AFFIDAVIT OF LOSS
REPUBLIC OF THE PHILIPPINES)
_____________________________ ) S.S.
I, (Name of Affiant)., Filipino, of legal age, residing at (Address of Affiant), after having been
sworn in accordance with law hereby depose and state:
That I am the true and lawful owner of a certain motor vehicle which is
more particularly described as follows:
MAKE
SERIES
TYPE OF BODY
YEAR MODEL
:
:
:
:
MOTOR NO.
SERIAL/CHASSIS NO.
PLATE NO.
FILE NO.
:
:
:
:
(Change the declaration below to the actual circumstances)
That sometime in June of this year, I was looking for the original
Certificate of Registration of my car but to my surprise, said Owners original
Copy could not found;
That I took pains to look for said Certificate of Registration, but to no
avail;
That I am executing this affidavit to attest to the truth of the foregoing
and to request from the Land Transportation Office of Angeles City, a copy of
said Certificate of Registration.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _______________. 20___
at _________________________.
(Name Over Signature of
Affiant)
SUBSCRIBED AND SWORN to before me, this ____ day of ______________, 20___ in
___________________ City, with affiant exhibiting his CTC No. _______________ ,
Issued on ______________________ at _________________________.
NOTARY PUBLIC
Until December 31, 200___
Doc. No. : ________;
Page No. : ________;
Book No. : ________;
Series of 20___.
REPUBLIC OF THE PHILIPPINES)
CITY OF MAKATI
) S.S.
x-------------------------------------x
AFFIDAVIT OF SERVICE
I, MARIO B. DELA CRUZ, of legal age, Filipino, single and a resident of 3333 Washington
Street, Pio del Pilar, Makati City, after having been duly sworn to in accordance with law, depose and
state:
1. That I am employed as a messenger of Atty. Abo Gado with office address at Room 3333 Cityland 10,
Tower I, H.V. dela Costa Street, Salcedo Village, Makati City;
2. That on November 15, 2013, I served a copy of the following pleading/paper by registered mail in
accordance with Sec. 10 of Rule 13 of the Rules of Court:
Nature of Pleading/Paper
____________________________
____________________________
____________________________
in Case No. 123456 entitled "Plain Tiff vs. Defen Dant" by depositing a copy in the post office in a
sealed envelope, plainly addressed to the defendant's lawyer at his office with postage fully paid, as
evidenced by Registry Receipt No. 1111 attached and with instructions to the post master to return
the mail to sender after ten (10) days if undelivered.
IN WITNESS WHEREOF, I have hereunto set my hand this 19th day of November 2013 in
Makati City, Metro Manila, Philippines.
MARIO B. DELA CRUZ
Affiant
Voter's ID No. 5555
SUBCRIBED AND SWORN TO before me this 19th day of November 2013 in Makati City, Metro
Manila, Philippines, affiant exhibiting to me his valid proof of identification.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.
TREASURERS AFFIDAVIT
REPUBLIC OF THE PHILIPPINES)
CITY OF ________________) S.S.
X-----------------------------------X
I, __________________ being duly sworn in accordance with law, hereby depose and
state that:
I have been elected by the subscribers of the corporation as Treasurer thereof to act as
such until my successor has been duly elected and qualified in accordance with the by-laws of
the corporation, and that as such Treasurer, I hereby certify under oath that at least 25% of the
authorized capital stock of the corporation has been subscribed and at least 25% of the
subscription has been paid, and received by me in cash/property for the benefit and credit of the
corporation.
This is also to authorize the Securities and Exchange Commission and Banko Sentral
ng Pilipinas to examine and verify the deposit in the (Name of Bank-Branch) in my name as
treasurer in trust for (Name of Corporation) in the amount of _______________
(P___________) representing the paid-up capital of the said corporation which is in the process
of incorporation. This authority is valid and inspection of said deposit may be made even after
the Issuance of the Certificate of Incorporation to the corporation. If such deposit should be
transferred to another bank prior to or after incorporation, this will also serve as authority to
verify and examine the account to which said deposit was transferred to. The representatives of
the Securities and Exchange Commission is also authorized to examine the pertinent books and
records of accounts of the corporation as well as all supporting papers to determine the
utilization and disbursement of the said paid up capital
City of ______________, ___ ______, 2013.
Signature
________________________
(Treasurers Name)
SUSCRIBED AND SWORN to before me, Notary Public, for and in the City/Municipality of
____________, this ___ day of ___________, 20___ by ________________ with Drivers
License number _____________, issued at _____________ on _____________, 20____.
Notary Public
My commission expires _________
Doc No.
Page No.
Book No.
AFFIDAVIT OF GOOD FAITH
We, the undersigned MORTGAGOR AND MORTGAGEE hereby jointly and severally swear that
we executed the foregoing Chattel Mortgage in order to secure the indebtedness therein and
for no other purpose or purposes contrary to law.
____________________________
MORTGAGOR
_____________________________
MORTGAGEE
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS
WE, Lisa Maganda, of legal age, married, Filipino, and presently residing at 84 Narra St., Geneva Homes, Santa Monica,
Quezon City, and Denzel Mabait, of legal age, single, Filipino, and presently residing at 48 Kaimito Avenue, Richville Homes,
Poblacion, Muntinlupa City, having been duly sworn to in accordance with law, do hereby depose and say:
1. That we personally know JOHN MATULUNGIN, being acquaintances for a long period of time since we were children;
2. That we declare and certify that he was born in the town of Matahimik, in the province of Palawan, in the Philippines, on the
8th day of December, in the year 1968.
3. That he has been using the said birth date in all his pertinent documents and transactions since
childhood;
4. That we are not related by affinity or consanguinity to John Matulungin; and
5. That we are executing this affidavit to attest to the truth of the foregoing statement and for whatever legal purpose it may
serve.
IN WITNESS WHEREOF, WE have hereunto set our hands this 4th day of September 2015 in Diliman, Quezon City:
____________________________
Lisa Maganda
Affiant
SSS/GSIS ID No. or License No.
or Passport No.
Date of Issue/Expiry or Place of Issue,
if applicable
______________________________
Denzel Mabait
Affiant
SSS/GSIS ID No. or License No.
or Passport No.
Date of Issue/Expiry or Place of Issue,
if applicable
SUBCRIBED AND SWORN to before me, this _____ day of ______________, in _________________________________.
NOTARY PUBLIC
Doc. No. ___________;
Page No. ___________;
Book No. ___________:
Series of ___________.
Republic of the Philippines )
__________________________ ) S.S.
SECRETARYS CERTIFICATE
I, (Name of Corporate Secretary) , single/married,
Filipino, of legal age, with business address at
_____________________________________________, after having been duly
sworn to an oath in accordance with law, hereby depose and say:
That I am the Corporate Secretary of (name of the corporation), a
corporation duly organized, registered and existing under and by
virtue of the Republic of the Philippines;
In a special meeting of the Board of Directors of the Corporation
held on (date of meeting) held at (place where the meeting took
place), the following was unanimously passed and approved, to wit:
RESOLUTION NO. _______________
RESOLVED, as the Board hereby resolved that (name of
representative, position), is hereby authorized in the name of the
Corporation to participate in the public bidding, submit a bid to the
Philippine Deposit Insurance Corporation (PDIC), make, sign, execute,
deliver and receive contracts, agreements, and any and all documents
and other writings of whatever nature or kind, as may be necessary to
carry into effect the purchase of a certain property located at
_________________________ and covered by Transfer Certificate of Title
(or Tax Declaration, if untitled) No. __________ issued by the Registry of
Deeds of ___________ in the name of __________________.
I hereby certify to the correctness of the foregoing resolution
and that the same is existing and have not been amended, modified or
revoked.
IN WITNESS WHEREOF, I have signed this instrument in
____________, this _______ of 2008.
______________________________
Printed Name and Signature of
the Corporate Secretary
SUBSCRIBED AND SWORN TO BEFORE ME in ___________
City this _____________ of 2008. Affiant exhibited to me her
Community Tax certificate No. ______________ issued on
_______________ at ________________.
NOTARY PUBLIC
Doc. No. ____
Page No. ____
Book No. ____
Series of 2008
Fee ___________
Republic of the Philippines)In the City of Davao . . .) S.S
AFFIDAVIT OF NO INCOME
I,
_____________
, Filipino, of legal age and resident of ________________, Davao City, upon my oath do hereby
depose and say, that:
1. that I am not gainfully employed and thus, I only generate minimal income enough for
me and my familys sustenance;
2. that I am not currently employed with any person, natural or juridical, and I have not
been gainfully employed.
3. My husband ____________________ is presently connected with
___________________ and is earning minimum wage;
4. I execute this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve.
IN WITNESS WHEREOF, I hereunto set my hand this _______________ in Davao City,
Philippines.
__________________
Affiant
SUBSCRIBED AND SWORN
to before me this _________________ in the City of Davao, Philippines, affiant exhibiting to me
her Competent Evidence of Identity in the for of her SSS ID /o. _______________ issued in
Davao City.
REPUBLIC OF THE PHILIPPINES)
CITY OF ILOILO
) S.S.
x-------------------------------------x
AFFIDAVIT OF NO IMPROVEMENT
I, PEDRO B. DELA CRUZ, of legal age, Filipino, married and a resident of Balabago, Jaro, Iloilo
City, after having been duly sworn to in accordance with law, depose and state:
1. That I am the registered owner of a parcel of land situated at Brgy. Cubay, Miag-ao, Iloilo containing an
area of TWENTY THOUSAND TWO HUNDRED (20,200) square meters, more or less, covered by
Transfer Certificate of Title No. 12345 of the Register of Deeds of Iloilo City;
2. That I hereby state that the above-mentioned property has no existing improvements of whatever kind
and nature and it remained idle up to the present;
3. That I am executing this affidavit to attest to the truth of the foregoing facts and for whatever legal
intents and purposes that it may serve;
IN WITNESS WHEREOF, I have hereunto set my hand this 29th day of August 2013 in Iloilo
City, Philippines.
PEDRO B. DELA CRUZ
Affiant
SUBCRIBED AND SWORN TO before me this 29th day of August 2013 in Iloilo City, Philippines,
affiant exhibiting to me his Competent Evidence of Identity by way of SSS Identification Card No.
12345 issued on April 5, 2012 in Manila.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.
