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CHASE Affidavit and Indemnity

This affidavit and indemnity agreement is for a lost, stolen, or destroyed certificate of deposit, cashier's check, or official check issued by JPMorgan Chase Bank, N.A. in the amount of $________. The affiant swears that they are entitled to full possession of the item and agrees to indemnify and hold the bank harmless from any claims related to the original item if a replacement is issued. Both spouses must sign if the item was not issued for family purposes or if the signing took place in Arizona or Texas.

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4K views1 page

CHASE Affidavit and Indemnity

This affidavit and indemnity agreement is for a lost, stolen, or destroyed certificate of deposit, cashier's check, or official check issued by JPMorgan Chase Bank, N.A. in the amount of $________. The affiant swears that they are entitled to full possession of the item and agrees to indemnify and hold the bank harmless from any claims related to the original item if a replacement is issued. Both spouses must sign if the item was not issued for family purposes or if the signing took place in Arizona or Texas.

Uploaded by

Azlaz As Azlaz
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AFFIDAVIT AND INDEMNITY AGREEMENT

State of : County of SS.

, Affiant, being first duly cautioned and sworn according to law, says that

Number in the amount of $ ,


(Certificate of deposit, cashier’s check, official check)

(hereinafter item) issued by JPMorgan Chase Bank, N.A.

on belonging to Affiant has been and that the obligation evidenced


date (lost, stolen, destroyed)

thereby has not been sold, transferred, assigned, or pledged to any person whatever and that Affiant is entitled to the full and exclusive possession of said item.

This affidavit is made for the purpose of inducing JPMorgan Chase Bank, N.A. (“the Bank”) to issue to Affiant a replacement item or to redeem and pay

to Affiant the proceeds of said item or the amount due thereon by reason of Affiant’s ownership thereof. Affiant understands that the Bank may require that a

surety bond be posted before it replaces or redeems the item.

In consideration whereof, Affiant agrees, at all times hereafter, to save, defend, hold harmless and indemnify the Bank, its successors and assigns, from

and against said item and all claims of whatever nature arising therefrom and from all costs and expenses, including, but not limited to, attorney fees to the

extent allowed by law, that may arise from the presentation, collection, or attempted collection of such original item.

Wisconsin only:

The above described instrument (check one) c was c was not issued for a family purpose.

WI - If the instrument was not issued for a family purpose, then both spouses must sign.

AZ/TX - Both spouses must sign.

X
Affiant Name (Please Print) Signature of Affiant Date

X
Affiant Name (Please Print) Signature of Affiant Date

Sworn to before me and subscribed in my presence this day of ,


Month Year

My commission expires:

Notary Public

00194 (04/06) JPMMorgan Chase Bank, N.A. Member FDIC

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