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Affidavit Of Lost Instrument
"I need to draft an Affidavit of Lost Instrument for a misplaced corporate bond certificate (value $50,000) issued by ABC Corporation, which was discovered missing during our January 2025 audit, and we need this document to request a replacement from the issuing bank."
1. Header and Title: Identifying information including state/county jurisdiction
2. Affiant Information: Full legal name and address of person making the affidavit
3. Instrument Details: Specific information about the lost instrument (type, date, amount, number)
4. Circumstances of Loss: Detailed explanation of how the instrument was lost/destroyed
5. Ownership Declaration: Statement confirming rightful ownership of the instrument
6. Non-Transfer Declaration: Statement that instrument hasn't been sold, assigned, or transferred
7. Indemnification: Promise to protect issuer against claims related to original instrument
8. Verification: Statement of truth under penalty of perjury
1. Search Efforts: Description of attempts made to locate the instrument
2. Additional Witnesses: Statements from witnesses regarding loss or ownership
3. Bond Information: Details of surety bond if required by institution for high-value instruments
1. Copy of Original Instrument: If available, photocopy or image of the lost instrument
2. Supporting Documentation: Any relevant proof of ownership or transaction records
3. Police Report: If instrument was stolen or lost through crime, include police report documentation
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