Irrevocable Stock/bond Power Form printable pdf download

Irrevocable Stock/bond Power Form

IRREVOCABLE STOCK/BOND POWER FORM

For value received, the Undersigned does (do) hereby sell, assign and transfer to

____________________________________________________________________________

Taxpayer Identifying No.

If Stock,

______shares of the ________stock of __________________________________

complete

this

represented by Certificate(s) No.(s) ______________________________inclusive,

portion

standing in the name of the undersigned on the books of said Company.

If Bonds,

_________________________bonds of _________________________________

complete

this

in the principal amount of $__________, No.(s)_____________________inclusive,

portion

standing in the name of the undersigned on the books of said Company.

The undersigned does (do) hereby irrevocably constitute and appoint _____________________

_____________________________________ 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.

Date: ________________________

___________________________________

(Person executing this power signs here)

IMPORTANT – READ CAREFULLY

The signature(s) to this Power must

correspond with the name(s) as written

upon the face of the stock certificate(s)

or bond(s), as the case may be.

Irrevocable Stock/bond Power Form