Affidavit of Loss

Matthew Brian

953 Harrison St.
San Francisco, CA 94107
March 12, 2050

George Bradley
10 Nathaniel Blvd.

Englewood NM 07631

Dear Mr. Bradley,

I am writing to make a sworn statement regarding the loss of my passport. My full legal name is Matthew Brian and I was born on June 15, 1985. My current address is 953 Harrison St., San Francisco, CA 94107, and I am a citizen of the United States.

I hereby attest that the information provided is accurate and truthful to the best of my knowledge. I regret to inform you that due to unforeseen circumstances, I have lost my passport. I believe it was misplaced or stolen on March 8, 2050. I have already reported the loss to the appropriate authorities and have taken the necessary steps to replace it.

Thank you for your attention to this matter. Should you require any further information, please do not hesitate to contact me using the address provided above.

Sincerely,
Matthew Brian

Sworn and subscribed before me this 12th day of March 2050.

_______________________
Notary Public
State of California
County of San Francisco