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Certicate information
For value received, the undersigned does hereby sell, assign, or transfer the stocks or bonds described below to:
Vanguard Brokerage Services
Account number: 76580331
Name of issuer
Number of shares or bonds Type
Common
Preferred
CUSIP number
Certicate number(s)
1
Irrevocable stock or
bond power
Vanguard Charitable received certicates that are either unsigned or
incorrectly endorsed. Use this form to authorize Vanguard Charitable to
deposit your shares.
If you require extra space, include additional sheets. Please do not staple.
For more information, refer to our Policies and guidelines booklet.
Contact us with questions
888-383-4483
donorservice@vanguardcharitable.org
Required signatures
The undersigned does hereby irrevocably constitute and appoint Vanguard Brokerage Services attorney to transfer
the said stocks or bonds on the books of said company, with full power of substitution in the premises. Vanguard
Brokerage Services will not be responsible for providing the donor at any time with information concerning cash/stock
dividends, stock splits, corporate actions, or any other information, advice, guidance, or recommendation with respect
to a donor order to transfer securities.
• The owners named on this form must correspond in every way with the names as written on the face of the stock
certicate or bond.
• If a name on the certicate is misspelled, sign this form twice: Once with the correct spelling and once with the
spelling that appears on the certicate.
• If a name has changed, the appropriate endorsement is “Jane Smith now Jane Jones.”
• The appropriate endorsement for a corporate ofcer is “John Doe, (title).” Example: John Doe, partner.
• If no trustee names are listed on the certicate, all trustees must sign.
Provide required signatures on the following page.
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ISBP 102018