Free Affidavit of Vehicle Loss Template

Affidavit of Vehicle Loss


I. Introduction

This Affidavit of Vehicle Loss is executed by [Your Name], the affiant, to formally report the loss of the vehicle described below. This affidavit serves to document the circumstances of the vehicle’s loss and provide a declaration regarding the vehicle’s details. The affidavit is presented to Edgar Spencer, the notary, located at Virginia Beach, VA 23450, for the purpose of verifying the vehicle loss and assisting with any further actions regarding the vehicle.

The details of the lost vehicle are as follows:

  • Vehicle Make: Chevrolet

  • Vehicle Model: Malibu

  • Vehicle Year: 2050

  • Vehicle Identification Number (VIN): 1G1ZD5ST7LF372836

  • License Plate Number: VCL985

  • Odometer Reading: 28,500 miles

This affidavit is executed in accordance with the laws of Virginia to report the loss of the vehicle, and to assist in any necessary legal, insurance, or other processes related to the vehicle’s loss.


II. Vehicle Loss Declaration

I, [Your Name], the affiant, hereby declare under oath the following information regarding the loss of the vehicle described above:

  • On March 18, 2050, I discovered that my vehicle, a Chevrolet Malibu, was no longer in my possession.

  • I last saw the vehicle parked securely at [Your Address], and upon returning to the location on March 18, 2050, I found that it was missing.

  • I immediately contacted the local authorities, and a report of the loss was filed with the Virginia Beach Police Department, case number 2024-8890.

  • The vehicle has not been recovered, and as of the filing of this affidavit, I have not received any further information regarding its whereabouts.

  • The vehicle was fully insured under CoverLink, policy number XYZ987654321, and I have notified the insurance company regarding the loss to initiate the claims process.

I confirm that I am the rightful owner of the vehicle and that it has not been sold, transferred, or otherwise disposed of. I also affirm that the vehicle was in good condition and free from any outstanding liens or claims prior to its loss.


III. Acknowledgment of Ownership and Loss

I, [Your Name], affirm that I am the sole legal owner of the lost vehicle described in this affidavit and have full authority to report it as lost. I acknowledge that the vehicle has not been intentionally misplaced or sold, but has simply disappeared from its location.

I further acknowledge that I have cooperated with local law enforcement authorities and provided them with the vehicle's identifying details, including the VIN, license plate number, and other relevant information, to assist in the investigation of the loss.


IV. Notary’s Acknowledgment

I, Edgar Spencer, the notary, affirm that [Your Name] has appeared before me and has sworn to the truth of the information provided in this affidavit. I have verified the identity of the affiant and confirmed that this affidavit was signed in my presence.

This affidavit was signed and notarized on March 18, 2050, in the state of Virginia, and I certify that the affiant's statements are made under oath.

Name: Edgar Spencer
Notary Public
Date: March 18, 2050


V. Conclusion and Signatures

By signing this affidavit, I, [Your Name], affirm that the vehicle described above has been lost, and I have provided accurate and truthful information regarding its disappearance. I understand that submitting false information in this affidavit may result in legal consequences.

Name: [Your Name]
Affiant
Date: March 18, 2050


This affidavit serves as an official report of the loss of the vehicle described above and is executed to assist in the investigation, insurance claims, or any other necessary legal processes related to the vehicle loss.

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