Abandoned Check Request Form

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Lost Check
I hereby request that the City of Framingham issue a replacement check, in lieu of the check noted below because it has been lost, stolen, stale dated, or destroyed.

In consideration of the City of Framingham sending me a replacement check, I hereby guarantee that the original check, if it hereafter comes into my possession, will be immediately returned to the City of Framingham Treasurer/Collector's office for cancellation.

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