Form US 89

 

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

—-For State Specific Power of Attorney Forms you can download in Word Format go to http://www.uslegalforms.com/powerofattorney/


Inside Form US 89