Indemnity for Lost Share Certificate | USA

If a shareholder has lost their share certificate, have them sign this Shareholder Indemnity form for USA corporations.

  • The shareholder certifies that:
    • the original certificate for shares issued in the shareholder's name has been lost or destroyed, and
    • the shares have not been transferred, charged or otherwise dealt with.
  • The shareholder requests a replacement certificate.
  • The shareholder indemnifies the corporation against any claims with respect to the loss and reissue of the share certificate.
  • This indemnity form is available in MS Word format.
  • Intended for use only in the United States.
Document Type: Microsoft Word
Last Updated: 12-December-2024
SKU: 1258
$0.00