Republic of the Philippines )
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AFFIDAVIT OF LOSS
I , , of legal age, Filipino, and a resident of, after having been duly sworn to in
accordance with law hereby depose and say:
That, I am the licensed owner of one Cal. 32 Pistol with serial no.
522077;
That, sometime in the year 2013, I discovered that the license of
the said firearam was already lost in my cabinet.
That, I exerted diligent efforts to locate the same but to no avail;
That I am executing this affidavit in order to attest to the truth of the
foregoing and to establish the fact of the loss of my firearm license.
FURTHER AFFIANT SAYETH NAUGHT.
IN TRUTH OF THE FOREGOING I have hereunto set my hands this 16 th day of
October 2014 , here at
Affiant
SUBSCRIBED AND SWORN to before me this 16th day of October, 2014,here at