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Affidavit of Loss-CR and OR

Rosemarie R. Bigtas owns a stall at the City Public Market in Baguio City that was awarded to her after her late husband's passing. She recently lost the certificate of registration, ask for receipt, and unused official receipts issued by the Bureau of Internal Revenue for the stall. Despite searching diligently, she was unable to find the lost documents. She executed this affidavit to attest to losing the documents and that they have not been given or pledged to anyone else.

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Jules Derick
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54 views1 page

Affidavit of Loss-CR and OR

Rosemarie R. Bigtas owns a stall at the City Public Market in Baguio City that was awarded to her after her late husband's passing. She recently lost the certificate of registration, ask for receipt, and unused official receipts issued by the Bureau of Internal Revenue for the stall. Despite searching diligently, she was unable to find the lost documents. She executed this affidavit to attest to losing the documents and that they have not been given or pledged to anyone else.

Uploaded by

Jules Derick
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
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Republic of the Philippines)

DONE: CITY OF BAGUIO) SS.

AFFIDAVIT OF LOSS
I, ROSEMARIE R. BIGTAS, of legal age, widow, Filipino Citizen, with residence and
postal address at Purok 2, 26A, Irisan, Baguio City, Philippines, after having been duly sworn to
in accordance with law do hereby deposes and states, that:

1. I am engaged in business particularly a certain stall, Stall No. 23 Sari-Sari Extension,


Hanger, City Public Market, Baguio City, under the name of my late husband
Orlando M. Aoanan;

2. The said stall was recently awarded in my favor;

3. The said business or stall was duly registered with the Bureau of Internal Revenue
(BIR) and was issued a CERTIFICATE OF REGISTRATION, ASK FOR
RECEIPT (Red Color) and OFFICIAL RECEIPTS (OR);

4. Unfortunately though, the said documents were lost, including the unused receipts. I
am not sure how these documents were lost, maybe it was misplaced or accidentally
thrown away;

5. I exerted diligent effort to find the said documents, however, I failed, hence, lost
forever and beyond recovery;

6. The said CERTIFICATE OF REGISTRATION, ASK FOR RECEIPT (old) and


unused OFFICIAL RECEIPTS (OR) have not been given nor pledged to anyone
for any purpose whatsoever, nor were taken nor confiscated by the authorities;

7. I am executing this affidavit to attest to the truth of my foregoing statements and for
all legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of January, 2024,
at Baguio City, Philippines.

R________________E R. B________________S
AFFIANT
BIR TIN No. ________________-000
Issued On: 10-15-2020

SUBSCRIBED AND SWORN TO before me this 15th day of January, 2024, at Baguio
City, Philippines. Affiant personally appeared and to be the same person who executed this
instrument as her free act and deed.

Doc. No. ________;


Page No. ________;
Book No. _______;
Series of 2024.

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