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Fill and Sign the Tennessee Board of Regents Disclosure Form This Form Must

Fill and Sign the Tennessee Board of Regents Disclosure Form This Form Must

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Open the document and fill out all its fields.
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Gift of Stock Interest in Business to Family Member The undersigned _________________________ of __________________________________________________ (street address, city, state, zip code) , do hereby give and deliver to my _______________ (son, daughter, etc.), _________________________ of __________________________________________________ (street address, city, state, zip code) , hereafter sometimes referred to as ฀Donee, ฀ ____ percent (_____%) interest in my business conducted under the name of ____________________________________ , at __________________________________________________ (street address, city, state, zip code) . The interest conveyed to Donee consists of ______________ (number) shares of the common stock represented by Certificate Numbers _________________________________ (list certificate numbers) which certificates are hereby delivered to Donee, properly endorsed over to _________________________. Witness my signature as of this the ____ day of _________, 20____. ______________________________

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