LOSSSSSSSSSSSSSSSSSSSSSSSSSSSSS
AFFIDAVIT OF LOSS
I, , of legal age, single, Filipino, and a resident of
Brgy. , Philippines, after having been duly sworn to in
accordance with law, hereby voluntarily depose and state:
That I am a holder of a BUSINESS PLATE # for issued by
the City Government of ;
That I posted the said business plate in my place of
business;
That sometime in February 2019, my business place was
renovated;
That after the renovation, I discovered that said
Business Plate is no longer in my place of business;
Despite diligent search and efforts to locate the said
BUSINESS PLATE, I could not find it;
That said BUSINESS PLATE was not confiscated by any
authorities or by reason of any violation against the law; and
That I am executing this affidavit to attest to the
truthfulness of the above-cited facts and that I have
voluntarily executed this instrument.
IN TRUTH WHEREOF, I have hereunto set my hand this ______
day of ____________________ at Laoag City, Philippines.
Affiant
NPDL #A03-17-000371
SUBSCRIBED AND SWORN to before me this ________________
at , Philippines.