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Affidavit of Loss - Aldrene (Wallet)

Aldrene Nicolas filed an affidavit of loss stating that while on his way to work on his tricycle on January 3, 2017, he noticed his wallet was missing from the front compartment of his vehicle. His wallet contained his driver's license, voter ID, pawn ticket, gas card, copies of vehicle registration and receipt, cash, and other personal items. He searched his tricycle but did not find his wallet. He also searched along the road but was unable to locate his lost wallet and contents. He reported the incident to the local police but all efforts to find his wallet proved futile, so he now considers it and its contents lost beyond recovery.
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0% found this document useful (0 votes)
67 views1 page

Affidavit of Loss - Aldrene (Wallet)

Aldrene Nicolas filed an affidavit of loss stating that while on his way to work on his tricycle on January 3, 2017, he noticed his wallet was missing from the front compartment of his vehicle. His wallet contained his driver's license, voter ID, pawn ticket, gas card, copies of vehicle registration and receipt, cash, and other personal items. He searched his tricycle but did not find his wallet. He also searched along the road but was unable to locate his lost wallet and contents. He reported the incident to the local police but all efforts to find his wallet proved futile, so he now considers it and its contents lost beyond recovery.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines )

Camiling, Tarlac
)S.S

AFFIDAVIT OF LOSS
I, ALDRENE NICOLAS y DELA CRUZ, 27 years old, Filipino citizen, married
and a resident of Barangay Libueg, Camiling, Tarlac, Philippines, after having been
duly sworn to in accordance with law, do hereby depose and state THAT:
1. While on my way to work on board my tricycle on January 3, 2017 at around
5:00AM, I noticed that my wallet which I earlier placed in the front
compartment of my tricycle was missing;
2. My wallet contained my Professional Drivers License Card, Voter ID Card,
Cebuana Lhuiller pawn ticket, Petron Tricycle Card, machine copies of the
Certificate of Registration and Official receipt of my motrocycle, some cash
and other personal belongings;
3. Immediately, I search my wallet inside the tricycle but I found nothing. Also, I
went back along the road to search for my missing wallet but it was in vain;
4. The incident was reported to the Camiling Police Station, Camiling, Tarlac;
5. All my diligent efforts to locate my wallet and its contents proved futile;
hence, I now consider them as lost and beyond recovery;
6. The above-said license/cards/IDs were neither confiscated by any authority
or pledged to secure any obligations;
7. I am executing this Affidavit to attest to the truth of the foregoing statements
and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of
January, 2017 at Camiling, Tarlac, Philippines.
ALDRENE D. NICOLAS
Affiant
SUBSCRIBED AND SWORN to before me on the date and place indicated
above. Affiant exhibited to me his Philippine Passport with Number EC1139811 issued
by the Department of Foreign Affairs, Pampanga on May 19, 2014, valid until May 18,
2019.

Doc. No._______;
Page No._______;
Book No._______;
Series of 2016.

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