Scribd
Upload
16 views1 page

Loss

This document is an Affidavit of Loss, where the affiant declares the loss of a specified item and states that it cannot be found despite efforts to locate it. The affidavit serves to confirm the facts for legal purposes. It includes spaces for personal details, signatures, and notary information.

Uploaded by

abbprintingcenter
Copyright
© © All Rights Reserved
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
16 views1 page

Loss

This document is an Affidavit of Loss, where the affiant declares the loss of a specified item and states that it cannot be found despite efforts to locate it. The affidavit serves to confirm the facts for legal purposes. It includes spaces for personal details, signatures, and notary information.

Uploaded by

abbprintingcenter
Copyright
© © All Rights Reserved
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 )

City of Iligan )
Province of Lanao del Norte ) S.S.

AFFIDAVIT OF LOSS

I, ___________________________, of legal age, Filipino, single/married, and a


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

1. That I am the owner/holder of a ______________________________;

2. That on ___________, I have discovered that the said __________ is/are


irretrievably lost and can no longer be found despite diligent effort to
locate the same;

3. That I am executing this affidavit to attest to the veracity of the


foregoing facts and for all intents and for whatever legal purpose it may
serve.

IN WITNESS WHEREOF, I hereunto affix my signature this _________________


at Iligan City.

________________________
Affiant

SUBSCRIBED AND SWORN to before me this _______________ at Iligan


City, Affiant exhibiting to me his Identification Card bearing No.
______________________________ issued at ______________ on _________________.

Doc No. ________;


Page No. _______ ;
Book No. _______;
Series of 2022.

You might also like