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Affidavit of Lost Document

Affidavit of Lost Document

AFFIDAVIT OF LOST DOCUMENT

State of [State]

County of [County]

I, [Affiant Name], residing at [Affiant Address], telephone [Affiant Phone], being duly sworn, depose and state as follows:

1. I am the rightful owner of, or am otherwise entitled to, the following original document (the "Document"):

Document Type: [Document Type]

Document Number/Reference: [Document Number]

Date of Issuance: [Document Date]

Issuing Authority: [Issuing Authority]

Description: [Document Description]

2. The Document has been lost, stolen, or destroyed. The circumstances are as follows: [Circumstances of Loss]. I discovered the loss on or about [Date of Discovery].

3. I have made a diligent search for the Document and have been unable to locate it. The Document is not in my possession and, to the best of my knowledge, has not been found by any other person.

4. I have not sold, assigned, transferred, pledged, hypothecated, or otherwise disposed of the Document. The Document is not subject to any lien, claim, or encumbrance other than as may be reflected in the records of [Replacing Institution].

5. I hereby agree to indemnify and hold harmless [Replacing Institution] from and against any and all claims, losses, damages, costs, and expenses (including reasonable attorneys’ fees) arising out of or relating to the issuance of a replacement document and the subsequent appearance or presentation of the original Document.

I declare under penalty of perjury under the laws of the State of [State] that the foregoing is true and correct.

Executed on [Signing Date].

Affiant

Printed name: [Affiant Name]

Address: [Affiant Address]

Date: [Signing Date]

NOTARY ACKNOWLEDGMENT

State of [State]

County of [County]

Subscribed and sworn to before me on ___________________________.

Notary Public:

My commission expires: ___________________________

Affiant

________________

Signature

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What Is a Affidavit of Lost Document?

An Affidavit of Lost Document in the United States records a sworn statement of fact that the deponent affirms to be true before an authorised official.

The legal significance of an Affidavit of Lost Document flows from its status as a sworn statement under state law. Every US state has enacted perjury statutes that criminalize false statements made under oath — under federal law, 18 U.S.C. § 1621 imposes fines and up to five years imprisonment for perjury. When a person falsely swears that a document is lost in order to obtain a replacement — while actually retaining or having transferred the original — the resulting duplicate creates the possibility of two instruments conveying the same rights, which can constitute fraud.

The most common application of the Affidavit of Lost Document is vehicle title replacement. All 50 US states require vehicle owners to hold a Certificate of Title issued by the state Department of Motor Vehicles (DMV) or equivalent agency — such as the Texas Department of Motor Vehicles (TxDMV), the California Department of Motor Vehicles (CA DMV), or the Florida Department of Highway Safety and Motor Vehicles (FLHSMV). A vehicle cannot be sold or registered without a valid title. When the original title is lost, the owner must file an affidavit of loss — combined in most states with a specific duplicate title application — to obtain a replacement. California's REG 227 form, Texas's VTR-34 form, and Florida's HSMV 82101 form each function as statutory affidavit forms serving this purpose.

For real property, county Recorders of Deeds — operating under state recording statutes such as California Government Code § 27201, Texas Property Code § 11.001, and New York Real Property Law § 290 — maintain official records of all deeds and instruments affecting title to real estate. A lost deed does not destroy the ownership interest (which is established by the recorded instrument), but the physical deed may be needed for a subsequent sale, refinancing, or probate proceeding. Courts and title companies accept an affidavit of loss as documentation supporting a request for a certified copy of the recorded instrument from the county recorder.

For negotiable instruments — including promissory notes governed by UCC Article 3 — the loss of the original instrument creates specific legal complexity. Under UCC § 3-309, a person who lost an instrument (including a mortgage note) may enforce it by proving ownership, the circumstances of the loss, and providing adequate protection to the obligor against the risk that the lost instrument will later be presented for payment by someone else. Courts typically require a surety bond and an affidavit of loss. The Affidavit of Lost Document serves as the sworn foundation for UCC § 3-309 enforcement proceedings in courts across all states.

When Do You Need a Affidavit of Lost Document?

An Affidavit of Lost Document is needed across the United States whenever the original of a legally significant document cannot be located and a government agency, financial institution, court, or other institution requires sworn certification of the loss before issuing a replacement or taking action based on the original's content.

For vehicle owners who have lost the original title to a car, truck, motorcycle, boat, or trailer, the state DMV requires an affidavit of loss as part of the duplicate title application. In California, Texas, Florida, New York, and all other states, selling or transferring a motor vehicle without a clear title is not possible — a duplicate title obtained through the affidavit process resolves this barrier.

For homeowners and real estate investors, a lost original deed or mortgage instrument may need to be replaced in connection with a pending sale or refinancing. Texas title companies operating under the Texas Title Insurance Act (Ins. Code § 2701.001 et seq.) and California title insurers governed by the California Department of Insurance require evidence of clear title. A certified copy from the county recorder, supported by an affidavit, provides the documentation needed.

For stockholders who have lost physical stock certificates for corporations — particularly closely held corporations where physical certificates are still issued rather than maintained in book-entry form — the corporation's transfer agent requires an affidavit of loss and typically a lost certificate bond (indemnity bond) before issuing a replacement certificate. The transfer agent's requirement flows from state corporate law, including Delaware General Corporation Law § 167 and California Corporations Code § 419.

For beneficiaries and personal representatives in probate proceedings before state Probate Courts — which in Texas operate as County Courts at Law, in California as Superior Court Probate Divisions, and in New York as Surrogate's Courts — a lost original will creates a specific procedural challenge. Most states permit admission of a lost will to probate upon proof of its contents and circumstances of loss, but require sworn testimony or affidavits attesting to the original's existence, contents, and loss.

For financial aid applicants at colleges and universities verifying income history, an Affidavit of Lost Document supports requests for replacement tax documents, wage statements, or financial records where the originals cannot be obtained from the issuing institution.

What to Include in Your Affidavit of Lost Document

A legally effective Affidavit of Lost Document for use in the United States should include the following essential components.

The affiant's identification section must state the affiant's full legal name, current residential address, date of birth, and contact information. The affiant must be the person who owned or had lawful custody of the lost document — not a third party making the declaration on their behalf.

The document description section must describe the lost document with maximum specificity, including: the type of document (vehicle title, deed, promissory note, stock certificate, insurance policy, professional license); the document's identifying number, reference, or serial number; the issuing authority (state DMV, county recorder, corporation, licensing board); the date of original issuance; and any other information — such as the vehicle VIN for a vehicle title, the legal property description for a deed, or the face amount for a promissory note — that uniquely identifies the specific instrument.

The ownership and entitlement section establishes the affiant's right to a replacement by confirming their ownership of the document and their legal entitlement to the property or right it represents. For vehicle titles, this means confirming that the affiant is the registered owner. For stock certificates, this means confirming that the affiant is the registered stockholder of record.

The circumstances of loss section describes when, how, and where the document was lost, stolen, or destroyed. Where a natural disaster, fire, or flood destroyed the document, this should be stated specifically. Where the document was simply lost, the affiant should state that a diligent search of all reasonable locations has been conducted and the document cannot be found. This diligent search representation is critical — courts and institutions accept affidavits of loss only where the affiant has genuinely tried to recover the original.

The no-transfer representation confirms that the affiant has not sold, assigned, pledged, transferred, or hypothecated the document or the rights it represents to any third party. For promissory notes and negotiable instruments, this representation protects the obligor from the risk of paying both the original holder and a subsequent purchaser of the note.

The indemnification clause requires the affiant to indemnify and hold harmless the issuing institution from any claims, losses, or costs arising from the issuance of the replacement document if the original is later presented by a third party claiming rights under it. Some institutions — particularly for high-value instruments — require a separate indemnity bond in addition to the affidavit.

The notarization block completes the affidavit's legal requirements. The Notary Public commissioned under the relevant state's notary statutes administers the oath, verifies the affiant's identity through government-issued photo identification, and affixes their seal and signature. For documents to be used across state lines — for example, a Texas DMV affidavit presented to a California court — the notary's signature may need to be authenticated by the relevant Secretary of State.

Sources & Citations

Statutory citations link to official government sources.

  1. 18 U.S.C. § 1621US – Cornell LII
  2. UCC § 3-309US – Cornell LII
  3. Delaware General Corporation Law § 167DE (US) official
  4. Texas Property Code § 11.001TX (US) official

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Affidavit of Lost Document (United States) [Legal document template]. Forms Legal. https://forms-legal.com/usa/personal/legal-declarations/affidavit-lost-document

MLA

"Affidavit of Lost Document (United States)." Forms Legal, 2026, https://forms-legal.com/usa/personal/legal-declarations/affidavit-lost-document.

BibTeX
@misc{formslegal-affidavit-lost-document,
  author       = {{Forms Legal}},
  title        = {Affidavit of Lost Document (United States)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/usa/personal/legal-declarations/affidavit-lost-document}},
  note         = {Free legal document template. Based on 28 U.S.C. §1746}
}

Frequently Asked Questions

Based on 28 U.S.C. §1746 — Template last modified June 2026Verify the source →

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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