Affidavit of Lost Document
State of [Your State], County of [Your County]
INTRODUCTION
I, [Your Name], residing at [Your Address], do solemnly declare and affirm under penalty of perjury that the following statements are true and correct to the best of my knowledge and belief:
STATEMENT OF FACTS
On [Date], I discovered that my passport, bearing passport number [Passport Number], issued on [Date of Issue] by [Issuing Authority], has been lost.
I have searched thoroughly and made diligent efforts to locate the said passport, but it remains unaccounted for.
I understand the seriousness and implications of losing a passport, and I have taken all necessary steps to report its loss to the relevant authorities.
I have not knowingly lent, transferred, or disposed of the passport to any individual or entity since its issuance.
I hereby undertake to inform the appropriate authorities immediately should I come across the missing passport or have any reason to believe it has been found.
I request the issuance of a replacement passport to facilitate my travel and identification needs.
I swear under oath that the foregoing statements are true and correct, and I am aware that any false statements made herein are punishable by law.
[Your Name]
[Date]
Subscribed and sworn to before me this [Date] by [Your Name].
Witness my hand and official seal:
[Notary Public Name]
Commission Expiration Date: [Date]
My Commission Number: [Commission Number]
[Seal or Stamp]
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