IRREVOCABLE STOCK OR BOND POWER
FOR VALUE RECEIVED, the undersigned does (do) hereby sell, assign and transfer to Baldwin-Wallace College, Tax Identification Number (TIN): 34-0714629:
If stock, complete this portion:
_____________________shares of the ______________________________stock_________________________________________________
represented by certificates(s) No(s). _______________________________________________________
inclusive, standing in the name of the undersigned on the books of said company.
If bonds, complete this portion:
_______________________________bonds of _______________________________________
_____________________________________________________________________________ in the principal amount of $____________________________________________, No (s).
____________________________________________ inclusive, standing in the name of the undersigned on the books of said company.
The undersigned does(do) hereby irrevocable constitute and appoint _____________________________________________________________________ attorney to transfer the said stock/bond(s) as the case may be on the books of said company, with full power of substitution in the premises.
IMPORTANT - READ CAREFULLY |
Dated: ______________________________
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SIGNATURE}
GUARANTEED}
