Transfer Instruction
Letter This
form should be used when submitting a certificate for transfer. It includes a Stock Power (Section C), Substitute W-9 Form (Section D), and Cost Basis Form (Section E).
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Sellers Rep Letter
This form is required to
remove a restriction
from a certificate that
has been held 1+ years
by a non-affiliate and a
non-shell company.
Gift Letter
This form is used when
gifting stock
certificate(s) to an
individual or entity.
Must also be accompanied
by the Transfer Instruction Letter.
Stock Power
This form is used to authorize
the change of ownership
of a security. Please include the certificate number, number of shares, security name, signature and medallion. We cannot accept blank stock powers.
Affidavit of Domicile
An affidavit of domicile is used to
state where a person
resides (or where a
deceased person
resided). This form is typically
required when
transferring shares of
deceased owners.
The signature on the form must be
notarized. Must also be accompanied
by the Transfer Instruction Letter.
Change of Address Form
Complete this form
and send via fax or mail to change your
address in our records.
One and the Same Form
Complete this form
if transferring a certificate where your name was misspelled or legally changed.
Partnership Agreement
This form should be used to authorize a partner (usually general partner) to transfer securities on behalf of the partnership. Must also be accompanied
by the Transfer Instruction Letter.
LLC Certification
An LLC Certification is used to authorize a managing member to transfer securities on behalf of an LLC. Must also be accompanied
by the Transfer Instruction Letter.
Corporate Resolution
A corporate resolution is used to authorize a corporate officer to transfer securities on behalf of the corporation. Must also be accompanied
by the Transfer Instruction Letter.
Lost Securities Form Letter
This form is used to
initiate the replacement
process for a lost
certificate. Please fill
out the form completely.
Stop Release Letter
Shareholders that authorize Colonial to place a stop on a certificate for being lost or for any other reason and subsequently wish to remove the stop from the certificate will need to complete this form.