Credit Card Cardholder's Report of Lost Credit Card
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Credit Card Cardholder's Report of Lost Credit CardTO: __________(1)_____________ __________(2)_____________ Since receiving the ___________(3)_____________ issued under the number __________(4)___________, it has been lost. I lost the credit card on or about _______(5)__________, _________(6)_. The credit card was lost under the following circumstances: (Describe Situation) I notified ___________(7)________________ by telephone of the loss of the credit card on ________(8)___________, _______(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)______________ |
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