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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'DESCRIPTION OF BONDS' section. Provide details such as issue date, face amount, bond number, and inscription. If you lack serial numbers, include all other requested information and indicate the total number of missing bonds.
In the 'DETAILS OF THE LOSS' section, mark whether the bonds were lost, stolen, or destroyed. Provide specific details about the loss and indicate if a police report was filed.
Complete the 'AUTHORITY' section to clarify your right to claim for the missing bonds. If you are not named on the bonds, describe your authority.
If applicable, provide information regarding any minors named on the bonds in the 'MINORS' section.
Indicate your preference for relief in the 'RELIEF REQUESTED' section by choosing between substitute bonds or payment options.
Finally, sign and certify your application in the 'Signatures and Certification' section. Ensure all required signatures are present.
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Claim for Lost, Stolen, or Destroyed United States Savings
If this form is being completed as part of a savings bond debt, please check this box. 1. DESCRIPTION OF BONDS. Describe the missing bonds in the spaces below.Read more
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