SAMPLE
STOCK POWER OF ATTORNEY



Transfer agents will require duly signed and witnessed Stock Power of Attorney with Medallion Signature Guarantee before it will transfer or remove a restrictive legend.  All share certificates have a Power of Attorney form stamped on the reverse side of the share certificate.  If a holder intends to send in more then one share certificate for transfer it may be easier to send a separate Stock Power of Attorney and list out the certificates attached to this Stock Power.  Some people also prefer to send an executed stock power separately from the share certificates to avoid possible theft in transit. 

Do not sign a Stock Power of Attorney unless your signature is being witnessed by a member of the Medallion signature guarantee program.  You can obtain a signature guarantee from a financial institution – such as a commercial bank, savings bank, credit union, or broker dealer – that participates in one of the Medallion signature guarantee programs. The three Medallion signature guarantee programs are the:

  • Securities Transfer Agents Medallion Program (STAMP) whose participants include more than 7,000 U.S. and Canadian financial institutions.
  • Stock Exchanges Medallion Program (SEMP) whose participants include the regional stock exchange member firms, and clearing and trust companies.
  • New York Stock Exchange Medallion Signature Program (MSP) whose participants include NYSE member firms.

Transfer agents can refuse to accept a signature guarantee from an institution that does not participate in the Medallion program or that is not recognized by the transfer agent.

For more information about removing US restrictive legends from share certificates go to: How Do You Get the Restrictive Legend off Your US Stock Certificates: Rule 144
 

POWER OF ATTORNEY TO TRANSFER BONDS OR SHARES



FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers

unto__________________________________________________________________________
        (Name of transferee)
______________________________________________________________________________
        (Address)
______________________________________________________________________________
(Description of Security - include number and class of Shares or, amount (par value), rate and maturity of Bonds)

standing in the name of the undersigned on the books of the said__________________________
(Government, Municipality, Corporation, etc.)
represented by bond(s) No.(s)________________________________________________
certificate(s)

and hereby irrevocably constitutes and appoints _______________________________________

the attorney of the undersigned to transfer the said bond(s) on the books of the said ___________ ________________________________________with full power of substitution in the premises.
(Government, Municipality, Corporation, etc.)

DATED at __________________________this _____________day of _____________, 200.



Signed in the presence of



____________________________________              ___________________________________
                                                                                      (Signature of person executing this power)                                       

 

Signature of transferor guaranteed by:


___________________________ *Authorized Signature Number



 

NOTE: The signature to this assignment must correspond with the name as recorded on the certificate(s)/bond(s) in every particular without alteration or enlargement or any change whatever. The signature of the person executing this power must be guaranteed by a Bank or Trust Company; or a Member of the Toronto, Montreal, or New York Stock Exchange.
 


Alixe B. Cormick
Venture Law Corporation

618 - 688 West Hastings Street
Vancouver, B.C.
V6B 1P1
Phone: 604-659-9188
Fax: 604-659-9178
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