Lost instrument bond form 2026

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The document is an application form for a Lost Instrument Bond from Travelers Insurance Company of Canada. It includes an affidavit for reporting lost share certificates or bonds, detailing the circumstances of the loss, ownership claims, and indemnification agreements. The form requires personal information from the deponent, descriptions of the lost instruments, and references. It also outlines the responsibilities of the deponent regarding indemnity to the Surety and includes privacy consent provisions.

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Click ‘Get Form’ to open the lost instrument bond form in the editor.
Begin by entering your full name as the Deponent, followed by your complete address, including province/state and postal/zip code.
Provide your home and business phone numbers along with your email address in the designated fields.
If applicable, indicate if you are completing this affidavit on behalf of a corporation and provide its name.
In the section for description of lost share certificates or bonds, fill in the certificate/bond number, class of shares, and bond value.
Detail how the original was lost, where it was kept, and when it was misplaced. If stolen, include details and attach a police report.
Confirm whether the original was endorsed for transfer by selecting 'YES' or 'NO' and providing additional details if necessary.
Complete sections regarding ownership rights and any other individuals with an interest in the original document.
Finally, review all information for accuracy before signing. Ensure to have a notary public witness your signature as required.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How much does a lost instrument bond cost?

Lost instrument bonds act as a legal contract between three parties: The principal is the individual purchasing the bond who lost the financial certificate. The obligee is the financial institution that issued the original instrument. The surety is the provider issuing the bond and backing the principal.

What is a lost instrument bond?

A fairly typical cost guideline is $20 for every $1,000 of value of the lost instrument. If a promissory note for $50,000 were lost, you would probably have to pay in the neighborhood of $1,000 to the surety company to purchase a bond covering the amount of the certificate.

What is an example of a lost instrument bond?

To give you an example, if youre trying to replace a $10,000 cashiers check, then you designate on the lost instrument bond form that you need a bond for $10,000. If a claim was ever filed against the bond (because someone cashed the original check), then the surety company would pay out exactly $10,000.