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AFFIDAVIT OF LOSS
That sometime on _____________, my wallet that contains the said Pawn Ticket was misplaced
and got lost.
That despite diligent search and efforts to locate the said wallet and pawn ticket, I could not find
the same such that I now believe that they are now lost beyond recovery.
As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing facts.
Affiant
(JURAT)