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Affidavit of Loss

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Roselette Colis
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44 views1 page

Affidavit of Loss

Uploaded by

Roselette Colis
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)

__________           ) S.S.
x--------------------------------------x

AFFIDAVIT OF LOSS
 I, ____________, of legal age, married, Filipino, and a resident of ____________, Philippines
after having been duly sworn to in accordance with law, depose and state THAT:

1. I am a registered owner of a __________ with plate number ___________;

2. Last ____________, I went to the LTO satellite in _________ to claim my permanent plate
number, however, all efforts to find the same proved unrewarding;

3. I was then told to execute an affidavit of loss for the meantime that they are searching for the
plate number of my __________;

4. Thus, I execute this affidavit to attest to the truth of the foregoing circumstances and for
whatever legal purpose this may serve best;

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in


______________, Philippines.

_____________
Affiant
ID:_______________

  SUBCRIBED AND SWORN TO before me this ____________ at _________, Philippines.


Affiant exhibited to me his competent evidence of identity as indicated below his name.

Doc. No. ___;


Page No. ___;
Book No. ___;
Series of 2020.

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