affidavit as to lost stock certificate state of: … · affidavit . as to lost stock certificate ....

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AFFIDAVIT

AS TO LOST STOCK CERTIFICATE

STATE OF:

COUNTY OF:

I, ______________, BEING DULY SWORN DEPOSES AND SAYS THAT I/WE ARE THE

DEPONENT AND RESIDE AT: ______________________________________________________________________________

(STREET NUMBER) (CITY) (STATE & ZIP)

THAT DEPONENT IS OR ARE THE BENEFICIAL HOLDERS OF ___________

SHARES OF THE CAPITAL STOCK OF ______________

DESCRIBED AS FOLLOWS:

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