Affidavit of Missing Endorsement
Affidavit of Missing Endorsement
Introduction
I, [YOUR NAME], of legal age, residing at [YOUR ADDRESS], being duly sworn, depose and state as follows:
Statement of Facts
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On [DATE], I received a check numbered [CHECK NUMBER] issued by [ISSUER'S NAME] in the amount of [AMOUNT] payable to me.
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Unfortunately, the aforementioned check has been lost and despite diligent efforts, I have been unable to locate it.
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I hereby declare that the lost check has not been endorsed by me or any other person, and I have not received any payment or consideration in connection with the lost check.
Sworn Oath
I solemnly swear under penalty of perjury that the foregoing is true and correct to the best of my knowledge, information, and belief.
I hereby request that a replacement check be issued to me in lieu of the lost check. I understand that providing false information in this affidavit is punishable by law.
Signed this [DATE] at [LOCATION].
[YOUR NAME]
Notary Public
[NOTARY PUBLIC STAMP]
