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Affidavit of Loss 2024

AFFIDAVIT OF LOSS TEMPLATE

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0% found this document useful (0 votes)
2K views1 page

Affidavit of Loss 2024

AFFIDAVIT OF LOSS TEMPLATE

Uploaded by

kimblytheee
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AFFIDAVIT OF LOSS

I, NAME, legal age, NATIONALITY, (CIVIL STATUS) owner of COMPANY NAME with
an office address of FULL ADDRESS OF COMPANY after having been duly sworn to in
accordance with law, depose and state THAT:

1. Sometime on DATE around TIME, said the MISSING DOCUMENT was misplaced and
got lost;
2. Efforts were exerted to locate said MISSING DOCUMENT, but in spite of diligent
search, it could not be found and the same is now beyond recovery;
3. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to support my application for the issuance of a new DOCUMENT, in lieu of the
one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in Sta.


Ana, Manila, Metro Manila, Philippines.

________________
NAME

SUBSCRIBED AND SWORN TO before me this ________________ in


________________, Philippines, affiant exhibiting to me his/her competent evidence of
identity by way of ______________.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2024.

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