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REPUBLIC OF THE PHILIPPINES } S. S.

PROVINCE OF SURIGAO DEL SUR }


IN THE CITY OF TANDAG }

AFFIDAVIT OF LOSS
I, VICENTE H. HINGPIT, of legal age, Filipino, married to Rosila Q. Hingpit and a
resident of Tubo-tubo, Cagwait, Surigao del Sur, Philippines, after being sworn in accordance
with law, hereby depose and state—

1. I am owner of the parcel of land parcel of land located at Barangay Tubo-Tubo,


Cagwait, Surigao del Sur, containing an area of FIVE THOUSAND SEVEN HUNDRED TEN
(5,710) Square Meters covered by Transfer Certificate of Title No. T-252 of the Registry of
Deeds of Surigao del Sur—as evidenced by the Deed of Donation of a Registered Land which
was executed in my favor by Spouses ARCADIO B. SALCES and NARCISA H. SALCES,
thereupon acknowledged before Atty. JONATHAN O. TABUGON and docketed in his Notarial
Registry on March 04, 2019 recorded as “Doc. No. 251; Page No. 54; Book No. 1; and Series of
2019.” A copy of the said Deed of Donation of a Registered Land is hereto attached and made an
integral part hereof as ANNEX A.

2. Immediately after the Deed of Donation of a Registered Land was executed, the
original duplicate owner’s copy of Transfer Certificate of Title No. T-252 was turned over to me
by Spouses ARCADIO B. SALCES and NARCISA H. SALCES. They likewise delivered to me
possession the subject parcel of land and since then I have openly exercised and maintained all
rights of ownership thereon.

3. I was not able to immediately process the transfer of title in my name because I was
then preoccupied with my work and for lacking of financial to support the expenses of the said
Transfer of title. When I decided to process the transfer of the title in my name, because I finally
had the time and opportunity to do so, I discovered that the original duplicate owner’s copy of
Transfer Certificate of Title No. T- 252 was missing. I could no longer find it in my files. All
diligent efforts I exerted to locate and retrieve it were in vain; hence for all legal intents and
purposes it is now deemed lost and beyond recovery.

4. I certify and confirm that the parcel of land covered by Transfer Certificate of Title No.
T-252 of the Registry of Deeds of Surigao del Sur was never mortgaged, sold, conveyed,
disposed of, or encumbered, to any other person or entity. I certify and confirm further that said
document was neither confiscated nor relinquished in favor of, any government entity agency, or
authority.

5. I attest to the truth of the foregoing statements to the best of my own personal
knowledge and based on authentic documents or records. I am executing this Affidavit of Loss to
support my application for a new owner’s duplicate copy of Transfer Certificate of Title No. T-
252 as well as for all lawful intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ________________ in
Tandag City, Surigao del Sur.

VICENTE H. HINGPIT
Affiant
SSS # 08-0232920-6

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in the
Province of Surigao del Sur, this ____________________ in Tandag City, Surigao del Sur, the
affiant personally appeared and affixed his signature with proof of his identity.

Doc No ___
Page No ___
Book No __
Series of 2023.

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