Scribd
Upload
288 views1 page

Affidavit of Loss - Draft

This affidavit of loss was sworn by [NAME] who states that in January 2021 they acquired an item but have since lost the certificate of registration for it. They attest that despite diligent efforts to find the certificate, it remains lost and cannot be recovered. The affidavit was executed to establish the truth of the lost certificate and for any legal purposes.

Uploaded by

Robert Paul A Moreno
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
288 views1 page

Affidavit of Loss - Draft

This affidavit of loss was sworn by [NAME] who states that in January 2021 they acquired an item but have since lost the certificate of registration for it. They attest that despite diligent efforts to find the certificate, it remains lost and cannot be recovered. The affidavit was executed to establish the truth of the lost certificate and for any legal purposes.

Uploaded by

Robert Paul A Moreno
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
You are on page 1/ 1

REPUBLIC OF THE PHILIPPINES)

) S.S.

AFFIDAVIT OF LOSS

I, _________________________, of legal age, Filipino, and resident of


________________________________________, after having been duly sworn in
accordance with law, hereby depose and state:

1. That sometime January 2021, I acquired


___________________________;

2. As such, I was issued by Certificate of Registration


________________________;

3. That sometime _____________________, I could not locate and


find the same;

4. That despite diligent efforts has been exerted in order to find,


locate, and retrieve said claim stub; the same could no longer be
found and proved to be beyond recovery;

5. That this affidavit was executed to attest the truth of the


foregoing and for purposes of claiming the purchased watch and
whatever legal purposes it may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of


__________________________ at _______________________, Philippines.

__________________________________
Affiant

SUBSCRIBED AND SWORN to before me, a notary public this ___ day of
________________ in __________________________, affiant personally came and
appeared with his competent proof of identity in the form of his
____________________________, bearing his photograph and signature, known to me
and to me known to be as the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of the
contents of said instrument.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2021.

You might also like