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Free Legal Forms page - Cardholder Report of Lost Credit Card

CARDHOLDER'S REPORT OF LOST CREDIT CARD
TO: __________(1)_____________
__________(2)_____________
Since receiving the ___________(3)_____________ issued under the number
__________(4)___________, it has been lost. I lost the card on or about _______(5)
__________, ____(6)_.
The card was lost under the following circumstances:
(Describe Situation)
I notified ___________(7)________________ by telephone of the loss of the 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)______________

NOTICE
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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
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