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Affidavit of Loss - APM

This affidavit of loss was sworn by an individual in Capas, Tarlac, Philippines. They attest that they were in possession of certain documents that are now lost despite efforts to locate them. The purpose of the affidavit is to declare the loss of the documents in order to request replacements from relevant offices and banks. The affiant swears the statements are true and made of their own knowledge.

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Legal Office Capas
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119 views2 pages

Affidavit of Loss - APM

This affidavit of loss was sworn by an individual in Capas, Tarlac, Philippines. They attest that they were in possession of certain documents that are now lost despite efforts to locate them. The purpose of the affidavit is to declare the loss of the documents in order to request replacements from relevant offices and banks. The affiant swears the statements are true and made of their own knowledge.

Uploaded by

Legal Office Capas
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 )

Capas, Tarlac ) S. S.

AFFIDAVIT OF LOSS

I, _________________________, of legal age, Filipino and a resident


of____________________________, after being duly sworn to in accordance with
law, hereby depose and state;

1 That I was issued/the owner/in possession of the following:


_____________________________________________________________
_____________________________________________________________
______________________________________________________

2 That I usually kept the aforesaid document/s in ______________________


_____________________________________________________________

3 _____________________________________________________________
________________________________________________________

4 That I exerted all efforts to locate the same, but despite such efforts, I could
no longer find said documents/s was/were lost;
5 That I therefore execute this affidavit to declare the fact of loss of the
aforesaid document/s in order to exolain the circumtances on how it
was/were lost for the purpose on inducing the concerned office/s and/ or
bank/s to issue me the same in lieu of the loss ones and for whatever legal
purpose it may serve;
6 That I attest to the truthfulness and veracity of the foregoing statements
having been made own personal knowledge and belief.

IN WITNESS WHEREOF, I have hereunto set our hands this ______ day
at the Municipality of Capas, Province of Tarlac, Philippines.

____________________
Affiant

SUBSCRIBED AND SWORN TO before me this ______ day of October,


2016, at the Municipality of Capas, Province of Tarlac, Philippines.
Doc. No. _______;
Page No. _______;
Book No. _______;
Series of _______.

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