Lost share certificate indemnity form template 2025

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If you wish to sell or transfer your shares, but your certificate has been lost or stolen, you will need to obtain a replacement by completing a Letter of Indemnity form. Once we receive the completed form and any required fees, we will then issue a duplicate certificate.
The owner must buy an indemnity bond to protect the corporation and the transfer agent against the possibility that the lost certificate may be presented later by an innocent purchaser. The bond usually costs between two or three percent of the current market value of the missing certificates; and.
I/We am/are the sole and absolute owner(s) of the shares covered by the said share certificate(s) or cause the same to be surrendered to the Company, if and when the same is/are found. I/We therefore, request the to issue duplicate(s) of the said share certificate(s).
I/We, (full name of the shareholder(s) aged years, residing at (address of the shareholder/s) approach the Company to issue duplicate share certificate(s) in lieu of the original shares covered under Folio No. and bearing Certificate No(s). held by me/us.
If contacting the share registrar to request a replacement certificate, you will likely be asked to pay an indemnity fee. This is based on the value of the shares and is payable for each individual shareholding. In some instances, you may be able to proceed with selling the shares without the certificate.