REPUBLIC OF THE PHILIPPINES)
CITY OF _________________ ) SS.
AFFIDAVIT OF LOSS
I, XXX, of legal age, married, Filipino and a resident CCCC City, after being duly
sworn in accordance with law, hereby depose and state: That-
1. I am the Corporate Secretary of YYY., a corporation duly organized under the
laws of the Republic of the Philippines, with office address at DDD City
2. Given the above-mentioned position, I knew that the Company hired a third-
party Auditor to conduct the financial audit and prepare an Audited Financial
Statements to be submitted to the relevant government agencies.
3. In 2018, we filed with the Office of the Bureau of Internal Revenue our
Audited Financial Statements for Y2018.
4. The Head of our Accounting Department resigned from his position in
______ and upon verification of our accounting records/documents, we have
not found the 2018 Audited Financial Statements.
5. We exerted reasonable efforts to locate said file/records and even contacted
our former Accounting Head to inquire as to the whereabouts of said records,
but our efforts found futile.
6. I am executing this Affidavit to attest to the truth of the foregoing and for the
purpose of securing a certified true copy of said YYY’ Audited Financial
Statements for Y2018 with the Bureau of Internal Revenue and other relevant
government agencies where we submitted the same.
AFFIANT SAYEHT NAUGHT.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of
October 2019 at Pasay City, Philippines
XXXX
Affiant
SUBSCRIBED AND SWORN to before me this ____ day of October 2019 at
_____________________, affiant exhibited to me his government issued
identification card ______________________________ as competent evidence of
his identity.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2019.