Irrevocable Stock Or Bond Power Form
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IRREVOCABLE STOCK OR BOND POWER
FOR VALUE RECEIVED, the undersigned does hereby sell, assign and transfer to
IF STOCK, COMPLETE THIS PORTION
shares of the
stock of
represented by Certificate(s) No(s).
standing in the name of the undersigned on the books of said Company.
IF BONDS, COMPLETE THIS PORTION
bonds of
inclusive.
the principle amount of $
, No(s).
standing in the name of the undersigned on the books of said Company.
The undersigned does hereby irrevocably constitute and appoint Scottrade, Inc. attorney to transfer the said stock or bond(s), as the
case may be, on the books of said Company, with full power of substitution in the premises.
IMPORTANT -
READ CAREFULLY:
THE SIGNATURE(S) TO THIS POWER MUST CORRESPOND WITH THE NAME(S) AS
WRITTEN UPON THE FACE OF THE CERTIFICATE(S) OR BOND(S).
X
X
Account Holder's Signature
Date
Joint Account Holder's Signature (if applicable)
Date
*SF4403*
SF4403/7-14
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Parent category: Business