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
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.
- 18 U.S.C. § 1621US – Cornell LII
- UCC § 3-309US – Cornell LII
- Delaware General Corporation Law § 167DE (US) official
- Texas Property Code § 11.001TX (US) official
Cite this page
Reference this free template in an article, syllabus, or research note:
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
"Affidavit of Lost Document (United States)." Forms Legal, 2026, https://forms-legal.com/usa/personal/legal-declarations/affidavit-lost-document.
@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
An Affidavit of Lost Document is required whenever a person needs to replace an important original document that has been lost, stolen, or destroyed, and the issuing authority or third party requires sworn certification of the loss before issuing a replacement. Common situations include: replacing a lost vehicle title with the state DMV; obtaining a replacement property deed or land patent from a county recorder's office; replacing a lost stock certificate with the issuing corporation or transfer agent; replacing a lost promissory note or negotiable instrument with the holder; replacing a lost insurance policy or bond; replacing a lost original will or trust document in probate proceedings; and replacing a lost professional certificate, diploma, or license with the issuing institution or regulatory body. Financial institutions, title companies, and government agencies typically require an affidavit of loss because the original document may carry legal rights — a vehicle title, for example, is proof of ownership and could be fraudulently used — and the sworn affidavit protects the replacing institution if the original surfaces later.
A complete Affidavit of Lost Document should include: (1) the affiant's full legal name, address, and contact information; (2) a specific description of the lost document, including the document type, document number or reference, date of issuance, issuing authority, and any other identifying information; (3) the affiant's ownership or interest in the document and their entitlement to a replacement; (4) the circumstances under which the document was lost, stolen, or destroyed — including when and how the loss was discovered; (5) a statement that the affiant has made diligent search and has been unable to locate the document; (6) a statement that the affiant has not transferred, assigned, or pledged the document and that it is not held by any other person; (7) an indemnification of the replacing institution against any claims arising from the lost document; and (8) the affiant's sworn statement that all information is true and correct, signed under penalty of perjury, with notarization. Some institutions — particularly for lost negotiable instruments or stock certificates — may also require the affiant to post a bond or indemnity before issuing a replacement.
Yes, in virtually all cases, an Affidavit of Lost Document must be notarized to be accepted. State DMVs require notarized affidavits of loss before issuing duplicate vehicle titles. County recorder's offices require notarized affidavits for replacement deed or land record proceedings. Financial institutions and transfer agents require notarized affidavits for replacement stock certificates and bonds. Courts require notarized affidavits in probate proceedings involving lost original wills or trust documents. The notarization requirement exists because the affidavit must be a sworn statement made under penalty of perjury — the notary public verifies the affiant's identity, witnesses their signature, and administers the oath. Unnotarized affidavits are typically rejected. The affiant should bring government-issued photo identification to the notarization and should confirm the notary's commission has not expired. Some states also require the affidavit to be witnessed by one or two additional witnesses in addition to the notary.
If an original document surfaces after a replacement has been issued based on an Affidavit of Lost Document, the affiant is typically obligated to surrender the original to the appropriate authority. Most affidavits of loss include an indemnification clause under which the affiant agrees to indemnify the issuing institution against any liability arising from the existence of both the original and replacement documents. For vehicle titles, if an original title surfaces after a duplicate has been issued, the state DMV rules — which vary by state — generally provide that the duplicate title supersedes the original, but the owner should promptly notify the DMV. For negotiable instruments and stock certificates, the existence of both the original and replacement could create significant legal complications, particularly if the original instrument has been presented to a third party for payment or transfer. Deliberately concealing a found document after swearing under oath that it was permanently lost could constitute perjury or fraud. The affiant should immediately contact the institution that issued the replacement and follow their instructions for surrendering the original.
Yes, an Affidavit of Lost Document is commonly used in connection with obtaining a duplicate vehicle title from the state DMV. However, the exact process for replacing a lost vehicle title varies significantly by state. Most states have a specific form — often called an Affidavit of Loss, Statement of Loss, or Application for Duplicate Title — that must be completed in addition to or instead of a general affidavit. For example, California requires a REG 227 Application for Duplicate or Transfer of Title; Texas requires a VTR-34 Application for Certified Copy of Title; Florida has a form HSMV 82101. The affidavit of loss is a sworn statement supporting the duplicate title application. In some states, the notarized affidavit serves as the primary document. The DMV typically also requires proof of identity, the vehicle identification number (VIN), payment of a duplicate title fee, and in some states, a lien holder's consent if there is an outstanding loan on the vehicle. Anyone seeking to replace a lost vehicle title should first consult their state DMV's specific requirements.
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
Found an error? Let us knowRelated Documents
You may also find these documents useful:
Affidavit
Need to swear to something in writing? An affidavit is basically a written statement you sign under oath, saying “everything here is true to the best of my knowledge.” Courts, banks, government agencies, and attorneys use them constantly — for everything from proving your identity to confirming where you live. The key is getting the format right: your personal details, a clear statement of facts, a jurat or notary section, and your signature under penalty of perjury. Our free template covers all of that. Fill in your details, preview the document, and download as PDF or Word.
Affidavit of Identity
Create a professional Affidavit of Identity with our free online generator. This sworn legal document verifies a person's identity when official identification documents are unavailable, contain errors, or need supplemental confirmation. It is commonly used for name discrepancy issues, lost identification replacement, banking requirements, and government filings. The affidavit includes the individual's full legal name, date of birth, address, identifying details, and the affiant's sworn statement confirming the identity. Fill out the interactive form, preview in real time, and download as PDF or Word. Includes notary section and electronic signature support. Valid in all US jurisdictions.
Affidavit of Name Change
Certify a legal name change under oath with this US Affidavit of Name Change. Used to notify government agencies, financial institutions, and employers of an official name change following marriage, divorce, or court order.
Notarized Letter
Some situations call for more than your signature — they need it notarized. A Notarized Letter carries extra legal weight because a notary public verifies your identity and witnesses the signing. Used for sworn statements, affidavits, debt acknowledgments, or any document that needs to be taken seriously in court or by a government agency. Our template gives you a clean, properly formatted letter ready for notarization. Fill in the subject and content, preview the layout, and download as PDF or Word — free, no sign-up needed.
Affidavit of Non-Filing
Certify under oath that no federal or state tax return was filed for a specific year with this US Affidavit of Non-Filing. Used for financial aid, mortgage applications, and income verification when no return was required.