An Affidavit of Loss Stock Certificate is essential when stockholders need to replace lost, stolen, or destroyed stock certificates. This document, governed by U.S. federal securities laws and state regulations, provides legal protection for both the certificate holder and the issuing company. It must include specific details about the lost certificate, circumstances of loss, and often requires indemnification provisions. Companies typically require this affidavit before issuing replacement certificates to ensure compliance with SEC requirements and protect against fraudulent claims.
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1. Title and Introduction: Formal identification of the document as an affidavit
2. Affiant Information: Personal details of the person making the affidavit
3. Stock Certificate Details: Information about the lost certificate including number, shares, and company
4. Circumstances of Loss: Description of how the certificate was lost or destroyed
5. Declaration of Ownership: Statement confirming rightful ownership
6. Indemnification: Promise to indemnify company against claims
7. Verification: Sworn statement of truth
8. Notarization Block: Space for notary acknowledgment
1. Search Efforts: Details of attempts to locate the certificate when company requires documentation of search efforts
2. Bond Provision: Agreement to provide surety bond when required by company policy or high-value certificates
3. Additional Witnesses: Statements from witnesses when circumstances of loss involved third parties
1. Copy of Original Certificate: If available, photocopy of lost certificate
2. Police Report: If certificate was stolen or lost due to crime
3. Proof of Purchase: Documentation showing how shares were acquired
4. Surety Bond: If required by company policy
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