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An Affidavit of Lost, Stolen, or Destroyed Stock Certificate typically includes the following details: Affiant's information: Full name, address, contact details, and relationship to the stockholder. Stock certificate details: Stockholder's name, the certificate number, the number of shares, and the issuing company. More items... Describe the stock that was lost as best as you can. Insert the number of shares, the par value, the type of stock that the certificates represented (e.g., ...Know for whom this document is being signed and where. Circumstances. Be able to describe how the stock certificates were lost or destroyed. Stock information. If you lose a stock certificate, whether through fire, theft or some other means, replacing that certificate is a relatively straightforward process. Tell the company's stock transfer agent how many shares have been lost and the approximate date on which they were purchased. This form is a generic example ... An affidavit used when a stock certificate has been lost, stolen, or destroyed. This Standard Document has integrated notes with important explanations and ... 3. Fill out the affidavit: Complete the affidavit of loss form accurately and truthfully. Provide detailed information such as your name, address, contact ... complete the Affidavit of Lost, Stolen and Destroyed Stock Certificates, conveniently located on your Transmittal. Form. Please be sure to have each owner ... Lost, Stolen or Destroyed Certificates. The board of directors may authorize ... the certificate claimed to have been lost, destroyed or wrongfully taken. ... a person owning stock in the corporation signed the will as a witness. (1949, c. 44 ... If the will is fraudulently suppressed, stolen, or destroyed, or is lost ...