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Cardholder's Report Of Stolen Credit Card
TO: __________(1)_____________
__________(2)_____________
Since receiving the ___________(3)_____________ issued under the number
__________(4)___________, it has been stolen. The card was stolen on or about
_____(5)______, 19__(6)_.
The card was stolen under the following circumstances:
(Describe Situation)
I notified ____________(7)_______________ by telephone of the theft of
the card on ________(8)____________, 19__(9)_.
You are hereby authorized to take all steps necessary and to notify the
appropriate authorities to avoid illegal use of the above-numbered credit card.
___________(10)_______________
NOTICE
The information in this document is designed to provide an outline that
you can follow when formulating business or personal plans. Due to the variances of many
local, city, county and state laws, we recommend that you seek professional legal
counseling before entering into any contract or agreement.
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