To
The Manager,
(Bank Name)
(Address)
Dear Sir,
Re.: Lost F/D receipt No. ____________ dated ____________
ADVERTISEMENTS:
I hereby inform you that my Fixed Deposit receipt quoted above for ____________ (Amount) is missing. I have tried my best to locate it but have failed. It seems the same has been mislaid somewhere irretrievably or stolen by somebody.
I, therefore, request you to please issue me a duplicate receipt in lieu of the lost one. I hereby agree to indemnify your bank against all proceedings, claims or liabilities or expenses which may be against you or incurred by you as a result of the duplicate receipt in lieu of the lost one for ____________ (Amount) or any consequence that may arise from payment against the original receipt.
The original receipt will stand cancelled the moment you issue me a duplicate one. If the original one is at some stage traced by me, the same will be made over to you as your property.
Thanking you,
ADVERTISEMENTS:
Yours faithfully,
(Name)
(Address)
Dated ___________
