Affidavit for Lost, Stolen, or Destroyed Stock Certificate
What is this form?
The Affidavit for Lost, Stolen, or Destroyed Stock Certificate is a legal document used to declare that a stock certificate has been lost, stolen, or destroyed. This affidavit serves as an official statement to facilitate the reissuance of a new stock certificate by the corporation. It is different from other forms related to stock ownership, as it specifically addresses situations involving the absence of the original certificate.
Key parts of this document
- Affiant's name and address
- Details of the lost stock certificate, including the number of shares and the issuing corporation
- Statement of whether the original certificates were endorsed
- Affiant's declaration of ownership and the circumstances surrounding the loss
- Request to the corporation for new certificates
- Affidavit signature and notarization section
Situations where this form applies
This form should be used when you have lost a stock certificate due to theft, destruction, or misplacement. It is commonly required when you wish to replace the missing certificate with a new one to maintain ownership records or access any dividends or voting rights associated with the stock.
Who can use this document
- Shareholders who have lost their stock certificates
- Individuals seeking to declare a stock certificate as stolen or destroyed
- Anyone involved with stock ownership for a corporation requiring a legal affirmation of stock loss
Steps to complete this form
- Identify and enter your name, address, and contact details.
- Specify the number of shares and details of the lost stock certificate, including the corporation name.
- Indicate if the original certificates were endorsed.
- Describe the circumstances of the loss, theft, or destruction.
- Sign the affidavit in the presence of a notary public.
Is notarization required?
Notarization is required for this form to take effect. Our online notarization service, powered by Notarize, lets you verify and sign documents remotely through an encrypted video session, available 24/7.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
Typical mistakes to avoid
- Failing to provide complete and accurate details about the lost stock certificate.
- Not having the affidavit notarized as required.
- Omitting a description of the circumstances surrounding the loss.
Benefits of completing this form online
- Convenience of immediate access to a reliable legal form.
- Editability allows you to tailor the affidavit to your specific needs.
- Reliable source ensures that the form is drafted according to legal standards.
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FAQ
An affidavit of loss can be filed for other types of document, such as those related to ownership of a house, a passport, a diploma or even an ATM card.Some require an affidavit of loss to be notarized.
If you are missing certificates, contact the issuing company, transfer agent or the stock brokerage where the shares were bought. Brokerage firms can research the history of shares traded in the account and certificates you think are lost, and they can also deal with the transfer agent on your behalf.
3. How much is the affidavit of the loss in the Philippines? The going rate for notarization affidavit loss usually starts at Php 100. The price varies depending on the place and noted the public itself.
Prepare the document. Print at least three copies of the document. Go to the notary public to have the document notarized. Sample Affidavit of Loss for Lost Postal ID. Sample Affidavit of Loss for Lost UMID/SSS ID.
A narration of the circumstances of the loss, which includes (i) description of the item or document lost; (ii) description of how it got lost; (iii) the effort exerted to find it; and (iv) your request for a replacement of the item or document lost. The signature of the affiant.
Title the affidavit. First, you'll need to title your affidavit. Craft a statement of identity. The very next section of your affidavit is what's known as a statement of identity. Write a statement of truth. State the facts. Reiterate your statement of truth. Sign and notarize.
3. How much is the affidavit of the loss in the Philippines? The going rate for notarization affidavit loss usually starts at Php 100. The price varies depending on the place and noted the public itself.
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.
