Republic of the Philippines)
City of Manila ) s.s.
x-----------------------------------x
AFFIDAVIT OF LOSS
I, ___________________, of legal age, married, and a resident
of______________________, after having duly sworn to in accordance with
law, do hereby depose and state:
1. That I was duly authorized by my daughter and son-in-law,
_________________ and_______________, to hold and possess the
certificates of title of their real properties, specifically TCT
Nos.________________;
2. That while I was in the Register of Deeds of Trece Martires, Cavite
on June 28, 2019, I noticed that the said titles in my possession
were missing;
3. That prior to this, I placed said titles in a brown envelope which I
carried while I was on my way to the Register of Deeds of Trece
Martires, Cavite;
4. That upon learning that the brown envelope with titles were
missing, I returned to the areas I passed-by, but unfortunately, I
did not find those;
5. That I asked the people in the areas I passed-by if they happened
to see a brown envelope with titles, but they said they did not find
any;
6. That despite diligent and earnest efforts, I cannot locate the
missing brown envelope with titles;
7. That I am executing this affidavit to attest the truthfulness of the
foregoing declarations under penalties of perjury, for whatever
legal purposes this may serve.
FURTHER AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF, I hereby affix my signature on this ___ day
of July 2019 in the City of Manila.
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME on this
__________________ in the City of Manila. Affiant exhibiting to me her
Identification Card _________________, bearing his photograph and
signature and avowed the truthfulness of the foregoing declarations.
Doc. No. : _____
Page No. : _____
Book No. : _____
Series of : 2019