Use This Form If:

• Individuals who have misplaced their stock certificate may need to complete this declaration to affirm their ownership of the shares. This is particularly important if they wish to vote at an upcoming corporate meeting or sell their shares, as the declaration serves as proof of ownership in the absence of the physical certificate.
• Situations requiring the sale of shares often necessitate a Declaration Regarding Lost Share Certificate. Without this declaration, a shareholder may face challenges in proving their ownership, which could delay or prevent the transaction from occurring.
• For those who have inadvertently destroyed their stock certificate, this declaration provides a formal mechanism to assert their rights to the shares. It is crucial for maintaining accurate corporate records and ensuring that the shareholder can participate in corporate actions.
• Shareholders who need to clarify their ownership status after losing a certificate will find this declaration essential. It not only helps in asserting their rights but also protects them from potential claims of ownership by others.
• In cases where a shareholder is required to present proof of ownership for legal or financial purposes, this declaration can serve as a vital document. It provides a clear statement of the shareholder's intent and the circumstances surrounding the loss of the certificate.