IRREVOCABLE POWER OF ATTORNEY FOR TRANSFER OF STOCK
KNOW ALL MEN BY THESE PRESENTS, that _________________ , [Executrix/Executor] of the Estate of ____________________ , Deceased, the undersigned, hereby sells, assigns and transfers to ________________
for value received ___shares of the stock of standing in the name of ______________ on the books of the said institution as per the following certificate(s), viz:
No. ____ _____ dated _____ for ___ shares; and hereby irrevocably appoints and authorizes ___________________ as transfer agent of said institution to make for and in the name and stead of the undersigned, the necessary transfer of said stock on the books of said institution, with power also to appoint and authorize one or more persons as a substitute or substitutes therefor, with like full power, hereby ratifying and confirming all that shall be lawfully done under authorization herein granted.
SIGNED, SEALED AND GIVEN AT _________, this __ day of _______________ , ________ .
SIGNATURE GUARANTEED: ESTATE OF _______ , DECEASED
By: ____________
_____________
[Executrix/Executor]
State Specific Power of Attorney Forms
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