AFFIDAVIT FOR LOST, STOLEN, DESTROYED STOCK CERTIFICATE

State of ______________________
County of _____________________

I, [name] , being duly sworn, state:

That I reside at [address] , [city] , [state]

That I am the legal and beneficial owner of [...]

Filed under: Affidavit, address city state, Affidavit, beneficial owner, circumstances, class stock, destruction, disappearance, jurat, possession, signature, stock certificate, stock certificates, stockholder, surrender | Post a comment