Affidavit of Loss Template

This affidavit of loss template has 1 pages and is a MS Word file type listed under our legal agreements documents.

Sample of our affidavit of loss template:

AFFIDAVIT OF LOSS I, [SPECIFY NAME], domiciled and residing at [YOUR COMPLETE ADDRESS], do hereby solemnly declare that: I am the [TITLE] of [COMPANY] and as such have knowledge of the facts herein declared. [COMPANY], a wholly-owned subsidiary of [SPECIFY COMPANY], executed a Trust Deed of Hypothec bearing formal date of [DATE] in favor of [SPECIFY]. ("SPECIFY"), which deed was registered at the Registry Office in and for the Registration Division of [SPECIFY PLACE] on [DATE] under the number [NUMBER] (the "Trust Deed"). [SPECIFY COMPANY] issued a [%] mortgage bond certificate number [NUMBER] in the principal amount of [AMOUNT] in legal currency of [COUNTRY] (the "Bond") pursuant to the Trust Deed, which Debenture [SPECIFY COMPANY] then pledged in favor of [SPECIFY COMPANY] on [DATE], and which pledge was registered by [SPECIFY] in the register kept for such purpose, as per the trustee's attestation on the reverse of the Bond (a photocopy of which is attached hereto).