the power must correspond with the name(s) as written on the face of the certificate(s) or bond(s) in every particular without alteration or enlargement or any change whatever. Signature guarantee should be made by a member or member organization of the New York Stock Exchange, by members of other exchanges having signatures on file with transfer agents, or by a commercial bank or trust company having its principal office or correspondent in the city of New York. |
Dated: ______________________________.
[Name]
[Name]
SIGNATURE GUARANTEED: