Membership Interest Issuance/transfer Ledger For
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1Membership Interest Issuance/Transfer Ledger for _________________________________________
(Enter Company’s Name)
Certificates Issued
From Whom Membership Interest/Units
Amount Paid
Date of
To Whom Membership
Certificates
Number of
Were Transferred (If original issue,
Thereon
Transfer of
Interest Were Transferred
Surrendered
Membership
Name of Member
Place of Residence
enter as such.)
Membership
Interest/Units
Cert.
No. of
Date
Cert.
No. of
Interest/Units
Held (Balance)
No.
Interest/
Issued
No.
Interest/
Units
Units
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