REPUBLIC OF THE PHILIPPINES)
PARAÑAQUE CITY ) S.S.
AFFIDAVIT OF LOSS
I, PAUL MARTHY LIMCANGCO CALDERON, Filipino, of legal age, and resident of
#731 MH Del Pilar, Dampol I, Pulilan, Province of Bulacan after having been duly sworn to in
accordance with law, hereby depose and state:
1. That I am the registered owner of a 2016 HONDA CIVIC with CR and a promissory
note for PSBANK with MV File No. 130100000890364
2. That sometime on October of this year the was the last time I saw the OR/CR of my
2016 Honda Civic and the promissory note and release of chattel mortgage from
PSBANK;
3. That I exerted diligent efforts to recover these documents but all my efforts were
futile;
4. That I am executing this affidavit to attest to the truth of all my above statements to
the Land Transportation Office (LTO) and to PSBANK for their replacement/re-
issuance and for any other legal purposes it may serve.
IN WITNESS WHEREOF, I have signed this Affidavit this
________________________________ at ______________________________.
PAUL MARTHY LIMCANGCO CALDERON
Affiant
SUBSCRIBED AND SWORN to before me this 11th December at Parañaque City,
affiant exhibited to me his National ID # 4219-3461-5692-5412.
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REPUBLIC OF THE PHILIPPINES)
PARAÑAQUE CITY ) S.S.
AFFIDAVIT OF LOSS
I, NICO REYES PADILLA, Filipino, of legal age, and resident of 101 M. R. Luna St.,
BF Homes, Parañaque City after having been duly sworn to in accordance with law, hereby
depose and state:
1. That I am a holder of Department of Human Settlements and Urban Development
(DHSUD) ID;
2. That on March 2, 2024 the said ID was misplaced in the office;
3. That I exerted diligent efforts to recover said ID but all my efforts were futile;
4. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of my DHSUD ID to the Department of Human Settlements and Urban
Development for its replacement/ re-issuance/ renewal and for any other legal
purposes it may serve.
IN WITNESS WHEREOF, I have signed this Affidavit this 19 th day of
June, 2024 at Parañaque City.
NICO REYES PADILLA
Affiant
SUBSCRIBED AND SWORN to before me this 19th day of June, 2024 at Parañaque
City, affiant exhibited to me his UMID ID CRN-0111-7936960-0.
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REPUBLIC OF THE PHILIPPINES)
PARAÑAQUE CITY ) S.S.
AFFIDAVIT OF LOSS
I, SANTIAGO L. BAUTISTA, Filipino, of legal age, single and resident of # 312 Dove
St., G-2 Village, Brgy. Pinagsama, Taguig City, after having been duly sworn to in accordance
with law, hereby depose and state:
5. That I am a holder of Driver’s License ID, which I turned-over at the Pres. Avenue,
Phase 1, gate of BF Homes, Parañaque City, upon entrance at the village;
6. That when I was claiming my Driver’s License, I was informed by the guard-on-duty,
Adrian Acebar, that he accidentally released the same to other person;
7. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of said Driver’s License to the Land Transportation Office (LTO) for
its replacement/ re-issuance and for any other legal purposes it may serve.
IN WITNESS WHEREOF, I have signed this Affidavit this 27 th day of
January, 2021 at Parañaque City.
SANTIAGO L.
BAUTISTA
Affiant
SUBSCRIBED AND SWORN to before me this 27th day of January, 2021 at Parañaque
City, Affiant exhibited to me TIN # 201-104-517-000.
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Series of 2021
REPUBLIC OF THE PHILIPPINES)
PARAÑAQUE CITY ) S.S.
AFFIDAVIT OF LOSS
I, NENITA MILODA, Filipino, of legal age, single and resident of # 40 Real St.,
Urdaneta Village, Makati City after having been duly sworn to in accordance with law, hereby
depose and state:
1. That I am a holder of Driver’s License ID Card;
;
2. That said Driver’s License ID Card was loss sometime, April 2023;
3. That I exerted diligent efforts to recover said ID but all my efforts were futile;
s
4. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of my Driver’s License to the Land Transportation Office (LTO) for its
replacement/ re-issuance and for any other legal purposes it may serve.
IN WITNESS WHEREOF, I have signed this Affidavit this 10 th day of
May , 2021 at Parañaque City.
NENITA MILODA
Affiant
SUBSCRIBED AND SWORN to before me this10th day of May, 2021 at
Parañaque City, Affiant exhibited to me her OSCA No. 65-098 issued at Makati City on May 4,
2012.
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Series of 2024
REPUBLIC OF THE PHILIPPINES)
PARAÑAQUE CITY ) S.S.
AFFIDAVIT OF LOSS
I, HERMINDA M. JUATAS, Filipino, of legal age, and resident of # 48 A. Chioco St.,
BF Homes, Parañaque City, after having been duly sworn to in accordance with law, hereby
depose and state:
5. That I am the holder of the following:
a) Registered Nurse (RN) PRC ID No. 527305
b) a Chinabank credit card (no record of number), ATM card under S/A No.
3070174316, and C/A Passbook under Acct No. 307-0009410
c) a BPI ATM card with Savings No. 8259134707
d) a Metrobank S/A Passbook under Acct. No. 034-3034372587
6. That said PRC ID, ATM card, Credit card and Passbooks, were kept among my
personal files, but when I was looking for it, I could no longer locate the same despite
diligent efforts exerted;
7. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of said PRC ID to the Professional Regulations Commission (PRC)
relative to my renewal, and to the bank for replacement/ re-issuance of my ATM
card/s and for any other legal purposes it may serve.
IN WITNESS WHEREOF, I have signed this Affidavit this ___ th day of
January, 2021 at Parañaque City.
HERMINDA M.
JUATAS
Affiant
SUBSCRIBED AND SWORN to before me this ___th day of January, 2021 at
Parañaque City, Affiant exhibited to me her ID No. Driver’s License ID # N03-90-096903, valid
until 2022/08/23.
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Series of 2021
REPUBLIC OF THE PHILIPPINES)
PARAÑAQUE CITY ) S.S.
AFFIDAVIT OF LOSS
I, FRANCIS B. ANDUYON, Filipino, of legal age, married and resident of Block 10 Lot
33 Mercury St., Annex 13 Subd., Brgy. Marcelo Green, Parañaque City, after having been duly
sworn to in accordance with law, hereby depose and state:
8. That I am the lawful owner of a KTM/Duke 390, 2017 model with MV File No.
1301-00001012632, which I purchased from John Kenneth M. Navallo;
9. That the original copy of its Official Receipt (OR) dated 11/03/2017, was given to
me together with all other original documents, when subject motorcycle was
delivered, after my purchase;
10. That I kept said OR among my personal files at home, but when I was looking for it, I
could n longer locate the same, despite diligent efforts exerted;
11. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of said Official Receipt (OR) to the Land Transportation Office (LTO)
for its replacement/ re-issuance and transfer of ownership/registration under my name
and for any other legal purposes it may serve.
IN WITNESS WHEREOF, I have signed this Affidavit this 20 th day of
January, 2021 at Parañaque City.
FRANCIS B.
ANDUYON
Affiant
SUBSCRIBED AND SWORN to before me this 20th day of January, 2021 at
Parañaque City, Affiant exhibited to me his DL No. N04-09-010668 valid until 2022/12/12.
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REPUBLIC OF THE PHILIPPINES)
PARAÑAQUE CITY ) S.S.
AFFIDAVIT OF LOSS
I, THOMAS A. HIGA, Filipino, of legal age, married and resident of # 18 Rebecca St.,
BF Homes, Parañaque City, after having been duly sworn to in accordance with law, hereby
depose and state:
12. That I am a holder of Driver’s License ID # N03-90-096903, valid until 2022/08/23;
13. That said Driver’s License ID together with its Official Receipt (O.R.) were kept
inside my wallet, which was misplaced sometime last week;
14. That I exerted diligent efforts to recover said wallet together with all its contents but
all my efforts were futile;
15. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of my Driver’s License to the Land Transportation Office (LTO) for its
replacement/ re-issuance and for any other legal purposes it may serve.
IN WITNESS WHEREOF, I have signed this Affidavit this 18 th day of
January, 2021 at Parañaque City.
THOMAS A. HIGA
Affiant
SUBSCRIBED AND SWORN to before me this 18th day of January, 2021 at
Parañaque City.
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