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Affidavit of Loss: I, - , of Legal Age, Filipino, (Single/married/widow)

The document is an affidavit of loss filed by an individual who lost their driver's license. It states that the individual was a licensed driver issued license number [NUMBER] that was valid until [DATE]. The license was misplaced and lost sometime on [DATE], and despite diligent search efforts, could not be found or recovered. The license had also not been confiscated by authorities. As such, the affidavit is being filed to attest to the loss and support an application for a new license to replace the lost one.

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Christine San Diego
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265 views1 page

Affidavit of Loss: I, - , of Legal Age, Filipino, (Single/married/widow)

The document is an affidavit of loss filed by an individual who lost their driver's license. It states that the individual was a licensed driver issued license number [NUMBER] that was valid until [DATE]. The license was misplaced and lost sometime on [DATE], and despite diligent search efforts, could not be found or recovered. The license had also not been confiscated by authorities. As such, the affidavit is being filed to attest to the loss and support an application for a new license to replace the lost one.

Uploaded by

Christine San Diego
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
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REPUBLIC OF THE PHILIPPINES)

MUNICIPALITY OF MORONG )
PROVINCE OF RIZAL )

AFFIDAVIT OF LOSS

I, ___________________, of legal age, Filipino, (single/married/widow)


and a resident of _______________________________, after having been
duly sworn to in accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land Transportation


laws, rules and regulations, and was issued a corresponding
(Non) Professional Driver's License with number _____________ which is
valid until _____________;

2. Sometime on ____________, said driver's license was misplaced and got


lost;

3. Efforts were exerted to locate said driver's license, but in spite of


diligent search, it could not be found and the same is now beyond recovery;

4. Said Driver's License has not been confiscated by the LTO, Police or other
Traffic Enforcers for any traffic violation;

5. As such, I am executing this Affidavit of Loss to attest to the truth of the


foregoing and to support my application for the issuance of a new
(Non) Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand


this ___________________ in _____________________.

____________________

Affiant

SUBCRIBED AND SWORN TO before me


this ___________________ in _________________, Philippines, affiant
exhibiting to me his/her competent evidence of identity by way of
__________________ issued at ______________
on __________________.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2017.

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