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    This affidavit of loss was sworn by an individual in Makati City, Philippines. It states that the affiant owned an item issued by an unnamed organization, but that the item was misplaced sometime in the past. Despite searching diligently, the affiant was unable to find the lost item and believes it cannot be recovered. The affiant further attests that the lost item was not confiscated by any authority or surrendered to a third party. The purpose of the affidavit is to inform and report the loss for any legal purpose.

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    Affidavit of Loss

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    This affidavit of loss was sworn by an individual in Makati City, Philippines. It states that the affiant owned an item issued by an unnamed organization, but that the item was misplaced sometime in the past. Despite searching diligently, the affiant was unable to find the lost item and believes it cannot be recovered. The affiant further attests that the lost item was not confiscated by any authority or surrendered to a third party. The purpose of the affidavit is to inform and report the loss for any legal purpose.

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    © All Rights Reserved
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    39 views2 pages

    Affidavit of Loss - Blank

    Uploaded by

    ric rele
    This affidavit of loss was sworn by an individual in Makati City, Philippines. It states that the affiant owned an item issued by an unnamed organization, but that the item was misplaced sometime in the past. Despite searching diligently, the affiant was unable to find the lost item and believes it cannot be recovered. The affiant further attests that the lost item was not confiscated by any authority or surrendered to a third party. The purpose of the affidavit is to inform and report the loss for any legal purpose.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    REPUBLIC OF THE PHILIPPINES)

    C ITYO F MAKATI ) S.S.

    AFFIDAVIT OF LOSS

    I, _______________________________, of legal age, Filipino, resident at


    ___________________________________, after having been duly sworn to in
    accordance with law do hereby depose and state:

    1. That I am the owner/holder of the _________________________


    issued by ___________________________;

    2. That sometime ________________________ the said item was


    misplaced;

    3. That despite the diligent search and efforts to locate the said item, I
    could not find the same such that I now have reasons to believe
    that it is now lost and can’t be recovered;

    4. That the said item was not confiscated by nor surrendered to any
    lawful authority, a third person or third person for whatever reason;

    5. That I am executing this affidavit to attest to the truth and the


    veracity of the foregoing statement in order to inform, to report and
    request for whatever legal purpose it may serve.

    AFFIANT FURTHER SAYETH NAUGHT

    IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of


    ______________ at Makati City.

    Affiant

    SUBSCRIBED AND SWORN to before me this ____ day of


    ______________ at Makati City, Philippines. Affiant exhibited to me
    _______________________________.

    Doc. No.
    Page No.
    Book No.
    Series of 2019

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