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