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  • Affidavit of Loss1

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    Wawen Puaso
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    This affidavit details the loss of personal belongings due to a house fire. It states that on September 6, 2019, the affiant's residence in Cabuyao, Laguna was destroyed by fire, resulting in the loss of important personal items and documents. The fire was recorded by government agencies. The affiant executed this affidavit to inform concerned parties about the loss and destruction of the listed items.

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    template affidavit of loss due to fire

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    This affidavit details the loss of personal belongings due to a house fire. It states that on September 6, 2019, the affiant's residence in Cabuyao, Laguna was destroyed by fire, resulting in the loss of important personal items and documents. The fire was recorded by government agencies. The affiant executed this affidavit to inform concerned parties about the loss and destruction of the listed items.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    294 views1 page

    Affidavit of Loss1

    Uploaded by

    Wawen Puaso
    This affidavit details the loss of personal belongings due to a house fire. It states that on September 6, 2019, the affiant's residence in Cabuyao, Laguna was destroyed by fire, resulting in the loss of important personal items and documents. The fire was recorded by government agencies. The affiant executed this affidavit to inform concerned parties about the loss and destruction of the listed items.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Republic of the Philippines )

    Municiplaity of _______________)
    Province of ________________ )

    AFFIDAVIT OF LOSS
    I,____ __, as of legal age, Filipino , a resident of
    _ after having been jointly sworn to in accordance with law, hereby depose and allege,
    that:

    1. That on September 6, 2019 our residence located at Millwood Subdivision


    Brgy. Pulo Cabuyao, Laguna was burned and destroyed by fire;

    2. As a result of the fire, most of our belongings and personal properties


    including the following important items were destroyed or lost, to wit:

    3. The fire that destroyed our residence was recorded by the concerned
    government agencies.

    4. We are executing this affidavit to inform those concerned about the


    loss and destruction of the above-mentioned items or documents;

    5. We attest to the truth of the foregoing facts.

    IN WITNESS WHEREOF, I hereunto affix my signature this ___day of


    ___________ at _____________.

    ____________________
    Affiant
    CTC No. __________
    Issued at ___________
    Issued on ___________

    SUBSCRIBED AND SWORN to before me on the date and place


    indicated above. Affiants exhibited before me their ____________________
    Numbers as indicated below his/her signed name.

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