An Affidavit For Loss Of Share Certificate is required when a shareholder needs to replace a lost, stolen, or destroyed share certificate. This document is crucial in protecting both the shareholder's interests and the issuing company's liability under U.S. securities regulations. It contains detailed information about the lost certificate, circumstances of loss, and typically includes an indemnification clause. The affidavit must comply with federal securities laws, state corporate regulations, and company-specific requirements. It serves as the primary evidence and legal basis for issuing a replacement certificate.
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1. Title and Declaration: Formal title of document and declarant's information including full name, address, and occupation
2. Share Certificate Details: Specific details about the lost certificate including certificate number, number of shares, class of shares, and issuing company details
3. Circumstances of Loss: Detailed explanation of how, when, and where the certificate was lost, stolen, or destroyed
4. Ownership Verification: Statement confirming legitimate ownership of shares and how ownership was acquired
5. Search Statement: Declaration of diligent efforts made to locate the certificate and results of the search
6. Indemnification: Promise to indemnify the company against any claims or losses related to the lost certificate and its replacement
7. Execution: Signature block, date, and notarization requirements
1. Bond Posting: Details of surety bond when required by company policy or state law as security against potential future claims
2. Public Notice: Statement regarding public notifications made in newspapers or other media as required by state law or company policy
3. Previous Communications: Details of any previous correspondence with the company regarding the lost certificate
1. Schedule A - Proof of Identity: Copies of government-issued identification documents
2. Schedule B - Supporting Documents: Documentation proving ownership such as purchase records, dividend statements, or tax records
3. Schedule C - Bond Certificate: Copy of the surety bond certificate if required by the company
4. Schedule D - Public Notices: Copies of any published notices regarding the lost certificate
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