Affidavit Of Loss Authorization Letter for the United States
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Affidavit Of Loss Authorization Letter
"I need an Affidavit of Loss Authorization Letter for a lost stock certificate (#SC789456) issued by Tesla Inc., which I discovered missing on January 15, 2025, and need to get a replacement from my brokerage firm Charles Schwab."
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1. Declarant Information: Full legal name, address, and identification details of the person making the affidavit
2. Lost Item Description: Detailed description of the lost item/document including serial numbers, dates, amounts
3. Circumstances of Loss: Detailed explanation of how, when, and where the item was lost
4. Authorization Statement: Explicit authorization for replacement/reissuance of the lost item
5. Indemnification Statement: Declaration to indemnify against claims arising from the lost item
6. Sworn Statement: Statement affirming the truth of the affidavit under penalty of perjury
1. Witness Statement: Third-party verification of loss circumstances when additional verification is required by the receiving institution
2. Police Report Reference: Details of filed police report when the loss involves theft or criminal activity
1. Identification Documents: Copies of government-issued ID or other identification documents
2. Supporting Documentation: Any relevant documentation proving ownership or existence of the lost item
3. Police Report: Copy of police report if applicable
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