Republic of the Philippines
City of Iloilo ) S.S.
AFFIDAVIT OF LOSS
I, KENNETH JOHN B. FERNANDEZ, of legal age, Filipino, married and a
resident of Block 1, Lot 31a, Parc Regency B, Pavia Iloilo, after having been duly sworn
to in accordance with law, hereby depose and say:
1. That I am the owner of an original copy of certificate of transfer and original
copy of transcript of records.
2. That the said documents were duly kept in my document files.
3. That upon inspection, the said documents were nowhere to be found.
4. That the said documents were lost for all intents and purposes and cannot be
located despite all efforts exerted to locate the same.
5. That I execute this affidavit in order to request for a new original copy of the
said documents..
6. That I am executing this affidavit to attest to the truth to all the above facts.
IN WITNESS HEREOF, I have hereunto signed my name below this 1 st day of
April, 2018 at Iloilo City, Philippines.
KENNETH JOHN B. FERNANDEZ
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 1st day of April, 2018, affiant
exhibited to me his Driver’s License Number F12-13-001689 with date of expiry on
March 11, 2019.
Doc No.___
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Series of 2018