REPUBLIC OF THE PHILIPPINES )
) S.S.
AFFIDAVIT OF LOSS
I, ________________________ , Filipino, of legal age, married, and a resident of
___________________________, after having been duly sworn to in accordance with law,
hereby depose and say that:
1. I am the authorized representative of _______________________, the true
and registered owner of a ____ square meter parcel of land situated in
____________________ and covered by Transfer Certificate Title No_______________
2. As such authorized representative, I was the one entrusted to keep the
said original copy of the Transfer Certificate of Title No. ____________;
3. Sometime in ____________, I lost/misplaced the said original title inside in
our house, and despite diligent efforts exerted to locate the same, I could not
remember exactly where I placed/left it, thus, considered it lost for all legal purposes;
4. The said TCT has not been given or surrendered to anyone as collateral
for any loan;
5. As such, I am executing this Affidavit of Loss to attest to the truth of the
foregoing and for whatever legal purposes this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ____th day of
_______________ in the ________________, Philippines.
__________________
Affiant
SUBSCRIBED AND SWORN to before me this ____th day of _______________,
affiant satisfactorily proven to me her identity through her ______________ and, that
she is the same person who personally signed before me the foregoing affidavit and
acknowledged that she executed the same.