Fillable Printable Stock Transfer Form Sample
Fillable Printable Stock Transfer Form Sample
Stock Transfer Form Sample
STO CK
TRANS FER
FO RM
(Above this line for Registrars only)
Company No.
Certificate lodged with the Registrar
(For com pletion by the Registrar/St ock Exch ange)
Consideration m oney
Name of
undertaking
Description of
Security
Number or am ount o f
Shares, Stock or othe r
security and, in figures
column on ly, num ber
and denom ination of
units, if any
Nam e(s) o f regist ere d
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 th e registered
holder(s) insert also t he
name(s) a nd capacity
(e.g. , Exec utor(s) of t h e
person(s) making the
transfer
I/We hereby transfer the above sec urity out of the name(s)
aforesa i d to the person(s) named below
Stamp of selling Broker(s) or, for
transactions which are not stock
exchange transactions, of Agent(s),
if any, acting for the transferor(s)
Figures
Words
In the name ( s) of
Signature(s) of transferor(s)
1.
Units of
Date
2.
4.
3.
Full nam e(s) and full
postal address(es)
(including County or, if
applicable, Postal District
number) o f the perso n(s)
to whom the security is
transferred.
Please state title, if a ny,
or whether Mr., Mrs.. ,
Miss., or M s.
Please com plete in type
writing or in Block
Capitals.
I/We request that such entries b e made in the regist er as are n ecessary to give effect to the transfer.
Stamp or nam e and address of perso n lodging t his form
(if other than the Buying Broker(s))
Stamp of Buying Bro ker(s) (if any)
£
FORM OF CERTIFICATE REQUIRED WHERE TRANSFER IS EXEMPT FROM AD VALOREM
STAMP DUTY AS BELO W THRESHO LD.
(1) Delete as ap propri ate.
(2) Delete second sent ence if certi ficat e i s given by transferor or hi s solicit or.
Description ("Transferor", "Solicitor", etc.)Signature(s)
NOTES
i If the above c ertific ate has been completed, this transfer does not need to be s ubmitted t o the S tamp Offic e but s hould be sent directy to the
Company or i ts Regis trars.
ii If the above certi fic a te is not compl et ed, t hi s transfer mus t be submi t ted to the Stamp Offi ce and dul y st amped.
(1) I/ We certify that the transaction effected by this instrument does not form part of a larger transaction or
series of transactions in respect of which the amount or value, or aggregate amount or value, of the
consideration exceeds £1,000.
(1) I/ We confirm that (1) I/ We have been duly authorised by the transferor to sign this certificate and that
the facts of the transaction are within (1) my/ our knowledge (2).
Date
