REPUBLIC OF THE PHILIPPINES)
TARLAC CITY. . . . . . . . . . . . . . . . )S.S.
AFFIDAVIT OF LOSS
I, ALMA QUIAMBAO TONZO, of legal age, Filipino, resident of and
with postal address Shangrila Homes, San Jose, Tarlac City, after having
been duly sworn to in accordance with law do hereby depose and say:
1. That I am the holder of a Passbook with Account No. 9024064188
issued by RCBC Savings Bank;
2. That sometime on July this year, the above-said passbook was
lost/missing;
3. That despite diligent efforts exerted to locate, the same could no
longer be found and is now deemed lost and beyond recovery;
4. That I am executing this affidavit to attest to the truth of the foregoing
statements and facts to inform the concerned agencies.
AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand this 22 nd day
of August, 2018 in the City of Tarlac, Philippines.
ALMA QUIAMBAO TONZO
Affiant
SUBSCRIBED AND SWORN to before me this 22nd day of August,
2018 in the City of Tarlac, Philippines.
Doc. No. ______;
Page No.______;
Book No.______;
Series of 2018.