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  • Affidavit of Loss Atm

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    Joanne Marie Coma
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    Celestino Pizarro Acosta lost his Philippine National Bank ATM card in the third week of October 2014 after withdrawing money. Despite searching diligently, he was unable to find the card. He executed an affidavit of loss to attest to losing the card and to inform the bank so that he could receive a replacement card. The affidavit was sworn before a notary on (date) in Davao City, Philippines.

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    Affidavit of loss

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    Celestino Pizarro Acosta lost his Philippine National Bank ATM card in the third week of October 2014 after withdrawing money. Despite searching diligently, he was unable to find the card. He executed an affidavit of loss to attest to losing the card and to inform the bank so that he could receive a replacement card. The affidavit was sworn before a notary on (date) in Davao City, Philippines.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    281 views1 page

    Affidavit of Loss Atm

    Uploaded by

    Joanne Marie Coma
    Celestino Pizarro Acosta lost his Philippine National Bank ATM card in the third week of October 2014 after withdrawing money. Despite searching diligently, he was unable to find the card. He executed an affidavit of loss to attest to losing the card and to inform the bank so that he could receive a replacement card. The affidavit was sworn before a notary on (date) in Davao City, Philippines.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    REPUBLIC OF THE PHILIPPINES)

    DAVAO CITY
    )SS.
    x---------------------------------------------x
    AFFIDAVIT OF LOSS
    I, CELESTINO PIZARRO ACOSTA, legal age, married, and a
    resident of Davao City, after being sworn duly sworn to in accordance with
    law do hereby depose and say that:
    1. I am a holder of a Philippine National Bank ATM Card as a
    savings account depositor thereof;
    2. The ATM Card was in my possession from the time of its issuance
    but on or about the third week of October 2014 when I
    inadvertently lost it when I last withdrew money on such date;
    3. Notwithstanding diligent efforts exerted to find it; the same was
    not recovered, hence, considered lost or destroyed for all its
    intents and purpose;
    4. I am executing this affidavit in order to attest to the truth of
    foregoing circumstances and for the purpose of informing
    Philippine National Bank of such fact of loss and for securing a
    replacement thereto as well as for any other legal purposes this
    affidavit may server.
    IN WITNESS WHEREOF, I have hereunto set my hand this ___ day
    of ________, in the City of Davao, Philippines.
    CELESTINO PIZARRO ACOSTA
    Affiant
    SUBSCRIBED AND SWORN to before me this ___ day of __________
    at Davao City, Philippines, affiant exhibiting to me his competent
    evidence of identity, Senior Citizens ID No. 2653676 issued last June
    2004.
    Doc. No. ____
    Page No. ____
    Book No. ____
    Series of: 2014

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