[Your Name]
[Address]
Date: [date]
To: [name of credit company]
[address]
[city, state, zip]
Attention: [name if known]
Dear [Mr./Mrs. Smith, e.g.],
This letter is to inform you that the credit card issued to me by your company, [credit card number], expiration date [expiration date], has been lost or stolen. I hereby request that you stop issuance of further credit against this card until notified otherwise by me.
Please notify me of any charges charged against this card after [month, day and year card was stolen or lost], the date the card was lost or stolen and subsequent charges were unauthorized. I also authorize you to issue a replacement for my card.
Thank you for your assitance.
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Signature
address block
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