Affidavit Of Lost Note

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STATE OF
)
_________________________
ss:
COUNTY OF
)
_______________________
AFFIDAVIT OF LOST NOTE
I/We, the undersigned, being duly sworn, depose and says:
1. I/We am/are owner(s) of the Note or other indebtedness secured by the Deed of
Trust, Mortgage, or other instrument executed by
(Grantor/Mortgagee) to
_________________________________________________________
, Trustee, and
____________________________________________________________________
(Beneficiary/Mortgagee) and recorded in
_________________________________________
County at Reel
Page
.
_______________________________________
___________
__________
2. The Note or other indebtedness has been lost or misplaced or accidentally destroyed
and after the exercise of due diligence cannot be located.
3. I/We certify that all indebtedness secured by the Deed of Trust, Mortgage, or other
instrument was satisfied on
, 20
and the affiant is
______________________
____
responsible for cancellation of the same.
4. I/We make this affidavit of Lost Note knowing that
_______________________________
will rely upon the truth of the statements contained herein.
_____________________________________________
Sworn to me this
day of
, 20
.
____________
____________
______
Notary Public

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