Medallion Forms

Access essential forms required for the seamless transfer of your securities. Our resources ensure a smooth and timely process to meet your needs.
Medallion Signature Guarantee Stamp Sample

Welcome to Our Medallion Forms Page

Here, you’ll find information on a variety of forms that are often required to complete the transfer of your securities. These documents are designed to assist you in ensuring a smooth and efficient process.

Needed Documents & Forms

These documents and forms are commonly needed for nearly every securities transfer:

  • Certificate Copy: A copy of the front and back of the physical certificate is required if you are depositing it into a brokerage account or transferring it. Do not send the original certificate.
  • Book Entry Statement: A copy of the book entry statement is needed.
  • Stock Power: An original, signed stock power reflecting the nature of the transfer or sale of securities. Need help completing it? Contact us for assistance. (Generic Stock Power Power available for download.)
  • Photo ID: A current, government-issued photo ID (e.g., driver’s license or passport) is required to verify identity under U.S. AML laws.
  • Letter of Instruction: A letter directing the transfer agent to process the transfer.

Tax ID Verification Forms

U.S. Anti-Money Laundering regulations and the Patriot Act require appropriate TAX ID verification for securities holders.

Corporate Medallion Forms

Corporate shareholders are required to provide certain documents to verify the authority of the person signing on behalf of the corporate entity.  The relevant documents are as follow:

  • Limited Liability Certification:  This certifies who has authority to sign on behalf of the limited liability company.  A sample is available here. 
  • Limited Partnership Certification:  This certifies who is authorized to sign on behalf of the limited partnership.  A sample is available here.
  • Secretary’s Certificate:  This certifies who is able to sign on behalf of the corporation.  A sample is available here.
  • Trust Agreement:  We will need to see a copy of the trust agreement, which will specify who is authorized to sign on behalf of the trust.

Estate Transfers

Documents required for transferring securities after a shareholder’s death:

Transfer Following a Divorce

Divorce Decree:  For obvious reasons, we do not have a sample copy.  However, you will need to provide the transfer agent, brokerage firm, or other appropriate party a copy of your divorce decree signed by the judge.

Need More Information?

Explore additional details about our Medallion Signature Guarantee Stamp program (here). For assistance, contact us at 404-816-8240 or submit an online inquiry 

We are here to help with your needs.