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Affidavit of Loss

The affidavit states that: 1. The affiant lost their driver's license with license number [blank]. 2. The affiant checked their [blank] on [date] at [location] and discovered their license was missing. 3. Despite searching and asking others, the affiant was unable to locate or recover the lost driver's license.

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EulaArias JuanPablo
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206 views2 pages

Affidavit of Loss

The affidavit states that: 1. The affiant lost their driver's license with license number [blank]. 2. The affiant checked their [blank] on [date] at [location] and discovered their license was missing. 3. Despite searching and asking others, the affiant was unable to locate or recover the lost driver's license.

Uploaded by

EulaArias JuanPablo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Republic of the Philippines)

City of Davao      )s.s.
x­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­x

AFFIDAVIT OF LOSS

I,  ____________________,   of   legal   age,   Filipino,   and   a   resident   of


_________________________, Davao City, Philippines, after having been duly sworn
to in accordance with law hereby depose and state that:

1. I am a holder of a  non­professional/professional  driver’s license  with


License No. _________________________;

2. Sometime on _________________, when I was at ____________________,
I checked my ______________________ for my driver’s license;

3. Unfortunately, then and there I discovered that the same is missing;

4. I searched my __________________________, but still the same, I cannot
locate the said driver’s license;

5. I asked my ______________________ but to no avail;

6. Despite   diligent   efforts   exerted   to   locate,   find   or   recover   the   above­


mentioned driver’s license, the same could no longer be found and may
now be considered as lost and beyond recovery;

7. I   am   executing   this   affidavit   to   attest   to   the   truth   of   the   foregoing


facts.

IN   WITNESS   WHEREOF,   I   have   hereunto   set   my   hand   this


_________________ in Davao City, Philippines.

______________________________
___________________________
Affiant
Valid ID No. _______________________________

SUBSCRIBED AND SWORN to before me this ________________ in Davao
City, Philippines, by the Affiant who exhibited to me his competent proof of identity
as indicated above.

Doc. No.   _________;
Book No.  _________;
Page No.  _________;
Series of 2019.

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