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This document serves as an affidavit for individuals who have lost a stock certificate and seek to obtain a duplicate. It includes declarations of ownership, acknowledgment of loss, and indemnification
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How to fill out affidavit of lost stock

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How to fill out Affidavit of Lost Stock Certificate

01
Obtain the Affidavit of Lost Stock Certificate form from your stockholder services or company's investor relations office.
02
Fill out your personal information, including your name, address, and contact details.
03
Provide details of the lost stock certificate, including the certificate number, the name of the issuing company, and the number of shares.
04
Include a statement confirming that the stock certificate is lost and you have not sold, transferred, or pledged it.
05
Sign the affidavit in the presence of a notary public to make it legally binding.
06
Submit the completed affidavit to the issuing company along with any required supporting documents.

Who needs Affidavit of Lost Stock Certificate?

01
Investors who have lost their stock certificates and need to replace them.
02
Individuals involved in the transfer or inheritance of stocks where the original certificates are not available.
03
Shareholders who need to assert their ownership for legal or financial reasons.
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Key Takeaways A lost stock certificate does not mean you lose ownership of the underlying shares. Immediate steps include notifying the transfer agent and placing a stop transfer order. An affidavit and an indemnity bond are typically required to issue a replacement certificate.
An affidavit used when a stock certificate has been lost, stolen, or destroyed. This Standard Document has integrated notes with important explanations and drafting tips.
An affidavit of loss is a document declaring the loss of a security usually through theft or destruction. The affidavit contains all the details regarding the loss, such as the owner's name and any information pertaining to the security. That information may include a serial number or the security's date of issue.
If an investor wants a stock certificate or if it is lost, stolen, or damaged, they can contact a company's transfer agent to receive a new one.
Key Elements of an Affidavit of Loss Declarant's Details: Full name, address, and identification details of the person making the affidavit. Description of Lost Item: Detailed information about the lost item/document, including its nature, identification numbers, and other relevant details.
If contacting the share registrar to request a replacement certificate, you will likely be asked to pay an indemnity fee. This is based on the value of the shares and is payable for each individual shareholding. In some instances, you may be able to proceed with selling the shares without the certificate.
If your securities certificate is lost, accidentally destroyed, or stolen, you should immediately contact the transfer agent and request a "stop transfer" to prevent ownership of the securities from being transferred from your name to another's.
An Affidavit of Lost Stock Certificate is a sworn statement used when a stock certificate is lost, stolen, or destroyed. Your Affidavit of Lost Stock Certificate must be commissioned by a notary to make it valid and accepted by the issuing company.

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An Affidavit of Lost Stock Certificate is a legal document that a shareholder uses to declare that a stock certificate has been lost or destroyed and to request the issuance of a replacement certificate.
The shareholder who originally owned the lost stock certificate is required to file the Affidavit of Lost Stock Certificate to initiate the process of obtaining a replacement.
To fill out an Affidavit of Lost Stock Certificate, the shareholder must provide personal information, details about the stock certificate, including the certificate number if known, the number of shares, and a statement confirming the loss of the certificate.
The purpose of the Affidavit of Lost Stock Certificate is to formally document the loss of the stock certificate and to protect the shareholder's interests by allowing for the issuance of a new certificate without risking unauthorized claims by others.
The information that must be reported includes the shareholder's name and contact information, details about the stock certificate (such as company name, certificate number, the number of shares), and a declaration of the circumstances surrounding the loss.
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