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Get CLAIM FOR LOST, STOLEN, OR DESTROYED ... - Treasury Direct - Treasurydirect

ITED STATES REGISTERED SECURITIES IMPORTANT: Follow instructions in filling out this form. You should be aware that the making of any false, fictitious, or fraudulent claim or statement to the United States is a crime that is punishable by fine and/or imprisonment. PRINT IN INK OR TYPE ALL INFORMATION 1. Describe the securities in the spaces below. TITLE OF SECURITY (Identify by interest rate, title, call and maturity dates) SERIAL NUMBER REGISTRATION (Exact inscription on each security) FA.

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