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:
Name
Address
City, State Zip
SS#/Tax-ID#
Once completed, please return the shares to me
by FedEx. My account number # is 123456789.
Sincerely,
Joe Smith