Shareholder Forms
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Transfer Instruction Letter This form should be used when submitting a certificate for transfer. It includes a Stock Power (Section C), Substitute W-9 Form (Section D), and Cost Basis Form (Section E). |
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144 Sellers Rep Letter This form is required to remove a restriction from a certificate that has been held 1+ years by a non-affiliate and a non-shell company. |
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Gift Letter This form is used when gifting stock certificate(s) to an individual or entity. Must also be accompanied by the Transfer Instruction Letter. |
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Stock Power This form is used to authorize the change of ownership of a security. Please include the certificate number, number of shares, security name, signature and medallion. We cannot accept blank stock powers. |
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Change of Address Form Complete this form and send via fax or mail to change your address in our records. |
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One and the Same Form Complete this form if transferring a certificate where your name was misspelled or legally changed. |
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Partnership Agreement This form should be used to authorize a partner (usually general partner) to transfer securities on behalf of the partnership. Must also be accompanied by the Transfer Instruction Letter. |
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LLC Certification An LLC Certification is used to authorize a managing member to transfer securities on behalf of an LLC. Must also be accompanied by the Transfer Instruction Letter. |
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Corporate Resolution A corporate resolution is used to authorize a corporate officer to transfer securities on behalf of the corporation. Must also be accompanied by the Transfer Instruction Letter. |
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Affidavit of Lost Stock Certificate This form is used to initiate the replacement process for a lost certificate. Please fill out the form completely. |