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Affidavit of Loss

Walter Ray Ballesta Gascon executed an affidavit of loss regarding his Lorenzo Tan Multi-purpose Cooperative passbook, which he turned over to his mother in June but could not locate when needed. Despite diligent efforts to find it, the passbook remains lost. The affidavit is intended to attest to these facts for legal purposes.

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rogelio ramiro
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0% found this document useful (0 votes)
26 views1 page

Affidavit of Loss

Walter Ray Ballesta Gascon executed an affidavit of loss regarding his Lorenzo Tan Multi-purpose Cooperative passbook, which he turned over to his mother in June but could not locate when needed. Despite diligent efforts to find it, the passbook remains lost. The affidavit is intended to attest to these facts for legal purposes.

Uploaded by

rogelio ramiro
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES)

Province of Zamboanga Sibugay ) SS.


MUNICIPALITY OF BUUG )

AFFIDAVIT OF LOSS
I, WALTER RAY BALLESTA GASCON, of legal age and with postal address at Purok 7,
Barangay Poblacion, Buug, ZSP, under oath, state:

1. THAT, on the month of June at the residence of my parents while I turned over to my mother,
Mrs. Chona Ballesta Gascon a Lorenzo Tan Multi-purpose Cooperative (LTMPC) passbook;

2. THAT, when I was asked my mother on the LTMPC Passbook so I could make a deposit, it
was not found;

3. THAT, I and my mother exerted diligent efforts to locate the LTMPC Passbook, but was not
able to locate the LTMPC Passbook and I therefore considered the same as lost and can no longer be
found;

4. THAT I am executing this Affidavit to attest to the truth of the foregoing facts and to use the
same for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereunto affix my signature this 9th day of September 2022.

CHONA B. GASCON WALTER RAY B. GASCON


Affiant Affiant

Attested by:

DOMINADOR P. SUMPO
Punong Barangay
Barangay Datu Panas

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