American Savings Life Insurance Company
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LOST STOCK CERTIFICATE INSTRUCTIONS
Do not despair if you want to sell or transfer your shares, but are unable to locate your original stock certificates. You may download an Affidavit of Lost Stock Certificate(s) to replace your original stock certificate(s).

NOTE: you may be required to provide the Company with a Lost Securities Bond. Contact us if you have any questions about a lost securities bond.

 

AFFIDAVIT OF LOST STOCK CERTIFICATE(S) INSTRUCTIONS
If you are unable to locate your original stock certificates, you may use an Affidavit of Lost Stock Certificate(s) in its/their place. This affidavit may be used in lieu of one or more original stock certificates for the following cases:
  • Transfering ownership of the stock
  • Selling (tendering) your stock to the Company

REMEMBER: If you are unable to locate the original certificates you may be required to provide the Company with a Lost Securities Bond. Contact us for further information about the requirements for a lost securities bond.

ADDITIONAL NOTE: An Affidavit of Lost Stock Certificate(s) must be signed by the owner of the certificate(s) and his/her/their signature(s) must be witnessed by a valid Notary Public.

DOWNLOAD AFFIDAVIT OF LOST STOCK CERTIFICATE(S):


"Affidavits of Lost Stock Certificate(s)" are only available to download in the following Adobe Acrobat PDF format.

INSTRUCTIONS ON COMPLETING AN AFFIDAVIT OF LOST STOCK CERTIFICATE:


  • Open the Affidavit of Lost Stock Certificate(s) form below in Adobe Acrobat Reader;
  • Fill out the fields in the form and then print it out;
  • Have a Notary Public witness your signature;
  • Mail the form to the Company home office:
    American Savings Life Insurance Company
    935 East Main Street,  Suite 100
    Mesa,  AZ  85203-8849
If you have any questions, please Contact Us.

Return to the Lost Stock Certificate(s) Instructions page

Return to the Tender Shares Instructions page

Return to the Transfer Shares Instructions page

Return to the Stockholder Services page


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Last modified onThursday November 15 2007