Affidavit of Lost Stock Certificate


  1. After filling in the form, you will be prompted to confirm your order.
  2. Confirming the purchase will send you to PayPal to charge your credit card.
  3. After payment, PayPal will send you back to this website to see your finished document.
  4. All documents produced here are in PDF (Portable Document Format) and can be saved on your computer or viewed with an application like Adobe Acrobat Reader and printed.
  5. The documents produced here can optionally be sent by email as well.
  6. Fill in the entries as described.

(1) Name of State
(2) Name of County
(3) Name of Person Giving the Affidavit
(4) I am Owner of Shares [Y/N]
(5) I am Executor of Owner of Shares [Y/N]
(6) Name of Owner of Lost Certificates
(7) Number of Shares Lost
(8) Name of Corporation That Issued Stock
(9) Name of Company Issuing Indemnity Bond
(10) Date of Affidavit
(11) Name of Notary Public

Base price:

Regular: $10.00.

Email addresses, optional
(to send copy of result)

When you have filled up the form, click the Continue button.

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