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Joint Affidavit of Loss

This joint affidavit of loss was sworn by two individuals who lost their belongings, including passports, when their residence was burned down by a fire. They attest that most of their personal property was destroyed in the fire on a specific date at their home address. They executed this affidavit to support their application for new passports after their originals were lost in the fire.

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Shine Marquina-Vargas
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279 views1 page

Joint Affidavit of Loss

This joint affidavit of loss was sworn by two individuals who lost their belongings, including passports, when their residence was burned down by a fire. They attest that most of their personal property was destroyed in the fire on a specific date at their home address. They executed this affidavit to support their application for new passports after their originals were lost in the fire.

Uploaded by

Shine Marquina-Vargas
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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REBUPLIC OF THE PHILIPPINES}

QUEZON CITY }S.S

JOINT AFFIDAVIT OF LOSS

We, ______________________________________________, of legal age, Filipino and residents of


______________________________________________, after having been jointly sworn to in accordance
with law, do hereby deposes and states:

1. That on _____________________, our residence located at _____________________ was


burned and destroyed by fire;

2. That as a result of the fire, most of our belongings and personal properties
including our passports were destroyed;

3. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to support our application for a new passport.

IN WITNESS WHEREOF, I hereunto affixed my signature this ____ day of ________ at


Quezon City, Metro Manila, Philippines

Affiant

SUBSCRIBED AND SWORN to before me on the date and place indicated above.
Affiant exhibited to me her Philippine Passport ___________issued by the Department of
Foreign Affairs, NCR Northeast, valid until ______________.

Doc. No. ________;


Page No. ________;
Book No. ________;
Series of 2019.

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