Affidavit re Lost Stock Certificate (USA)

USA shareholders, if your stock certificate has been lost or damaged, you will need to swear an Affidavit re Lost Stock Certificate before the corporation can issue you a new certificate. The shareholder attests that the certificate representing the shareholder's shares has been lost, and the shareholder requests a replacement certificate. The shareholder also indemnifies the corporation against any claim for ownership of the shares by another party. This USA Affidavit re Lost Stock Certificate form is available as a downloadable and fully customizable MS Word document.