Lost Note Affidavit By Notary Public
I. IDENTIFICATION OF THE DEPONENT
[YOUR NAME], the legal holder of the missing financial instrument, hereby affirms the truth of the circumstances and details mentioned in this affidavit. My basic personal and contact details are as follows:
Name: [Your Full Legal Name]
Address: [Your Complete Address]
Contact Number: [Your Contact Number]
Email Address: [Your Email Address]
II. DETAILS OF THE LOST FINANCIAL INSTRUMENT
The Financial Instrument being referred to in this document is detailed as follows:
[Name of Financial Institution]: XYZ Bank
[Type of Financial Instrument]: Certificate of Deposit
[Account Number]: 12345678
[Approximate Amount/Value of Financial Instrument]: $10,000
[Date of Issue]: January 5, 2050.
[Date of Maturity (if applicable): January 5, 2051.
III. CIRCUMSTANCES OF LOSS
I, [Your Name], dismiss any possibility of any fraudulent activity about this loss. The issued instrument was lost under the following circumstances:
On April 4, 2050, at approximately 2:00 PM, while I was traveling on the subway from downtown to uptown, I inadvertently left my briefcase unattended for a moment as I was distracted by a sudden announcement. It was during this brief lapse in attention that I believe the financial instrument slipped out of the inner pocket of the briefcase. Despite retracing my steps and contacting the subway lost and found, the instrument has yet to be located.
I assure you that this loss was not the result of any malicious intent but rather an unfortunate accident. I am willing to provide any additional information or assistance required to facilitate the resolution of this matter.
IV. EFFORTS TO TRACE THE LOST INSTRUMENT
Upon realization of the loss, the following steps were taken to locate the missing financial instrument:
Immediate Search: As soon as I noticed the financial instrument was missing, I conducted a thorough search of my belongings, including checking pockets, bags, and any other places where it could have been misplaced.
Retracing Steps: I retraced my movements from the time I last had possession of the instrument, revisiting all the locations I had visited that day in hopes of finding it.
Contacted Relevant Authorities: I promptly contacted the authorities at the location where the instrument was last seen, such as the subway station's lost and found department, to report the loss and inquire if it had been turned in.
Notified Financial Institution: I immediately notified the issuing financial institution about the loss, providing them with all relevant details and requesting assistance in monitoring any unauthorized activity associated with the instrument.
Public Announcement: I made public announcements in the vicinity where the loss occurred, providing details of the lost instrument and offering a reward for its safe return.
Posted Notices: I posted notices in local community centers, bulletin boards, and online platforms, including social media, describing the lost instrument and providing contact information for anyone who might have found it.
Continuous Monitoring: I have been monitoring my accounts and financial statements for any unusual activity or unauthorized transactions that may indicate the misuse of the lost instrument.
V. LEGAL DECLARATION
I, [YOUR NAME], affirm that the details shared in this document are true to the best of my knowledge and willingly accept any liability arising from any incorrect data shared herein.
[YOUR NAME]
[DATE SIGNED]
VI. NOTARY ACKNOWLEDGMENT
I, [NOTARY'S FULL NAME], a Notary public for the County of [Your County Name], do hereby declare that [Your Full Name] has appeared before me on this day and affirmed to me, under oath, the events and details expressed in this affidavit.
[PRINTED NAME OF NOTARY PUBLIC]
[NOTARY PUBLIC'S COMMISSION NUMBER]
My commission expires:
VII. Notary Seal
(Place Notary Seal Here)
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