Example Letter


*Please copy, paste & edit this template, as needed, to fit your intended transfer*


Joe Smith
12 Buckle My Shoe Lane
Two Dot, MT 95003


** Current Date **


Securities Transfer Corporation
Attn: Transfer Dept
2901 N Dallas Parkway, Suite 380

Plano, TX 75093


RE: Removal of restriction on shares of ABC Company


To Whom It May Concern:


I would like to remove the restriction on __________ shares from certificate number __________.  In order to complete this request, I have included the following items:


         My original restricted certificate

         A Statement of non-affiliation

         A legal opinion letter from a securities attorney

         Transfer fee, payable to Securities Transfer Corporation


Please issue the new certificate as follows:




City, State Zip



Once completed, please return the shares to me by FedEx.  My account number # is 123456789.





Joe Smith