[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP Code] Subject: Request for Replacement Check — Allegheny Pennsylvania Dear [Recipient's Name], I hope this letter finds you in good health. I am writing to request a replacement check for the payment issued to me by [Company/Organization Name]. The original check, with check number [Check Number], was issued on [Date], and unfortunately, it has been lost or misplaced. I am a resident of Allegheny, Pennsylvania and have been a diligent and consistent customer/service provider to various entities within the region. As a responsible individual, I understand the importance of preserving financial records and ensuring accurate transactions. Therefore, I kindly request your assistance in issuing a replacement check promptly. I have provided all the necessary details related to the original check for your reference: 1. Payee Name: [Your Full Name] 2. Payee Address: [Your Full Address] 3. Original Check Number: [Check Number] 4. Original Issuance Date: [Date] 5. Original Payment Amount: [Amount in words and figures] 6. Purpose of Payment: [Brief description of the reason for the payment] I kindly request you to process the replacement check as soon as possible to minimize any inconvenience caused. Attached to this letter, you will find a signed affidavit confirming the loss of the original check. I understand that the replacement check may be subject to any applicable stop-payment fees or administrative charges, which I am willing to cover. Should you require any additional information or documentation, please do not hesitate to contact me at [Phone Number] or [Email Address]. I am more than willing to provide any necessary assistance to expedite the process. Thank you for your attention to this matter. I trust that you will handle my request with utmost priority and promptly issue the replacement check. I appreciate your understanding and cooperation in resolving this issue. Looking forward to a swift resolution. Sincerely, [Your Name]