Get Restriction Removal Request Form - Action Stock Transfer Corporation

Completing the Restriction Removal Request Form correctly is essential for the removal of legends from your stock certificates. This guide provides clear, step-by-step instructions to help you navigate the online process with ease.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your full name in the 'Shareholder Name' field accurately.
3. Complete the 'Street Address', 'City, State, Zip Code' fields with your current address.
4. Provide your Tax ID or Social Security Number in the relevant field.
5. Input your contact number in the 'Phone Number' section.
6. Specify the number of shares for which you request legend removal in the specified field.
7. Fill in the name of the company related to your stock certificates in the appropriate section.
8. Indicate the date you acquired the shares by filling in the 'Date' field.
9. Select one option regarding how you received the shares by marking the corresponding checkbox.
10. Indicate how you paid for the shares by marking the applicable checkbox.
11. Affirm that you have not been an affiliate of the company by completing the relevant declaration.
12. Confirm that you have no material, non-public information about the company.
13. State whether you believe the company has had significant operations and assets.
14. Provide your signature to validate the request at the designated area.
15. Print your name under the signature line and enter the date of submission.
16. After reviewing your information, save changes, download, print, or share the form as needed.

Ensure you complete your Restriction Removal Request Form online today for a smooth processing experience.