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Stock Power



STOCK POWER

FOR VALUE RECEIVED, the undersigned as Executor of the Estate of [Name of Decedent], does herewith sell, assign and transfer to Federal Identification Number [Federal Identification Number], shares of the stock of [Name of Company] standing in the name of the Decedent on the books of said Company represented by Certificate Number(s) , inclusive, and does hereby irrevocably constitute and appoint [Name and address of attorney] attorney, to transfer the said stock on the books of the Company with full power of substitution in the premises.

Date: [Date of agreement].



Signature

Executor of the Estate of [Name of Decedent]

Guarantee: [Guarantee]