Affidavit for Issuance of New Stock Certificate with Supporting Facts

A corporation may issue substitute certificates for those that have been lost or stolen. In many jurisdictions, the remedies with respect to replacing lost, destroyed, or stolen certificates are now covered by statutes. In issuing a new certificate to replace one that is lost or stolen, the corporation has the right to indicate on the certificate that it is a "duplicate." Generally, the owner of stock cannot compel the corporation to issue a new certificate to him or her in place of one that he or she claims has been lost or stolen, without agreeing to indemnify the corporation or an giving an indemnity bond for the corporation's protection.

This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.