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Affidavit of Lost Cheque or Bank Draft
A sworn affidavit that a cheque, bank draft, or money order has been lost — often required before the issuer will stop payment and reissue it. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
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Also known as
- Lost Cheque Affidavit
- Affidavit of Lost Bank Draft
- Lost Instrument Affidavit
+1 more names
- Sworn Statement of Lost Cheque
AFFIDAVIT OF LOST CHEQUE OR BANK DRAFT
I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY (or AFFIRM) that:
A ______ in the amount of ______, payable to ______, was issued by ______.
Instrument / serial number (if known):
Date of issue, on or about (if known):It was lost in the following circumstances: ______.
The instrument has not been cashed, endorsed, or transferred by me, and I have been unable to locate it.
I request that the issuer stop payment and reissue it, and I will return the original if it is found.
I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |
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Affidavit of Lost Cheque or Bank Draft
A compact preview of this template
01Your Information
Your full legal name
Type of instrument lost
Your full address
AFFIDAVIT OF LOST CHEQUE OR BANK DRAFT
I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY (or AFFIRM) that:
A ______ in the amount of ______, payable to ______, was issued by ______.
Instrument / serial number (if known):
Date of issue, on or about (if known):It was lost in the following circumstances: ______.
The instrument has not been cashed, endorsed, or transferred by me, and I have been unable to locate it.
I request that the issuer stop payment and reissue it, and I will return the original if it is found.
I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |
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Overview
About this document
- 01
What is an affidavit of lost cheque or bank draft?
It is a sworn statement — also called a lost cheque affidavit or lost instrument affidavit — confirming that a negotiable instrument has been lost and has not been cashed, endorsed, or transferred.
Banks rely on it before stopping payment and reissuing the instrument.
- 02
When you might need one
It supports reissuing a lost instrument.
- A cheque, bank draft, or money order has gone missing.
- A bank asks for a sworn affidavit before reissuing the instrument.
- You must confirm the instrument was not cashed or transferred.
- 03
What to include
Describe the instrument — type, number, amount, issuer, and payee — and how and when it was lost, and confirm it has not been cashed, endorsed, or transferred. Each bank has its own process and may require an indemnity in addition to the affidavit.
- 04
How to notarize a affidavit of lost cheque or bank draft in Ontario
After you fill in your affidavit of lost cheque or bank draft and download the PDF, do not sign it in advance. A sworn document must be signed in front of a notary public or commissioner for taking affidavits, who administers your oath or solemn affirmation first.
Minute Notary commissions your affidavit of lost cheque or bank draft online by secure video, under Ontario's remote commissioning rules (O. Reg. 431/20), or in person in Ottawa. Bring valid government-issued photo identification so we can verify your identity before applying the notary seal.
Good to know
Before you fill it in.
Short notes from our notary on this template. Worth a minute before you start.
- 01
Reviewed for use in Ontario by a notary public and commissioner for taking affidavits.
- 02
Fill it in online for free and download a ready-to-sign PDF — no account required.
- 03
Sign in front of the notary, who administers your oath or affirmation and applies the seal.
- 04
Notarize online by video across Ontario, or in person in Ottawa.
Frequently asked
Questions about the Affidavit of Lost Cheque or Bank Draft
- When do I need a lost cheque or bank draft affidavit?
- When a cheque, bank draft, certified cheque, or money order is lost and a bank asks for a sworn affidavit before stopping payment and reissuing it.
- Will the bank reissue it after this?
- The affidavit supports your request to stop payment and reissue. Each bank has its own process and may require an indemnity in addition.
- Can I notarize it online in Ontario?
- Yes. You can swear it online by video under Ontario’s remote commissioning rules, or in person in Ottawa with Minute Notary.
- What if I find the original later?
- Do not cash it. Return it to the issuer, as the affidavit confirms you will if it is found.
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Fill it out
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Fill it in online, then download a ready-to-sign PDF or an editable Word copy. Use the generated PDF to continue to booking. Not sure what the appointment involves? Read about the Statutory Declarations service first.