DECLARATION AS TO LOSS OF DEEDS DESTROYED BY FIRE  

Date: -

Place: -

 

I hereby in my good conscience declare that the deed no. ___________ issued on __________ has been destroyed by fire, the deed was at __________ (place where deed was kept) and on the day of ________ fire broke out and burned the whole place down and the deed was kept there and by fire the deed was destroyed among other things.

 

I hereby declare that I have said above said is true and undisputed.

 

Thank you,

 

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