高元在不动产权证书遗失（灭失）声明 
       高元在因保管不善，将土左房字第000575号房屋所有权证书遗失，根据《不动产登记暂行条例实施细则》第二十二条的规定申请补发，现申明该登记证书作废。 

                                                                                                                        土默特左旗不动产登记中心 

                                                                                                                            2021.01.05--2021.01.26