Use this template to prepare a Certificate and Indemnity
with respect to a lost share certificate, to be given by a shareholder in a Canadian company.
- The shareholder certifies that a certificate representing shares in the company issued in the shareholder's name is missing and requests a replacement certificate.
- The shareholder indemnifies the company against any claims with respect to the loss and reissue of the share certificate.
- The form also includes a Resolution of the Directors authorizing the issuance of a replacement certificate.
This Canada Certificate and Indemnity with Respect to Lost Share Certificate
is in MS Word format and can be easily edited.