Scribd
Upload
76 views2 pages

Affidavit of Loss: Affiant Further Sayeth Naught

1. The document is an affidavit of loss filed by an individual who lost their identification card. 2. They state that the identification card was issued to them by [ISSUING AGENCY] and they usually kept it in their wallet. 3. However, they recently discovered the identification card was missing from their wallet and they have been unable to locate it despite searching everywhere it could be.

Uploaded by

Xcruz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
76 views2 pages

Affidavit of Loss: Affiant Further Sayeth Naught

1. The document is an affidavit of loss filed by an individual who lost their identification card. 2. They state that the identification card was issued to them by [ISSUING AGENCY] and they usually kept it in their wallet. 3. However, they recently discovered the identification card was missing from their wallet and they have been unable to locate it despite searching everywhere it could be.

Uploaded by

Xcruz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

REPUBLIC OF THE PHILIPPINES )

_________________ )S.S.

AFFIDAVIT OF LOSS

I, ______________________________, Filipino, single or married, of


legal age and a resident of
__________________________________________________________________,
after having been duly sworn in accordance with law do hereby depose
and state that:

1. On ______________, the ______________________, issued to me my


______ Identification Card with ID No.__________________.

2. I usually place my ______ card in my wallet together with the other


cards issued under my name.

3. However on or about _______________, I found out that my


________ was not in my wallet and cannot be found inside my bag.

4. I have tried searching all places where I might have left my


________, but diligent search of the same proved futile and unavailing.

5. I am executing this affidavit to attest the truth of the foregoing facts


and request for an urgent replacement of the said _________ from
______________(branch).

AFFIANT FURTHER SAYETH NAUGHT.

Affiant
REPUBLIC OF THE PHILIPPINES )
)S.S.

SUBSCRIBED and SWORN to before me a notary public in the city


above-written on the _______________, affiant exhibiting to me his Drivers
License No. ____________________issued by the Land Transportation
Office and valid until ___________.

NOTARY PUBLIC FOR ____________________ CITY


Commission expires on _______________________
Roll of Attorneys No. _______________________
PTR No. _______________________
IBP No. _______________________
Office Address: _______________________

Doc. No. ______


Page No. ______
Book No. ______
Series No. 2016.

You might also like