CM 42 Securities Transfer Form

Type: Statutory form
Form: CM42
Category: Company documents

Download CM 42 Securities Transfer Form.doc

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COMPANIES ACT 2004

(Section 141) (Regulation 58)

SECURITIES TRANSFER FORM

For exchange control purposes

CERTIFICATION, IF ANY, BY ISSUER OF SECURITY

FULL NAME OF ISSUER OF SECURITY AS SHOWN ON CERTIFICATE

This portion to be completed by transferor(s) (that is, the person(s) in whose name(s) the securities are at present registered).

Figures

Words

Quantity and full description of securities

to be transferred

Description

Certificate(s) No.(s)

Distinctive

numbers(s) (if any)

TRANSFER FROM [in block letters insert the full name(s) of the present registered holder(s)]

[transferor(s)]

Date of signature

II/We the undersigned hereby transfer the above securities from the name(s) aforesaid to the person(s) named below or to the several persons named in Part B of the Broker's Transfer forms (CM41) relating to the above security.

.................................................................................

Date of signature........................................................

(Stamp of selling broker)

LODGED FOR CERTIFICATION BY

TRANSFER TO [in block letters insert the full name(s) and the postal address(es) of the person(s) into whose name(s) the securities are to be transferred]

[transferee(s)] ...........................................................................................................................................

.......................................................................................................................................................... .........................................................................................................................................................

.........................................................................................................................................................

This portion to be completed by the transferee(s) (that is, the person(s) in whose name(s) the securities are to be registered) or agent, except where broker’s transfer forms are used.

CONSIDERATION. - State the amount (in figures) paid for the securities. If no consideration was paid, to market value of the securities at the date of the transaction must be stated.

N$ .............................................................

I/We request that such entries be made in the register as are necessary to give effect to this transfer.

.......................................................................................................................................................

Name and address or stamp of person lodging this form or stamp of buying broker (if any)

NAMIBIAN REVENUE STAMPS (UNLESS BROKER'S TRANSFER FORMS ARE USED) or endorsement claiming exemption in terms of the Stamp Duties Act, 1993

FOR USE IN REGISTERING OFFICE

REPUBLIC OF NAMIBIA Form CM 42

BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA