Bannock County Auditor
624 East Center, Room 104
Pocatello, ID 83201-6274
RE: Verification of Lost Check
TO: Bannock County
This is to verify that I, ______________________________, have not received check # _________________
in the amount of $____________________ dated _______________ Fund # __________________________
and assume that it is lost. Should this check be found, it will be void and it is my responsibility to return
said check to Bannock County. Please sign this verification before a notary and return it to the Auditor’s
office and a replacement check will be issued.
Subscribed and sworn to before me this _________ day of ______________ 20____.
Notary Public for the State of _________________
Residing at ________________________________
My commission expires ______________________