Affidavit of Lost Document - California

California · Fillable PDF · Free

Sworn statement that an original document was lost or destroyed. The issuer accepts a sworn account of a lost, stolen, destroyed or unusable original document for replacement or cancellation. Agencies may require their own forms; this affidavit does not automatically replace a title, passport, vital record or other original.

Download Affidavit of Lost Document - California PDF · 3 pages. No account required.

Book a notary for Affidavit of Lost Document - California

Who this form is for

• Lawful document holders reporting a missing original to an accepting issuer.
• People requesting replacement, cancellation or acceptance of an affidavit in place of an original.

What you'll need

• Document type, number if known, issuer, issue date and name on the document.
• A truthful account of the loss, search and ownership or transfer history.
• Any police report, issuer-specific instructions and acceptable identification.

How to complete it

1. Check the issuer's requirements first. Government agencies and stock transfer agents often use their own forms; use the separate Lost Note Affidavit for a promissory note.
2. Describe the document and loss accurately, including any requested report information.
3. Read the search and no-transfer statements carefully and sign only if true. Save and check the PDF in your own PDF app, then print and sign under oath before the notary.
4. Send the affidavit with the issuer's required forms and fees, keep a copy, and return or surrender the original if it is found.

Related California forms

These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.

Free legal forms by state · Book a mobile notary