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1. Title and Jurisdiction: Specifies the document type as an Affidavit and the jurisdiction (Ireland)
2. Deponent Information: Full legal name, address, and occupation of the person making the affidavit
3. Company Information: Legal name of the company that issued the stock certificate, its registered address, and company registration number
4. Certificate Details: Specific details of the lost certificate including certificate number, number of shares, class of shares, and date of issuance
5. Loss Declaration: Statement describing how and when the certificate was lost or destroyed
6. Search Statement: Description of efforts made to locate the lost certificate
7. Non-Transfer Declaration: Statement confirming the certificate has not been sold, pledged, or transferred to any other person
8. Indemnification: Deponent's agreement to indemnify the company against any claims arising from the issuance of a replacement certificate
9. Request for Replacement: Formal request for the issuance of a replacement certificate
10. Verification Statement: Standard statutory declaration statement confirming the truth of the contents
11. Execution Block: Space for signature, witness details, and notary/commissioner for oaths authentication
1. Previous Communications: Include when there have been prior communications with the company about the lost certificate
2. Additional Security Measures: Include when the company requires specific additional security undertakings for high-value certificates
3. Broker Statement: Include when the shares are held through a broker who needs to confirm the loss
4. Joint Holder Declaration: Include when the certificate was jointly held with another person
5. Police Report Reference: Include when a police report has been filed for the lost certificate
1. Copy of Lost Certificate: If available, a copy or record of the lost certificate
2. Search Evidence: Documentation of searches conducted to locate the certificate
3. Identification Documents: Certified copies of deponent's identification documents
4. Police Report: Copy of police report if one was filed
5. Company Communications: Copies of any relevant correspondence with the company regarding the lost certificate
Find the exact document you need
Affidavit Of Lost Drivers License
A sworn legal document used in Ireland to declare the loss of a driver's license and request its replacement through the National Driver Licence Service.
Affidavit Of Lost Deed
A sworn legal document under Irish law certifying the circumstances of a lost property deed and confirming ownership details.
Affidavit Of Lost Stock Certificate
An Irish law-compliant sworn statement declaring a lost stock certificate and requesting its replacement, with necessary indemnification provisions.
Affidavit For Lost Vehicle Registration Certificate
An Irish legal document sworn before a Commissioner for Oaths declaring the loss of a vehicle registration certificate and requesting a replacement.
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