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1. Declaration Header: Formal introduction stating this is an affidavit, including the date and jurisdiction (Netherlands)
2. Affiant Information: Full legal name, address, and identification details of the person making the declaration
3. Item Description: Detailed description of the lost price document/instrument, including relevant identifiers, dates, and values
4. Circumstances of Loss: Detailed account of how and when the loss occurred
5. Due Diligence: Description of steps taken to locate the lost item
6. Indemnification: Statement protecting relevant parties against claims arising from the loss
7. Declaration of Truth: Formal statement affirming the truth of all declarations made
8. Execution: Signature block, notary details, and witness information
1. Previous Documentation: Include when there are relevant previous documents or correspondence about the loss
2. Police Report Reference: Include when a police report has been filed regarding the loss
3. Request for Replacement: Include when the affidavit is being used to request a replacement document
4. Third Party Claims: Include when there are potential third-party interests in the lost item
5. Financial Institution Details: Include when the lost item involves bank-issued documents or financial instruments
1. Copy of Original Document: If available, copies or images of the lost document
2. Supporting Evidence: Photos, receipts, or other evidence supporting ownership and loss
3. Identity Documents: Copies of affiant's identification documents
4. Police Report: Copy of police report if filed
5. Search Documentation: Records of attempts made to locate the lost item
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