Bookmark / Add to Favourite!

Search for a sample letter:

A to Z Letters: 1-100 - 101-200 - 201-300 - 301-400 - 401-500 - 501-600 - 601-700 - 701-800 - 801-900 - Home

 
Letter Writing Guide

Business Letter

Cover Letter
Complaint Letter
Resignation Letter
Interview Thank You Letter
Apology Letter
Recommendation Letter
Friendly Letter
Thank You Note
Affidavit For Lost, Stolen, Destroyed Stock Certificate



State of [State]
County of [County]

I, [name], being duly sworn, state:
That I reside at [Complete address], [city], [state]

That I am the legal and beneficial owner of [numerical quantity]
shares of the [specify class] stock of [corporation]
represented by certificates described as follows:
Number Date Registered Name

That said certificates [were or were not] endorsed.

That I have not assigned, hypothecated, pledged, or in any
other way disposed of either the stock certificates or my
rights as a stockholder, in whole or in part.

That I am entitled to full and exclusive possession of said
certificates.

That the circumstances surrounding the [loss, or theft,
or destruction, or disappearance] of said certificates
and my attempt to locate them are as follows:
[brief description]

That the purpose of preparing this affidavit is to induce
[corporation] to issue new certificates to replace those
that have been [lost, stolen, destroyed].

I hereby agree to surrender to [corporation] the
original certificates issued to me should they hereafter
come into my possession or control.


Dated:


______________________________________
[Clearly Print Name After Signature]

Dated:

Witness: ______________________________
[clearly print name after signature]


Sworn and subscribed before me this [numerical] day of [Month],
[Year] A.D.


Notary Public: ______________________________
[clearly print name after signature]

My Commission expires: [Date]
 

 
Free letter sample & letter example at isampleletter.com - Find all types of business letters, samples, examples and templates free.
 
 

Contact Us - iSampLetter.com 2008