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Form #827

Affidavit of Loss with Agreement to Hold Harmless

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Affidavit of Loss with Agreement to Hold Harmless Bill of Lading - free form to use

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AFFIDAVIT OF LOSS WITH AGREEMENT TO HOLD HARMLESS

BILL OF LADING

 

STATE OF ____________________________________

COUNTY OF __________________________________

 

___________________________ (consignee or consignor or storer), referred to in this affidavit as affiant, being sworn, deposes and says:

 

(1) Affiant, being __________ years of age, resides at __________________________ (address), __________________ (city), _____________ County, __________ (state), .

 

(2) Affiant is the original ______________________ (consignee or consignor or storer) named in __________ (bill of lading) no. ________________, dated _____________________, issued by ____________________________________.

 

(3) On or about __________ (date), affiant discovered that the above mentioned document was __________ (lost or destroyed or stolen) in the following manner: __________________________________________ (Describe events of loss).

 

(4) Affiant requests delivery of the goods covered by the document even though surrender of the document has not been made. Affiant agrees to hold harmless and indemnify __________ (carrier) and any person who suffers loss, damage, or injury by delivery of the goods arising out of the delivery with non-surrender of the document.

 

 

_____________________________________________     _________________

Signature                                                                                 Date



 
Contributed by
Regal International Capital
 
Name of Firm Regal International Capital
Total Forms Contributed 48
 

See All Regal International Capital's Forms
 

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Terms Of Use

Submissions to this site, including any legal or business forms, posts, responses to questions or other communications by contributors are not intended as and should not be construed as legal advice. You are strongly encouraged to consult competent legal council before engaging in any action based upon content contained on this site.

These downloadable forms are only for personal use. Retransmission, redistribution, or any other commercial use is prohibited. This includes reposting forms from this site to another site offering free legal or other document forms for download.

Please note that the donator may have included different usage terms regarding this form, and you agree to abide by these terms. It is highly recommended that you have a licensed attorney review any legal documents for which you are searching in order to make sure that your needs are being properly and completely satisfied.

Your use of this site constitutes your acceptance of our terms of use and your agreement to hold this site, its officers, employees and any contributors to this site harmless for any damage you might incur from your use of any submissions contained on this site. If you do not agree to the above terms, please do not proceed.

These forms are provided to assist business owners and others in understanding important points to consider in different transactions. They are offered with the understanding that no legal advice, accounting, or other professional service is being offered by these documents or on this website. Laws vary in the different states. Agreements acceptable in one state may not be enforced the same way under the laws of another state. Also, agreements should relate specifically to the particular facts of each situation. Therefore, it is important to consult legal counsel whenever utilizing these forms. The Forms are not a substitute for legal advice YourFreeLegalForms.com is not engaged in recommending or referring members on the site or making claims about the competence, character or qualifications of its participating members.
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Keywords: Affidavit, legal forms, bill of lading

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