affidavit of loss sample
DESCRIPTION
Affidavit of Loss SampleTRANSCRIPT
Republic of the Philippines
Republic of the Philippines
)
Province of ______________
) S. S.
City 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 an ______________________________;3. (Enter Facts);4. That the aforementioned _______________________ 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 ___________, 2015 at ______________________________.
AffiantSUBSCRIBED AND SWORN to before me this ____ day of _______, 2015 at ____________________________.
Doc No. ____Page No. ____
Book No. ____
Series of 2015.