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Credit Card Cardholder's Report of Lost
Since receiving the ___________(3)_____________ issued under
the number __________(4)___________, it has been lost. I lost
the credit card on or about _______(5)__________, 19__(6)_.
The credit card was lost under the following circumstances:
I notified ___________(7)________________ by telephone of
the loss of the credit 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.
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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