Open daily: 9:00 AM - 8:00 PM
other
A sworn statement that a cheque, bank draft, or money order has been lost — often required before the issuer will stop payment and reissue it.
Also known as
AFFIDAVIT OF LOST CHEQUE OR BANK DRAFT
I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY that:
A ______ (number ______) in the amount of ______, issued by ______ and payable to ______, was issued on or about ______.
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.
SWORN / DECLARED before me at the ______________________ of ______________________, in the Province of Ontario, this ______ day of ______________, 20______.
_______________________________ _______________________________
A Commissioner for taking Affidavits Signature of Declarant
How it works
Answer the questions on the left. Your document builds itself on the right as you type.
Get a clean, ready-to-sign PDF in seconds. No account, no watermark.
Book an appointment, bring your document, and we witness your signature and apply the seal.
It is a sworn statement that a negotiable instrument — a cheque, bank draft, certified cheque, or money order — has been lost and has not been cashed.
Banks usually require it before they will stop payment on the original and issue a replacement.
You may need it when:
Have ready:
Fill in the form and download a clean, ready-to-sign PDF. Do not sign it yet — it must be signed in front of a notary public or commissioner for taking affidavits.
Book an appointment with Minute Notary. We administer your oath or affirmation, witness your signature, and apply the seal — online where eligible, or in person in Ottawa.
Frequently asked
Keep exploring
Other documents for identity & personal status.
A sworn statement by someone who knows you, confirming your identity and particulars — useful where a person cannot prove their identity with standard documents.
Fill it outA sworn statement explaining why something was filed or done late — used to support a request to accept a late application or excuse a delay.
Fill it outA sworn statement by a witness who saw a document signed — confirming the signing took place and that the signer appeared to act freely. Commonly required to prove a document was properly executed.
Fill it outProvide a notarized sworn statement confirming your commitment to financially support a student's education in Ontario. Frequently required by schools, OSAP, immigration offices, or scholarship committees as proof of sponsorship.
Fill it outFill it in online, download a ready-to-sign PDF, then bring it in and we will notarize it, in person across Ottawa or online.