Affidavit of Loss for Filipinos

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Affidavit of Loss for Filipinos

Uploaded by

Candido Law Office

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as DOCX, PDF, TXT or read online on Scribd

REPUBLIC OF THE PHILIPPINES)

__________________________ ) S.S.

AFFIDAVIT OF LOSS

I, ____________________________, of legal age, single, Filipino and a

resident of __________________________, after having been duly sworn to
and in accordance with law, hereby depose and state:

That I am the holder/owner of ____________________________ with

issued by ________________________;

That on _________________________, the said

_______________________________ fell and eventually got lost somewhere
in __________________;

That despite diligent effort exerted to locate and retrieve the

same but all my efforts were in vain.

That I am executing this affidavit to inform the authorities

concerned about the same, and for legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto signed my name this

_______________________________________________, Philippines
`

_______________________________
Affiant

SUBSCRIBED AND SWORN TO before me in

____________________________________. Affiant exhibited to me her
identity thru her ____________________________.

Doc. No. ;
Page No. ;
Book No. VI;
Series of 20.

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Affidavit of Loss for Filipinos

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Affidavit of Loss for Filipinos

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REPUBLIC OF THE PHILIPPINES)

I, ____________________________, of legal age, single, Filipino and a

That I am the holder/owner of ____________________________ with

That on _________________________, the said

That despite diligent effort exerted to locate and retrieve the

That I am executing this affidavit to inform the authorities

IN WITNESS WHEREOF, I have hereunto signed my name this

SUBSCRIBED AND SWORN TO before me in

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