Republic of the Philippines…}
Province of Surigao del Sur…}
City of Tandag…} S. S.
AFFIDAVIT OF LOSS
I, FE LUNOP PALMA, of legal age, Filipino, widower and a
resident of Purok Maligaya 3, Tanabog, Tandag City, Surigao del
Sur, state under oath, THAT:
1. I am the only sole-surviving heir of my late mother
VERONICA ESTAÑO LUNOP, who died intestate without
any debt.
2. My mother is a beneficiary of UNCONDITIONAL CASH
TRANSFER (UCT) program by Department of Social
Welfare and Development (DSWD).
3. My mother is the holder of the OFFICE OF THE SENIOR
CITIZENS AFFAIRS (OSCA) ID NO.__________ issued by
Municipality of Cagwait, Surigao del Sur.
4. That, I kept my mother’s personal belonging including her
OSCA ID NO. ___________, in my cabinet.
5. However, when I search the said OSCA ID No. _____, it was
lost and can no longer be found despite diligent efforts to
locate;
6. I exerted all efforts to locate the same but to no avail;
7. I am executing this Affidavit to apprise on the fact of said
loss and for whatever legal purpose this may serve best.
IN WITNESS WHEREOF, I have hereunto set my hand this
__________________ day of _____________, in Tandag City, Surigao
del Sur, Philippines.
FE LUNOP PALMA
Affiant
PIC # 6486-2369-1741-6315
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public
for and in the Province of Surigao del Sur, this _____________ day of
____________, in Tandag City, Surigao del Sur, the affiant
personally appeared and affixed her signature together with her
ID as proof of her identity.
Doc No.____
Page No.____
Book No.____
Series of 2025.