This document is an Affidavit of Loss from an individual in Muntinlupa City, Philippines, declaring the loss of certain valuables. The affiant states that despite efforts to locate the items, they are believed to be beyond recovery. The affidavit is executed for legal purposes and is sworn before a notary public.
This document is an Affidavit of Loss from an individual in Muntinlupa City, Philippines, declaring the loss of certain valuables. The affiant states that despite efforts to locate the items, they are believed to be beyond recovery. The affidavit is executed for legal purposes and is sworn before a notary public.
This document is an Affidavit of Loss from an individual in Muntinlupa City, Philippines, declaring the loss of certain valuables. The affiant states that despite efforts to locate the items, they are believed to be beyond recovery. The affidavit is executed for legal purposes and is sworn before a notary public.
This document is an Affidavit of Loss from an individual in Muntinlupa City, Philippines, declaring the loss of certain valuables. The affiant states that despite efforts to locate the items, they are believed to be beyond recovery. The affidavit is executed for legal purposes and is sworn before a notary public.
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
You are on page 1/ 1
REPUBLIC OF THE PHILIPPINES )
MUNTINLUPA CITY )S.S.
METRO MANILA )
AFFIDAVIT OF LOSS
I, ________________________________, of legal age, Filipino, married with residence
and postal address at ____________________________________, after being duly sworn to in accordance with law hereby depose and say:
1. That I am the holder/owner of ____________________________ the following
valuables; a. ____________________________ b. ____________________________
2. That I use to keep the said valuables in my files for convenience and safety purposes;
3. That sometime on ___________________, the said valuables was already
lost/missing and possibly _______________________________________________;
4. That despite diligent effort to locate said valuables all effort proved futile and the same could no longer be found;
5. That I believe it is now beyond recovery;
6. That I am executing this affidavit to attest to the truth of the foregoing facts not intended for any fraudulent purpose/s but to report the loss and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, I am affixing my signature this ______________ at
Muntinlupa City, Philippines.
______________________ Affiant ___________ ID No. ___________ ____________ City
SUBSCRIBED AND SWORN to before me in the date and place abovementioned.
Affiant exhibited me his Competent Evidence of Identity abovementioned.
NOTARY PUBLIC Doc. No. ____; Page No. ____; Book No. ____; Series of 2022.
