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["不动产权属证书遗失声明刊发申请书"]
["收","编号",null,"收件人"]
["件","日期"]
[]
["申请人",null," ",null,"联系电话"]
["证件类型",null,"身份证",null,"证件号码",null," "]
["不动产坐落",null," "]
["不动产单元号"]
["不动产权证书号"]
["或","房屋所有权证号"," "]
[null,"土地使用证号"]
["        上述不动产权利登记在本人名下。因保管不慎的原因，本人不慎遗失该不动产的权属证书（房屋所有权证号、土地使用证号或不动产权证书号）。为申请补发权属证书，根据《不动产登记暂行条例实施细则》第二十二条规定，现申请在苏州市国土资源局门户网站上刊发该不动产的权属证书遗失声明。\n       上述内容如有不实，本人愿承担由此造成的一切法律责任。\n\n                                                                               申请人：\n                                                                     （签章或本人签名）\n                                                                                                     年   月   日"]
[]
["告知事项：\n    1.遗失声明刊发后,为保护权利人权益，该不动产在不动产登记系统中被标为冻结状态，限制产权转移和其他权利的设定。\n    2.如果在声明刊发之日起15个工作日内，声明遗失的权属证书被找到的，经再次声明公告后，原证书继续有效；但在15个工作日后找到的，为维护遗失声明的严肃性，原证书仍需作废申请补发。"]

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