I declare that I have lost certificate ___________ for ______ Share(s)
Mark the box only if you have lost your share certificate(s). Failure to indicate which certificate number(s) are lost will negate this form and as a result, no certificates will be
deemed lost or misplaced. A premium of 3% of the market value of the shares represented by the lost certificate(s) as at the time of the notification, subject to a minimum fee
of CDN$20.00 or US$15.00, will be required to purchase the surety bond that is subsequently required to replace the lost certificate(s). This Affidavit (duly completed and prop-
erly executed) and the applicable surety bond premium must be received by Computershare at the following address: 100 University Avenue, 9th Floor, Toronto, ON M5J 2Y1
Attention: Corporate Actions in order to receive your entitlement under the Transaction.
This form to be completed by individuals ONLY if you have lost your certificate(s) for Kinross Gold Corporation Common Shares or predecessor shares. If
you are acting on behalf of an estate or corporation, please advise Computershare Trust Company of Canada in writing of the loss of your certificate(s), so
that they may send you the appropriate documents.
This document MUST be sworn before a Notary Public. In doing so, you will be swearing to the following statement:
The undersigned person(s) being fully sworn deposes and says that: "I am the lawful owner of the above described certificate(s). The certificate(s) has (have) not been endorsed, cashed,
negotiated, transferred, assigned or otherwise disposed of. I have made a diligent search for the certificate(s) and have been unable to find it (them), and make this Affidavit for the purpose of
exchange of the certificate(s) without surrender of the certificate(s). I hereby agree that if the certificate(s) should ever come into my hands, custody or power, I will immediately and without
consideration surrender the certificate(s) to Kinross Gold Corporation. In consideration of the proceeds of the shares represented