EX-4.5 2 dex45.htm FORM OF SPECIMEN CERTIFICATE Form of Specimen Certificate

Exhibit 4.5

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FIRST STATE BANCORPORATION

The following abbreviations when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations:

 

    TEN COM   

-   as tenants in common

  

UNIF GIFT MIN ACT–                           Custodian                           

                                                 (Cust)                                   (Minor)

                    under Uniform Gifts to Minors

                    Act                                                      

                                               (State)

    TEN ENT   

-   as tenants by the entireties

  
    JT TEN   

-   as joint tenants with right of survivorship and not as tenants in common

  

Additional abbreviations may also be used though not in the above list.

 


For Value Received,                                                                           hereby sell, assign and transfer unto

PLEASE INSERT SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE

 

 
       

 


(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)

 


 


                                                                                                                                                                                                              Shares of the Common Stock represented by the within Certificate, and do hereby irrevocably constitute and appoint                                                                                                                                         attorney-in-fact to transfer the said stock on the books of the within-named Corporation, with full power of substitution in the premises.

Dated                                                  

 

     
     
   NOTICE:    THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER.

Signature(s) Guaranteed:

_________________________________________

The signature(s) must be guaranteed by an eligible guarantor institution (Banks, Stockbrokers, Savings and Loan Associations and Credit Unions with membership in an approved signature guarantee Medallion Program), pursuant to S.E.C. Rule 17Ad-15.