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Affidavit Of Lost Stock Certificate Form
"I need an Affidavit Of Lost Stock Certificate Form for 1,000 shares of common stock in Tesla Inc., certificate number TC-2345, which was misplaced during an office move in January 2025; the issuing company requires a surety bond for replacement."
1. Title and Introduction: Formal identification of the document as an affidavit and state jurisdiction
2. Affiant Information: Full legal name and contact details of person making the affidavit
3. Certificate Details: Specific information about the lost certificate including certificate number, shares, and issuing company
4. Statement of Loss: Declaration of how and when the certificate was lost or destroyed
5. Search Efforts: Description of efforts made to locate the certificate
6. Indemnification Statement: Promise to indemnify the company against claims related to the lost certificate
7. Verification: Statement of truth and accuracy under penalty of perjury
8. Notarization Block: Space for notary acknowledgment and seal
1. Title and Introduction: Formal identification of the document as an affidavit and state jurisdiction
2. Affiant Information: Full legal name and contact details of person making the affidavit
3. Certificate Details: Specific information about the lost certificate including certificate number, shares, and issuing company
4. Statement of Loss: Declaration of how and when the certificate was lost or destroyed
5. Search Efforts: Description of efforts made to locate the certificate
6. Indemnification Statement: Promise to indemnify the company against claims related to the lost certificate
7. Verification: Statement of truth and accuracy under penalty of perjury
8. Notarization Block: Space for notary acknowledgment and seal
1. Copy of Original Certificate: If available, a copy of the lost certificate
2. Police Report: If the certificate was stolen, copy of filed police report
3. Proof of Purchase: Documentation showing original acquisition of shares
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