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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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