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Transfer of ownership
(This form is also known as a Stock Power.)
Use the following instructions to accurately complete the Transfer of Ownership form:
Transfer of Ownership form
- Social security number or taxpayer identification number of the new owner.
- Complete, name and address of the new owner.
Please indicate if this is a:

a) joint tenant account
b) trust account -

- include name of trustee(s)
- date of trust
- name of the trust

c) custodial account -

- name of the minor
- name of the custodian
- social security of the minor
- address of the minor
- state under which the uniform transfer/gift to minors act was created.
- Total certificate shares which are being transferred. If you do not have any certificates write "none."
- Book entry shares which are being transferred. If you are transferring all book entry shares write "all." If you do not have any book entry shares write "none."
- Name of the Corporation that appears on your certificate, Statement, or other correspondence.
- Current owner as the name(s) appears on the face of your certificate or Statement.
- Your account number as indicated on your dividend check or Statement.
- List the certificate number(s) printed on the left hand side of the
certificate(s) that you choose to have transferred. This number will begin with two letters followed by a series of numbers. If all shares are held in book entry write "none."
Please be sure to return all certificate(s) to be transferred with the
Transfer of Ownership form.
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