Affidavit of Lost, Stolen or Destroyed Stock Certificate Template

This affidavit of lost, stolen or destroyed stock certificate template has 1 pages and is a MS Word file type listed under our legal agreements documents.

Sample of our affidavit of lost, stolen or destroyed stock certificate template:

AFFIDAVIT OF LOST STOCK CERTIFICATE This Affidavit of Lost Stock Certificate (the "Agreement") is made and effective [DATE], BETWEEN: [YOUR COMPANY NAME] (the "Company"), a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at: [YOUR COMPLETE ADDRESS] AND: [STOCKHOLDER NAME] (the "Stockholder"), an individual/ a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at: [COMPLETE ADDRESS] TERMS The undersigned Stockholder hereby declares, under penalty of perjury, as follows: The undersigned is the owner of a total of [number of shares] shares of the Common Stock of [name of company], Inc., a [state where company incorporated] corporation (the "Company").