Medallion signature guarantee form 2026

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  1. Click ‘Get Form’ to open the medallion signature guarantee form in the editor.
  2. Begin by entering the name of the assignor in the designated field. This is the individual transferring the stock.
  3. Fill in the complete address of the assignor, including street address, city, state, and zip code.
  4. Next, enter the name of the assignee—the person receiving the stock—followed by their complete address.
  5. Indicate the number of shares being transferred in the appropriate field.
  6. Specify the name of the corporation whose stock is being assigned.
  7. Enter the certificate number associated with these shares for accurate record keeping.
  8. Designate an attorney-in-fact by entering their name, granting them authority to execute this transfer on your behalf.
  9. Finally, sign and date where indicated. Ensure that a medallion signature guarantee is provided to validate your signature.

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If you have been unable to obtain a medallion guarantee, you should contact the transfer agent or issuer corporation requiring the medallion signature for assistance.
To provide an MSG, a financial institution must be a member of a recognized Medallion program and meet strict guidelines for verifying identity and legal authority. Many institutions offer MSGs free to account holders. Non-account holders may pay a nominal fee from $10 to $100.
If a financial institution is not a member of a recognized Medallion Signature Guarantee Program, it will not be able to provide medallion signature guarantees. Also, if you are not a customer of a participating financial institution, it is likely the financial institution will not guarantee your signature.

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