Stock Transfer Form

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STOCK
TRANSFER
FORM
(Above this line for Registrars only)
Certificate lodged with the Registrar
Consideration Money £
(For completion by the Registrar/Stock Exchange)
Full name of
Undertaking
Full description of
security
Number or amount
Words
Figures
of Shares, Stock or
other security and,
in figures column
only, number and
denomination
of
(
units of
)
units, if any.
Name(s) of
In the name(s) of
Account Designation (if any)
registered holder(s)
should be given in
full; the address
should be given
where there is only
one holder.
If the transfer is not
made
by
the
registered holder(s)
insert
also
the
name(s)
and
capacity
(e,g.
Executor(s)) of the
Person(s)
making
the transfer.
I/We hereby transfer the above security out of the name(s) aforesaid to the person(s)
Stamp of Selling Broker or, for transactions which are not
stock exchange transactions, of Agent(s), if any, acting for the
named below or to the severall persons named in part 2 of the Brokers Transfer
Transferor(s)
Forms relating to the above security:
Delete words in italics except for stock exchange transactions.
Signature(s) of Transferor(s)
1
2
3
4
Bodies corporate should execute under their common seal
Date
Full Name(s) and full postal
Account Designation (if any)
address(es) (including County
or, if applicable, Postal District
number) of the person(s) to
whom the security is transferred
Please state title, if any, or
whether Mr., Mrs. or Miss.
Please complete in typewriting
or in Block Capitals
I/We request that such entries be made in the register as are necessary to give effect to this transfer.
Stamp of Buying Broker(s) (if any)
Stamp or name and address of person lodging this form
(if other than the Buying Broker(s))

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