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1. Deponent Details: Full legal name, ID number, and address of the person making the affidavit
2. Share Certificate Details: Specific details of the lost certificate including certificate number, number of shares, class of shares, and registered holder details
3. Company Details: Full registered name, registration number, and address of the company that issued the shares
4. Circumstances of Loss: Detailed explanation of how and when the certificate was lost or destroyed
5. Search Statement: Declaration of efforts made to locate the certificate
6. Non-Transfer Declaration: Statement that the certificate has not been sold, transferred, pledged or otherwise disposed of
7. Indemnity Statement: Commitment to indemnify the company against any claims arising from the issuance of a replacement certificate
8. Request for Replacement: Formal request for the company to issue a replacement certificate
9. Truth Declaration: Standard affidavit declaration that the contents are true and correct
10. Signature Block: Space for deponent's signature and commissioner of oaths details
1. Additional Security Measures: Description of any additional security measures agreed with the company (used when high-value shares are involved)
2. Multiple Certificate Declaration: Additional details when multiple certificates are lost simultaneously
3. Beneficial Ownership Declaration: Required when the registered holder is different from the beneficial owner
4. Police Report Reference: Details of police report if one was filed for the lost certificate
5. Previous Loss History: Declaration of any previous instances of lost certificates (if required by company policy)
1. Copy of Share Certificate: If available, a copy of the lost share certificate from company records
2. Identity Document: Certified copy of the deponent's identity document
3. Police Report: Copy of police report if one was filed (optional)
4. Supporting Correspondence: Any relevant correspondence with the company regarding the lost certificate
5. Search Evidence: Documentation of efforts made to locate the certificate
Find the exact document you need
Affidavit Of Loss Letter
A sworn legal declaration under South African law documenting the loss of specific items or documents, certified by a Commissioner of Oaths.
Affidavit Of Loss Certificate Of Registration
A South African legal declaration under oath stating the loss of a registration certificate and requesting its replacement.
Affidavit Of Loss And Indemnity Agreement
A South African legal document combining a sworn statement of loss with an indemnity agreement, used to declare lost items and protect receiving parties when issuing replacements.
Affidavit Of Lost Stock Certificate
A sworn legal declaration under South African law documenting the loss of a share certificate and requesting its replacement, including indemnification of the issuing company.
Affidavit For Lost Vehicle Registration Certificate
A sworn statement under South African law declaring the loss of a vehicle registration certificate and requesting its replacement, executed before a Commissioner of Oaths.
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