Republic of The Philippines) City of Pasig) S.S. X - X
Republic of The Philippines) City of Pasig) S.S. X - X
AFFIDAVIT OF LOSS
I, LUISITO F. BATICANO, JR., of legal age, Filipino, single and a resident of Block
112 Lot 8, Phase 2 C II Karangalan Village, Pasig City, after having been duly sworn to in
accordance with law, depose and state THAT:
3. Efforts were exerted to locate said driver's license, but in spite of diligent search, it
could not be found and the same is now beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of May 2014 in Pasig
City, Metro Manila, Philippines.
NOTARY PUBLIC
I, Marshall Eriksen, of legal age, Filipino citizen, single and now residing at 162 Aurora Hill,
Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby
depose and state that:
1. I was issued by the Department of Foreign Affairs a passport sometime in April 21, 2013
which will expire on April 20, 2018;
2. I have always kept the same inside the topmost compartment of my bedside table
drawer;
3. On December 30, 2016 when I looked for the said passport as I intended to use it as
competent evidence of identity as I will be executing an affidavit on that day, I
discovered that it was missing;
4. I exerted diligent efforts to recover the said passport but the same proved futile;
5. The said passport was lost in the manner stated above and was not confiscated nor
cancelled by the issuing agency or other agencies for violation of any of its terms and
conditions, laws, rules and regulations;
6. I am now executing this affidavit to attest to the truth of the foregoing facts, to secure a
replacement of the said lost passport, and for all legal intents and purposes it may
serve.
___________________________
Marshall Eriksen
Affiant
day 24th day of January 2017, affiant exhibiting before me his Government Issued ID
No. 036489374 issued on June 19, 2010 at Baguio City.
AFFIDAVIT OF LOSS
3. That sometime on July 20, 2013, when I arrived home from work,
I discovered that said ATM card was no longer in my wallet;
5. That in view thereof, I now desire and hereby request BDO to issue
another ATM card in lieu of the lost one;
6. That I bind myself to save BDO harmless from any loss or damage
that it may incur in connection with the issuance of a new ATM
card in lieu of the lost one;
GERARDO L. TAN
Affiant
Voter's ID No. 5555
MUNICIPALITY OF CAMILING )
AFFIDAVIT OF EXPLANATION
4. With the help of the Philippine Consulate, I managed to travel from Kuwait, K.S.A. to
the Philippines using my travel documents in lieu of my passport;
7. Finally, I am executing this affidavit to attest to the truth of the foregoing statements
and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 9thday of January, 2017 at
Camiling, Tarlac, Philippines.
CHARITO D. ACIERTO
Affiant
SUBSCRIBED AND SWORN to before me on the date and place indicated above.
Affiant exhibited before me her Unified Multi-Purpose ID Card with CRN-0001-1402218-1 issued
by the Social Security System of the Philippines.
NOTARY PUBLIC
Doc. No.________;
Page No._______;
Book No._______;
Series of 2017.
REPUBLIC OF THE PHILIPPINES)
CITY OF ______________________)
AFFIDAVIT OF ACCIDENT
On January 24, 2013 at around four o’clock in the afternoon, I was driving along Airport
Road at Parañaque City going southbound. In the same lane, a ten-wheeler truck was also
traversing the road on my right side on a fast speed. As the truck was very fast, I did not
immediately notice that it sideswiped the right side portion of my driven vehicle. Unfortunately,
I was not able to stop the driver of the truck nor get the plate number of the truck. The
accident happened so fast and went beyond my control.
I am executing this affidavit to attest to the truth of the foregoing statement and in
support of my claims for reimbursement from the insurance company.
_____________________
Affiant
on _____________________.
NOTARY PUBLIC
MUNICIPALITY OF ISULAN )
x- - - - - - - - - - - - - - - - - - - - - - - - - - - X
1. That I am the legal owner and possessor of a motor vehicle particularly described as:
Color - - - - - - - - - - - - - - - - - - - BLACK/GRAY
Plate No - - - - - - - - - - - - - - - - RBA793
2. That I caused the change of the engine of the above-described motor vehicle from
D4BFS022521 to D4BAR840843.
3. That EDWIN MAGBANUA of JUVY MARIN AUTO REPAIR SHOP was the one who
changed the ENGINE of the above-described motor vehicle;
4. That I execute this affidavit to attest to the truth of the above facts and circumstances
and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 9th day of March, 2011 at
Isulan, Sultan Kudarat.
TIN: 936-194-547
SUBSCRIBED AND SWORN to before me this 9th day of March, 2011 at Isulan, Sultan
Kudarat.
ARNOLD H. ARMADA
Doc No. 146; Notary Public
That I execute this Affidavit to attest and declare the truth of the
foregoing facts and for whatever legal purposes that this Affidavit may
serve.
AFFIANT
(JURAT)
REPUBLIC OF THE PHILIPPINES} DONE: IN THE
CITY OF BAGUIO } S.S.
x ------------------------------------------- x
AFFIDAVIT OF PUBLICATION
I, SAM GINTO, of legal age, Filipino citizen, single and now residing at 2J Morning Star
Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn to in accordance
with law, do hereby depose and state:
2. That the notice in the exact form annexed was published in the regular issues of the
Midland Courier which was regularly distributed to its subscribers during the period stated in the
annexed Notice of Judicial Settlement of the Estate of RENZ MARK B. GARCIA;
3. That the notice was published on September 30, October 7 and 14, 2012;
4. That the amount of the fee charged in the foregoing publishing in the amount of Php3,
000.00 has been paid in full.
IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of November 2017, in
Baguio City, Philippines.
_______________________
Sam Ginto
Affiant
REPUBLIC OF THE PHILIPPINES)
CITY OF DUMAGUETE ) S.S
4. We are executing this affidavit to attest to the foregoing facts and for
the purposes of contracting marriage without the need of securing the
marriage license pursuant to the provisions of Article 34 of the Family
Code of the Philippines.
EUGENE V. EPIS
Affiant
___________________ ANGIE B. VILLANUEVA
___________________
Affiant
___________________
___________________
SUBSCRIBED AND SWORN TO before me this
____________________ in Dumaguete City, Negros Oriental.
We, the undersigned affiants, principals and attorney-in-fact, all of legal age,
Filipino, single, residents of No. 3754 Tacip St., Mirafuentes Subdivision, Tagum City
after being sworn to in accordance with law, hereby depose and state:
1. That we, Alfredo Confesor, Jr., Raul Confesor, and Betsy Poyatos are siblings,
and the co-owners of a parcel of land, covered by TCT No. 123-2012000123,
located at Lunar St. (from Lopez Jaena Ext. near RMC Gym) Brgy. Poblacion
7-A, Davao City;
2. That on the above-described parcel of land, there are two (2) matured durian
trees that need to be uprooted for being hazardous;
3. That under the law on co-ownership, any co-owner may act for the
preservation of the co-owned property;
IN WITNESS WHEREOF, we have hereunto set our hands this 20th day of January,
2021 at Tagum City, Davao del Norte, Philippines.
Doc No.______;
Page No._____;
Book No._____;
Series of 2021.
REPUBLIC OF THE PHILIPPINES} DONE: IN THE
CITY OF BAGUIO } S.S.
x ------------------------------------------- x
I, MARK A. FERNANDEZ, of legal age, married to the late Morena T. Almo, Filipino, and resident
of No. 11 City Camp Proper, Baguio City, Philippines, with residential mobile no. 0912345678
and with Tax Identification No. (T.I.N.) 449-775-889-000, after having been duly sworn in
accordance with law, state:
1) That I am the father of QUEEN A. HERNANDEZ, a minor born on January 1, 2005, and a
citizen of the Republic of the Philippines;
2) That I am giving my full consent to my said daughter to travel abroad or specifically to Seoul
Korea;
3) That for this purpose, I have sufficient and adequate financial capacity to support and defray
the expenses of said travel and I hereby undertake to finance her trip abroad from the
application fees, airline tickets, board and lodging, pocket money and such other expenses
that she may incur so that she would neither be a burden to the state nor at her place of
destination at any time during her trip abroad;
5) That I guarantee that neither I or she will violate the existing laws of our country of
destination; and
6) That I am executing this affidavit in connection with my daughter’s application for a passport
with the Department of Foreign Affairs and/or travel clearance from the Department of Social
Welfare and Development for her travel abroad.
IN WITNESS WHEREOF, I have hereunto set my hand this 1st day of May 2017 in Baguio City,
Philippines.
MARK A. FERNANDEZ
AFFIANT
TIN: 098-987-876
SUBSCIBED AND SWORN TO before me in Baguio City on this 1st day of May 2017affiant
exhibiting before me her TIN ID 578-542-776 issued on March 8, 1994.
Series of 2017.