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1 Claim #: 2 AFFIDAVIT OF LOST INSTRUMENT 3 STATE OF) 4 COUNTY OF) 5 6 7 8 9 SS: 1. That the Affine(s) is /are of legal age and reside(s) at and that he/she/they are/are the lawful owner(s) of and
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How to fill out affidavit of lost instrument

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How to fill out an affidavit of lost instrument:

01
Start by addressing the document appropriately. Write "Affidavit of Lost Instrument" at the top center of the page.
02
Provide your personal information. Include your full name, address, phone number, and any other contact details requested on the form.
03
State the purpose of the affidavit. Explain that you are filing this affidavit because you have lost an important document, such as a check, promissory note, or negotiable instrument.
04
Describe the lost instrument in detail. Provide information such as the type of document, its date, the amount if applicable, the name of the issuer, and any distinctive features. The more details you can provide, the better.
05
Explain how the instrument was lost. Be specific about when and where you last had possession of the document. If possible, include any circumstances or events that might have led to its loss.
06
Declare that you have made a diligent search to locate the lost instrument but have been unsuccessful in finding it. Affirm that you have not sold, transferred, or assigned the instrument to anyone else.
07
Include a statement of truth. Affirm under penalty of perjury that all the information provided in the affidavit is true and accurate to the best of your knowledge.
08
Sign and date the affidavit. Ensure that your signature matches the one you use on legal documents and provide the date of signing.
09
If required, have the affidavit notarized. Take the completed affidavit to a notary public, who will verify your identity and witness your signature. They will then affix their official seal or stamp to the document.

Who needs an affidavit of lost instrument:

01
Individuals who have misplaced or lost an important financial document, such as a check, promissory note, or negotiable instrument.
02
Businesses that have lost a crucial document related to their operations, such as a business contract, lease agreement, or stock certificate.
03
Executors or administrators of an estate who are unable to locate important financial documents of the deceased, such as stocks, bonds, or insurance policies.
04
Anyone who needs to legally establish the loss of a valuable document and wishes to protect themselves from any potential liability or fraud that may arise from its disappearance.
Note: It is always advisable to seek legal advice or consult an attorney when dealing with legal documents to ensure compliance with applicable laws and regulations.
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Affidavit of lost instrument is a legal document used to report the loss of a valuable financial instrument, such as a check or promissory note.
The individual who lost the financial instrument is required to file the affidavit of lost instrument.
The affidavit of lost instrument should be filled out with specific details about the lost instrument, including date of loss, circumstances of loss, and any relevant identifying information.
The purpose of the affidavit of lost instrument is to officially report the loss of a financial instrument and prevent unauthorized use.
The affidavit of lost instrument must include details such as date of loss, description of lost instrument, circumstances of loss, and any relevant identifying information.
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