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Affidavit of Loss: Francis P. Mansilla

Francis P. Mansilla filed an affidavit of loss stating that: 1) He misplaced his driver's license in November 2018 while in San Francisco, Agusan del Sur. 2) Despite due diligence, he was unable to locate his lost driver's license. 3) He reported the loss to the proper LTO office in Patin-ay, Prosperidad, Agusan del Sur. 4) Having failed to find his lost driver's license, he executed this affidavit to request a replacement license.

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Marceliano Monato III
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25 views1 page

Affidavit of Loss: Francis P. Mansilla

Francis P. Mansilla filed an affidavit of loss stating that: 1) He misplaced his driver's license in November 2018 while in San Francisco, Agusan del Sur. 2) Despite due diligence, he was unable to locate his lost driver's license. 3) He reported the loss to the proper LTO office in Patin-ay, Prosperidad, Agusan del Sur. 4) Having failed to find his lost driver's license, he executed this affidavit to request a replacement license.

Uploaded by

Marceliano Monato III
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)

Province of Agusan del Sur ) S.S.


Municipality of Prosperidad )
x-----------------------x

AFFIDAVIT OF LOSS

I, FRANCIS P. MANSILLA, Filipino, of legal age, and a resident 921 Teachers


Bliss, Merville Subdivision, Pasay City, after having been sworn in accordance with law,
hereby depose and state THAT:

1. That I am the same person executing this Affidavit;;

2. Sometime November 2018, while I was at San Francisco, Agusan del Sur I may have misplaced
my Driver’s License;

3. I exercised due diligence in locating my Driver’s License and have reported its loss to the proper
LTO Office, Patin-ay, Prosperidad, Agusan del Sur;

4. My efforts to locate my Driver’s License have failed since until now the same has not been
found, leaving me with no other recourse but to request and process for the issuance of a
replacement of Driver’s License, for which purpose this affidavit is executed; and

5. I attest to the truth of the foregoing statements.

IN WITNESS WHEREOF, I hereunto affix my signature this 18th day of February 2019 at Patin-ay,
Prosperidad, Agusan del Sur, Philippines.
 

FRANCIS P. MANSILLA
Affiant

SUBSCRIBED AND SWORN to before me, this 18th day of February 2019 at Patin-
ay Prosperidad, Agusan del Sur;

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