(Your Name)
(Street Address)
(Post Code)
(Date)
(Recipient Name)
(Title)
(Company Name)
(Street Address)
(Post Code)
Dear: (Recipient Name)
This letter will serve as written confirmation that on (Date), I lost my (Card Type) credit card, number (Card Number), expiration date (Expiry Date). Please cancel the card immediately and issue a new one.
Also, please forward me a current statement so that I can verify that no unauthorized charges have been made to the card since I lost it. Thank you for your prompt attention to this matter.
Yours Faithfully,
(Your Name)
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