Declaration Regarding Lost Share Certificate - Corporate Shareholder

for Your State

This Declaration Regarding Lost Share Certificate - Corporate Shareholder will formally declare that a shareholder has lost or misplaced a stock certificate. This declaration must be signed by a corporate representative in the presence of a notary.

For Immediate Download

$19.95 Add to Cart
Free eSignature included
with every order
Please select a state

File types included

  • Microsoft Word
  • Adobe PDF
  • WordPerfect
  • Rich Text Format

Compatible with

  • Windows
  • Mac OS X
  • Linux

For Immediate Download

$19.95 Add to Cart
Free eSignature included
with every order
Please select a state

Attorney prepared

Our forms are kept up-to-date and accurate by our lawyers

Unlike other sites, every document on FindLegalForms.com is prepared by an attorney, so you can be sure that you are getting a form that is accurate and valid in your state.

Valid in your state

Our forms are guaranteed
to be valid in your state

Our team works tirelessly to keep our products current. As the laws change in your state, so do our forms.

Over 3,500,000
satisfied customers

In over 10 years of creating and selling legal forms, our focus has never changed: providing our customers high quality legal products, low prices and an experience that takes some confusion out of the law.

Free eSignature

Sign your form online, free with any form purchase

We now provide a free Electronic Signature Service to all of our visitors. There are no hidden charges or subscription fees, it's just plain free.

60-Days Money Back

Try our forms with no risk

If you are unhappy with your form purchase for any reason at all, contact us within 60 days and we will refund 100% of your money back.
This Declaration Regarding Lost Share Certificate - Corporate Shareholder is a formal declaration that a certain share certificate is lost, misplaced or stolen. This declaration sets forth the number of the certificate, number of shares and name of the shareholder to whom the shares were issued. It also sets forth the name of the corporate officer who is signing the declaration on behalf of the shareholder. A written Declaration Regarding Lost Share Certificate - Corporate Shareholder becomes a part of the official corporate record.

This Declaration Regarding Lost Share Certificate - Corporate Shareholder contains the following:
  • Certificate Information: Sets forth the number of the lost certificate and number of shares the certificate represents, name of corporation issuing the certificate and name of the shareholder;
  • Corporate Officer: Sets forth the corporate officer who is making the declaration that the certificate is lost;
  • Information: Sets forth that the certificate was lost, destroyed or misplaced and that the shares were not transferred or sold;
  • Signatures: This declaration must be signed by the officer in front of a notary public.

Protect yourself and your rights by using our attorney-prepared forms.

This attorney-prepared packet contains:
  1. General Instructions
  2. Declaration Regarding Lost Share Certificate - Corporate Shareholder
State Law Compliance: This form complies with the laws of all states
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Declaration Regarding Lost Share Certificate (Corporate Shareholder)

 

 

IN THE MATTER OF share certificate number [Number of Lost Share Certificate] (the "Certificate") for [Number and Class of Shares (ie. 100 Common)] shares (the "Shares") in the capital stock of [Name of Corporation whose Share Certificate has been Lost] (the “Corporation”) registered in the name of [Name of Shareholder] (the “Shareholder”).
I, [Name of Officer Signing on behalf of Shareholder], of the City of [City of Residence of Shareholder], in the State of [State of Residence of Shareholder].
DO SOLEMNLY DECLARE THAT:
1.   I am the [Capacity of Title of Person Signing Declaration (ie. President)] of the Shareholder and as such, have knowledge of the matters hereinafter deposed to.
2.   The Shareholder is the registered owner of the Shares represented by the Certificate. The Shares are registered in the name of the Shareholder on the books and registers of the Corporation.
3.   The Shareholder has not sold, transferred, assigned, pledged, hypothecated or otherwise encumbered or disposed of the Shares, nor has the Shareholder in any way divested itself or been divested of the absolute ownership thereof.
4.   The Certificate has been mislaid, lost, stolen or destroyed so that the same cannot be found or produced. At the time when it was mislaid, lost, stolen or destroyed, the Certificate had not been endorsed for transfer.
5.   I make this solemn declaration for the purpose of inducing the Corporation to replace or cause to be replaced the Certificate, and to issue or cause to be issued a new certificate or certificates in my name in lieu of the Certificate, and I hereby declare that if the Certificate comes into the Shareholder's possession or control ormy possession or control, I will immediately surrender the Certificate to the Corporation.
Declared on [Date (ie. July 31, 2002)].
 
   [Name of Officer Signing on behalf of Shareholder]
 
District of [District]:
On [Date (ie. July 31, 2002)], before me personally appeared [Name of Officer Signing on behalf of Shareholder], to me known, who, being duly sworn, did say that  is the [Capacity of Title of Person Signing Declaration (ie. President)] of [NAME OF ASSIGNOR], and that the foregoing Declaration Regarding Lost Share Certificate was signed and sealed on behalf of the said corporation by authority of its Board of Directors, and acknowledged said instrument to be the free act and deed of said corporation.
 
 
 
 
 
 
Notary Public
 
Number of Pages4
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#28510
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Declaration Regarding Lost Share Certificate (Corporate Shareholder)

 

 

IN THE MATTER OF share certificate number [Number of Lost Share Certificate] (the "Certificate") for [Number and Class of Shares (ie. 100 Common)] shares (the "Shares") in the capital stock of [Name of Corporation whose Share Certificate has been Lost] (the “Corporation”) registered in the name of [Name of Shareholder] (the “Shareholder”).
I, [Name of Officer Signing on behalf of Shareholder], of the City of [City of Residence of Shareholder], in the State of [State of Residence of Shareholder].
DO SOLEMNLY DECLARE THAT:
1.   I am the [Capacity of Title of Person Signing Declaration (ie. President)] of the Shareholder and as such, have knowledge of the matters hereinafter deposed to.
2.   The Shareholder is the registered owner of the Shares represented by the Certificate. The Shares are registered in the name of the Shareholder on the books and registers of the Corporation.
3.   The Shareholder has not sold, transferred, assigned, pledged, hypothecated or otherwise encumbered or disposed of the Shares, nor has the Shareholder in any way divested itself or been divested of the absolute ownership thereof.
4.   The Certificate has been mislaid, lost, stolen or destroyed so that the same cannot be found or produced. At the time when it was mislaid, lost, stolen or destroyed, the Certificate had not been endorsed for transfer.
5.   I make this solemn declaration for the purpose of inducing the Corporation to replace or cause to be replaced the Certificate, and to issue or cause to be issued a new certificate or certificates in my name in lieu of the Certificate, and I hereby declare that if the Certificate comes into the Shareholder's possession or control ormy possession or control, I will immediately surrender the Certificate to the Corporation.
Declared on [Date (ie. July 31, 2002)].
 
   [Name of Officer Signing on behalf of Shareholder]
 
District of [District]:
On [Date (ie. July 31, 2002)], before me personally appeared [Name of Officer Signing on behalf of Shareholder], to me known, who, being duly sworn, did say that  is the [Capacity of Title of Person Signing Declaration (ie. President)] of [NAME OF ASSIGNOR], and that the foregoing Declaration Regarding Lost Share Certificate was signed and sealed on behalf of the said corporation by authority of its Board of Directors, and acknowledged said instrument to be the free act and deed of said corporation.
 
 
 
 
 
 
Notary Public
 

Looking for something else?