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CITY OF DuPONT 1700 Civic Drive DuPont, WA 98327Phone: 253.964.8121 Fax: 253.964.3554AFFIDAVIT FOR LOST, STOLEN, OR DESTROYED CHECK STATE OF WASHINGTON, COUNTY OF PIERCEI, ___, do hereby certify that

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How to fill out affidavit of lost check

01

Obtain the affidavit of lost check form from the bank or financial institution that issued the check.

02

Fill out your personal information including your name, address, phone number, and account number.

03

Provide details about the lost check including the check number, date, and amount.

04

Explain the circumstances surrounding how the check was lost.

05

Sign and date the affidavit in front of a notary public or bank representative.

06

Submit the completed affidavit to the bank or financial institution.

Who needs affidavit of lost check?

01

Anyone who has lost a check issued to them and needs to request a replacement or to prevent unauthorized use of the lost check.

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What is affidavit of lost check?

An affidavit of lost check is a sworn statement affirming that a check has been lost or stolen, allowing the payee to request a replacement or stop payment on the original check.

Who is required to file affidavit of lost check?

The payee or the individual who was supposed to receive the funds from the lost check is required to file the affidavit of lost check.

How to fill out affidavit of lost check?

To fill out an affidavit of lost check, provide details such as your name, address, the check number, amount, date of issuance, reason for the affidavit, and sign the document in front of a notary public.

What is the purpose of affidavit of lost check?

The purpose of an affidavit of lost check is to legally document the loss of the check and to protect the payer from any unauthorized cashing of the lost check.

What information must be reported on affidavit of lost check?

The affidavit must report the check number, the amount, the date it was issued, the name of the payee, and a description of the circumstances surrounding the loss.

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