EX-4.0 3 w84881exv4w0.txt EXHIBIT 4.0 NUMBER SHARES ANB @ACCESSNATIONALBANK.COM PROGRESSIVE BUSINESS BANKING SEE REVERSE FOR CERTAIN DEFINITIONS CUSIP 00432K 10 3 CHANTILLY VIRGINIA ORGANIZED UNDER THE LAWS OF THE UNITED STATES THIS CERTIFIES THAT IS THE OWNER OF FULLY PAID SHARES OF THE COMMON STOCK OF ACCESS NATIONAL BANK with a par value of fifty dollars ($50.00) each, transferable on the books of the Association by the holder hereof in person or by duly authorized attorney on surrender of this certificate properly endorsed. This certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar. Witness the facsimile seal of the Association and the signatures of the duly authorized officers. Dated: (SEAL) COUNTERSIGNED AND REGISTERED ACCESS NATIONAL BANK TRANSFER AGENT AND REGISTRAR BY /s/ [ILLEGIBLE SIGNATURE] AUTHORIZED SIGNATURE /s/ [ILLEGIBLE SIGNATURE] /s/ [ILLEGIBLE SIGNATURE] CASHIER OR SECRETARY PRESIDENT AND CHIEF EXECUTIVE OFFICER ACCESS NATIONAL BANK KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, OR DESTROYED, THE ASSOCIATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION OF THE ISSUANCE OF A REPLACEMENT CERTIFICATE. 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_______ TEN ENT -as tenants by the entireties (Cust) (Minor) JT TEN -as joint tenants with right of under Uniform Gifts to Minors survivorship and not as tenants Act___________________ in common (State) 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 postal zip code of assignee _______________________________________________________________________________ _______________________________________________________________________________ _________________________________________________________________________shares of the Common Stock represented by the within certificate, and do hereby irrevocably constitute and appoint ______________________________________________________________________attorney, to transfer the said stock on the books of the within named Association, with full power of substitution in the premises. Dated____________________________________. ________________________________________________ NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER. SIGNATURE(S) GUARANTEED: ________________________________________________ THE SIGNATURE(S) SHOULD 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.