Affidavits
Lost Stock Certificate Affidavit
A sworn affidavit that a share or stock certificate has been lost, stolen, or destroyed — to support issuing a replacement. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
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Also known as
- Lost Share Certificate Affidavit
- Affidavit of Lost Securities
- Destroyed Stock Certificate Affidavit
+1 more names
- Affidavit for Replacement Share Certificate
STATUTORY DECLARATION OF LOST STOCK CERTIFICATE
IN THE MATTER OF the issuance of replacement share certificate(s) of ______ (the "Company"). The Company’s address is ______, ______.
I, ______, of the City of ______, in the Province/State of ______, DO SOLEMNLY DECLARE THAT: My address is ______.
I am the owner of a total of ______ shares of the Common Stock of ______, Inc., a ______ corporation (the “Company”).
I have examined my records and, after diligent search, I am unable to find the certificate or certificates representing such shares (the “Certificates”) and I believe that the Certificates were lost.
I did not transfer, sell, encumber, or pledge any of the shares represented by the Certificates.
I release ______ and any successor from any and all liability relating to the loss of the Certificates, or the issuance of new Certificates.
I agree to defend and indemnify and hold harmless ______ and any successor from any damage or loss caused by the loss of the Certificates.
In the event of discovery of the original Certificates, the undersigned agrees to return them promptly to the Company or any successor, marked “CANCELLED.”
AND I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath and by virtue of the Canada Evidence Act.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |
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Lost Stock Certificate Affidavit
A compact preview of this template
01Corporation Details
Name of the issuing company
Name of Shareholder
Total Number of Shares
STATUTORY DECLARATION OF LOST STOCK CERTIFICATE
IN THE MATTER OF the issuance of replacement share certificate(s) of ______ (the "Company"). The Company’s address is ______, ______.
I, ______, of the City of ______, in the Province/State of ______, DO SOLEMNLY DECLARE THAT: My address is ______.
I am the owner of a total of ______ shares of the Common Stock of ______, Inc., a ______ corporation (the “Company”).
I have examined my records and, after diligent search, I am unable to find the certificate or certificates representing such shares (the “Certificates”) and I believe that the Certificates were lost.
I did not transfer, sell, encumber, or pledge any of the shares represented by the Certificates.
I release ______ and any successor from any and all liability relating to the loss of the Certificates, or the issuance of new Certificates.
I agree to defend and indemnify and hold harmless ______ and any successor from any damage or loss caused by the loss of the Certificates.
In the event of discovery of the original Certificates, the undersigned agrees to return them promptly to the Company or any successor, marked “CANCELLED.”
AND I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath and by virtue of the Canada Evidence Act.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |
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Overview
About this document
- 01
What is this affidavit?
It is a sworn statement confirming that a stock or share certificate has been lost, stolen, or destroyed and has not been transferred.
A company or transfer agent often requires it before issuing a replacement certificate, sometimes with an indemnity or bond.
- 02
When you might need one
It supports replacing a share certificate.
- A share or stock certificate is lost, stolen, or destroyed.
- A company or transfer agent asks for a sworn affidavit before reissuing.
- You must confirm the certificate has not been transferred.
- 03
How to notarize a lost stock certificate affidavit in Ontario
After you fill in your lost stock certificate affidavit and download the PDF, do not sign it in advance. A sworn document must be signed in front of a notary public or commissioner for taking affidavits, who administers your oath or solemn affirmation first.
Minute Notary commissions your lost stock certificate affidavit online by secure video, under Ontario's remote commissioning rules (O. Reg. 431/20), or in person in Ottawa. Bring valid government-issued photo identification.
Good to know
Before you fill it in.
Short notes from our notary on this template. Worth a minute before you start.
- 01
Reviewed for use in Ontario by a notary public and commissioner for taking affidavits.
- 02
Fill it in online for free and download a ready-to-sign PDF — no account required.
- 03
Sign in front of the notary, who administers your oath or witnesses your signature and applies the seal.
- 04
Notarize online by video across Ontario, or in person in Ottawa.
Frequently asked
Questions about the Lost Stock Certificate Affidavit
- When do I need this affidavit?
- When a share or stock certificate is lost, stolen, or destroyed and the company or transfer agent requires a sworn affidavit before issuing a replacement.
- Will I need anything else?
- A transfer agent may also require an indemnity or surety bond in addition to the affidavit.
- Can I notarize it online in Ontario?
- Yes. You can complete it online by video under Ontario’s remote commissioning rules, or in person in Ottawa with Minute Notary.
- What should it include?
- The certificate details (company, number, number of shares), how it was lost, stolen, or destroyed, and confirmation it has not been transferred.
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Ready to sign?
Ready to create your Lost Stock Certificate Affidavit?
Fill it in online, then download a ready-to-sign PDF or an editable Word copy. This document must be signed in person. Not sure what the appointment involves? Read about the Statutory Declarations service first.