于连玉因保管不善，将证号为即房私转字第100199号《房屋所有权证》遗失，该房屋座落位于即墨市大同街71号小区6单元603户。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，现声明该房屋所有权证书作废。

         特此声明。

                                                                                                                                                                          声明人：于连玉

                                                                                                                                                                         2 018年07月10日