affidavit of loss sample
DESCRIPTION
Affidavit of Loss SampleTRANSCRIPT
Republic of the Philippines
Republic of the Philippines
)
Province of ______________
) S. S.
Municipality of ________________)
x----------------------------------------x
Affidavit of Loss
I, __________________________, of legal age, Filipino and a resident of _____________________________, after having been duly sworn to in accordance with law, hereby depose and say:
1. That I am the very person executing this affidavit;
2. That I am the owner of a ______________________________;3. That however on date-, (facts);4. That the said _______________________ is now considered lost and beyond recovery; 5. That I am executing this instrument to attest to the truthfulness of the foregoing statements and for whatever purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of ___________, ______ at ______________________________.
AffiantSUBSCRIBED AND SWORN to before me this ____ day of _______, _____ at ____________________________.
Doc No. ____Page No. ____
Book No. ____
Series of ______.