¶¶Òõ¶ÌÊÓƵ

All Countries
Compliance
Affidavit For Loss Of Certificate

Affidavit For Loss Of Certificate Generator for the USA

Create a bespoke document in minutes,  or upload and review your own.

4.6 / 5
4.8 / 5

Let's create your Affidavit For Loss Of Certificate

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Affidavit For Loss Of Certificate

"I need an Affidavit for Loss of Certificate for 100 shares of Tesla stock that were lost during an office move in January 2025, requiring strong indemnification clauses and including reference to a police report that was filed."

Celebrated by
Collaborations with
Investors
Document background
The Affidavit for Loss of Certificate is a crucial document used when original certificates (such as stock certificates, academic credentials, or bond certificates) are lost, stolen, or destroyed. This affidavit serves as a formal declaration under oath, providing legal protection for both the certificate holder and issuer. It includes specific details about the lost certificate, circumstances of loss, and steps taken to locate it. The document is particularly important in the United States, where it must comply with state-specific requirements, UCC regulations, and federal securities laws when applicable. It typically includes an indemnification clause protecting the issuer against potential claims arising from the lost certificate's misuse.
Suggested Sections

1. Affiant Information: Full legal name, address, and contact details of the person making the affidavit

2. Certificate Details: Comprehensive information about the lost certificate including certificate number, type, date of issuance, face value, and issuing authority

3. Circumstances of Loss: Detailed explanation of how and when the certificate was lost, stolen, or destroyed, including the last known location

4. Search Declaration: Statement describing all efforts made to locate the missing certificate

5. Indemnification: Legal statement promising to indemnify and hold harmless the issuing authority against any claims or liabilities

6. Verification: Statement confirming the truth of all information provided under penalty of perjury

Optional Sections

1. Affiant Information: Full legal name, address, and contact details of the person making the affidavit

2. Certificate Details: Comprehensive information about the lost certificate including certificate number, type, date of issuance, face value, and issuing authority

3. Circumstances of Loss: Detailed explanation of how and when the certificate was lost, stolen, or destroyed, including the last known location

4. Search Declaration: Statement describing all efforts made to locate the missing certificate

5. Indemnification: Legal statement promising to indemnify and hold harmless the issuing authority against any claims or liabilities

6. Verification: Statement confirming the truth of all information provided under penalty of perjury

Suggested Schedules

1. Schedule A - Identification Documents: Copies of government-issued identification documents of the affiant

2. Schedule B - Certificate Documentation: Any available copies or records of the lost certificate

3. Schedule C - Supporting Documents: Additional documentation such as police reports, insurance claims, or correspondence regarding the loss

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓƵ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Clauses




















Industries

State-Specific Requirements: Each state has unique requirements for affidavits, including varying notarization requirements and specific statutory language that must be included in the document.

Securities Laws: Federal regulations including Securities Act of 1933, Securities Exchange Act of 1934, State Blue Sky laws, and SEC regulations regarding the replacement of lost securities certificates.

Uniform Commercial Code: Article 8 of the UCC, specifically Sections 8-405 and 8-406, governing investment securities and procedures for replacement of lost, destroyed, or wrongfully taken security certificates.

Legal Requirements for Affidavits: Federal and state regulations regarding perjury and false statements (18 U.S.C. ยง 1001), requirements for sworn statements, and compliance with Notary Public laws.

Statute of Limitations: Time-based restrictions including deadlines for reporting lost certificates and submitting replacement requests.

Corporate Laws: State-specific corporation laws regarding replacement certificates, along with relevant company bylaws and internal procedures for certificate replacement.

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Sworn Affidavit And Proof Of Loss Statement

A legally binding U.S. insurance document where a claimant formally declares details and value of a loss under oath.

find out more

Notary Affidavit For Lost Certificate

A U.S. legal document sworn before a notary public declaring the loss of a certificate and requesting its replacement.

find out more

Drivers License Affidavit Of Loss

A sworn statement used in U.S. jurisdictions to declare a lost or stolen driver's license and request a replacement.

find out more

Atm Affidavit Of Loss

A U.S. legal document declaring the loss or theft of an ATM card and reporting unauthorized transactions to a financial institution.

find out more

Affidavit Of Ownership And Loss With Undertaking

A notarized legal declaration used in the U.S. to formally assert ownership of lost property and provide an undertaking for its potential recovery.

find out more

Affidavit Of Lost Stock Certificate Form

A U.S. legal document declaring lost stock certificate and requesting replacement under state corporate laws.

find out more

Affidavit Of Lost Share Certificate

A notarized sworn statement used in the US to declare lost or stolen share certificates and request replacement.

find out more

Affidavit Of Lost Original Document

A legally binding sworn statement used in the United States to declare and provide details about a lost original document.

find out more

Affidavit Of Lost Drivers License

A notarized sworn statement used in the US to declare a lost driver's license when applying for a replacement at the state DMV.

find out more

Affidavit Of Loss Stock Certificate

A U.S. legal document declaring lost or stolen stock certificates and requesting replacement under federal and state securities laws.

find out more

Affidavit Of Loss Of Drivers License

A notarized statement used in the US to officially declare a lost or stolen driver's license and request a replacement.

find out more

Affidavit Of Loss Of Certificate Of Registration

A notarized statement used in the US to declare the loss of a vehicle registration certificate and request a replacement from state authorities.

find out more

Affidavit Of Loss License

A notarized sworn statement used in the United States to declare a lost driver's license and request a replacement from state authorities.

find out more

Affidavit Of Loss For Drivers License

A sworn statement used in U.S. states to declare a lost or stolen driver's license when applying for a replacement through the DMV.

find out more

Affidavit Of Loss For Certificate Of Registration

A legally binding U.S. document declaring the loss of a registration certificate, used to obtain a replacement from relevant authorities.

find out more

Affidavit Of Loss For Atm

A notarized sworn statement used in the US banking system declaring the loss or theft of an ATM card.

find out more

Affidavit Of Loss Drivers License

A notarized sworn statement declaring the loss of a driver's license, required by U.S. state DMVs for license replacement.

find out more

Affidavit Of Loss Driver's License

A notarized sworn statement used in the United States to declare a lost driver's license and request a replacement from state DMV authorities.

find out more

Affidavit Format For Lost Share Certificate

A U.S. legal document used to declare lost share certificates and request replacements, complying with federal and state securities laws.

find out more

Sworn Affidavit For Lost Documents

A legally binding sworn statement used in the U.S. to formally declare the loss of important documents and request replacements.

find out more

Sworn Affidavit & Proof Of Loss Statement

A legally binding U.S. document used to formally declare insurance losses under oath, typically requiring notarization.

find out more

Request Letter For Affidavit Of Loss

A formal request document used in the United States to obtain an official declaration confirming the loss of an important document or instrument.

find out more

Affidavit Of Non Loss Of Title

A notarized statement used in the US declaring that a vehicle's title has not been lost or misplaced.

find out more

Affidavit Of Lost Summons

A sworn statement used in U.S. courts to declare the loss of an original summons and request a replacement.

find out more

Affidavit Of Lost Stock Certificate And Indemnity Agreement

A U.S. legal document combining a sworn statement of lost stock certificate with an agreement to protect the issuing corporation when providing a replacement certificate.

find out more

Affidavit Of Lost Stock Certificate

A notarized declaration used in the US to report and replace lost or stolen stock certificates, complying with federal and state securities laws.

find out more

Affidavit Of Lost Instrument

A notarized sworn statement used in the US to declare and provide details about a lost financial or legal instrument.

find out more

Affidavit Of Lost Document Form

A notarized sworn statement, valid across U.S. jurisdictions, declaring the loss of an important document and circumstances surrounding its loss.

find out more

Affidavit Of Lost Deed

A notarized sworn statement used in the US legal system to document and verify the loss of an original property deed.

find out more

Affidavit Of Lost Corporate Document

A notarized sworn statement under U.S. law certifying the loss of a corporate document and circumstances surrounding its disappearance.

find out more

Affidavit Of Loss With Undertaking

A notarized U.S. legal document declaring the loss of an item and promising to indemnify parties if a replacement is issued.

find out more

Affidavit Of Loss Release Of Interest

A notarized U.S. legal document certifying the loss of an original title or release of interest, enabling property transfer proceedings.

find out more

Affidavit Of Loss Pawn Ticket

A notarized statement used in the US to declare the loss of a pawn ticket and maintain claim to pawned items.

find out more

Affidavit Of Loss Letter

A notarized sworn statement documenting lost items or documents under U.S. law, used for replacement purposes.

find out more

Affidavit Of Loss For Multiple Items

A U.S. legal document declaring the loss of multiple items under oath, typically used for insurance claims or official purposes.

find out more

Affidavit Of Loss Driver's License Format

A notarized sworn statement used in US jurisdictions to declare a lost or stolen driver's license and request a replacement.

find out more

Affidavit Of Loss Certificate Of Registration

A notarized legal declaration used in the United States to formally document the loss of a registration certificate and facilitate replacement.

find out more

Affidavit Of Loss Baptismal Certificate

A notarized sworn statement used in the US to declare the loss of a baptismal certificate and request a replacement.

find out more

Affidavit Of Loss Authorization Letter

A U.S. legal document combining a sworn statement of loss with authorization for replacement of important documents or items.

find out more

Affidavit Of Loss Atm

A notarized legal declaration used in the US banking system to formally report and document the loss or theft of an ATM card.

find out more

Affidavit Of Loss And Indemnity Agreement

A U.S. legal document combining a sworn statement of loss with an indemnification agreement to protect against related future claims.

find out more

Affidavit Of Fire Loss

A sworn statement used in the United States to formally document and verify losses resulting from a fire incident for insurance purposes.

find out more

Affidavit Format For Lost Certificate

A U.S. legal document used to formally declare a lost certificate and request its replacement, requiring notarization and compliance with state laws.

find out more

Affidavit For No Third Party Loss

A U.S. legal document sworn under oath declaring that no third parties have suffered losses or damages in relation to a specific incident.

find out more

Affidavit For Lost Vehicle Registration Certificate

A notarized statement used in the U.S. to declare a lost vehicle registration certificate and request a replacement from state DMV authorities.

find out more

Affidavit For Lost Share Certificate

A sworn statement used in the US to declare lost share certificates and request replacements, governed by state corporate laws and the UCC.

find out more

Affidavit For Lost Drivers License

A sworn statement used in U.S. state DMVs to declare a lost or stolen driver's license and request a replacement.

find out more

Affidavit For Lost Degree Certificate

A notarized sworn statement used in the US declaring the loss of an original degree certificate and requesting replacement.

find out more

Affidavit For Loss Of Share Certificate

A sworn legal document used in the U.S. to declare the loss of a share certificate and request its replacement under federal and state securities laws.

find out more

Affidavit For Loss Of Property Documents

A notarized sworn statement used in the US legal system to declare and document the loss of property-related documents.

find out more

Affidavit For Loss Of Original Sale Deed

A U.S. legal document declaring the loss of an original property sale deed, requiring notarization and official recording.

find out more

Affidavit For Loss Of Original Document

A sworn statement used in the United States to officially declare and document the loss of an original document or instrument.

find out more

Affidavit For Loss Of Certificate

A notarized sworn statement used in the US to declare lost certificates and request replacements, governed by state and federal regulations.

find out more

Download our whitepaper on the future of AI in Legal

By providing your email address you are consenting to our Privacy Notice.
Thank you for downloading our whitepaper. This should arrive in your inbox shortly. In the meantime, why not jump straight to a section that interests you here: /our-research
Oops! Something went wrong while submitting the form.

³Ò±ð²Ô¾±±ð’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; ³Ò±ð²Ô¾±±ð’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

Our bank-grade security infrastructure undergoes regular external audits

We are ISO27001 certified, so your data is secure

Organizational security

You retain IP ownership of your documents

You have full control over your data and who gets to see it

Innovation in privacy:

Genie partnered with the Computational Privacy Department at Imperial College London

Together, we ran a £1 million research project on privacy and anonymity in legal contracts

Want to know more?

Visit our for more details and real-time security updates.

Read our Privacy Policy.

Draft quality legal agreements or review documents in 3 minutes

BlogAbout UsCareers🌎 Global Site

Templates

Short-Form Directors Loan AgreementMandate Letter (Best Efforts)Drawdown Request (Borrower to Lender)Promissory Note (UK)Letter of Waiver (Loan)Finance Legal Templates

Industries

Legal Services

Limited Power of AttorneyBasic Binding Side LetterLetter of IntentNon Binding Comfort LetterDeed of Surrender (Lease)Templates for Lawyers

Manufacturing

Manufacturing Legal Templates

Construction

Letter of Claim (Pre-Action Protocol)Tenancy at WillSection 146 Notice (Remedy Breach of Lease)Notice Of Forfeiture Of Lease By LandlordLease Report (Long Form)Construction Legal Templates

Solutions

Use Cases

Company Types

Comparisons

Business Categories

Teams

Information

© 2024 ¶¶Òõ¶ÌÊÓƵ. All rights reserved