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Affidavit of Loss: Affiant

The affiant declares that they are the holder of a Company Identification Card that was lost on a specific date while in a certain location. Despite diligent efforts, the identification card could not be found and is considered lost beyond recovery. The affiant executed this affidavit to attest to the truth of these facts for any legal purpose.

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Ron Roa
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60 views1 page

Affidavit of Loss: Affiant

The affiant declares that they are the holder of a Company Identification Card that was lost on a specific date while in a certain location. Despite diligent efforts, the identification card could not be found and is considered lost beyond recovery. The affiant executed this affidavit to attest to the truth of these facts for any legal purpose.

Uploaded by

Ron Roa
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 )

CITY OF XXXXXXXXXX ) S.S.

AFFIDAVIT OF LOSS

I, XXXXXXXXXXXX, of legal age, Filipino, single, and with residence


address at XXXXXXXXXXXXXXXXXXXXXXX, after having been duly sworn to
in accordance with law, do hereby depose and say that:

1. I am a holder of a Company Identification Card with ID No.


XXXXXXXXXXXXXXXX;

2. Said identification card was in my possession on XXXXXXXXXXXXXX


and the same was lost while I was in XXXXXXXXXXXXXXXXXXX;

3. Despite diligent efforts, the said identification card could no longer be


located. Thus, I consider it lost and beyond recovery;

4. I am executing this affidavit in order to attest to the truth and veracity of


the foregoing facts for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this


XXXXXXXXXXXXXX, XXXXXXXXX in XXXXXXXXXXXXXXXXXXXXXX.

XXXXXXXXXXXXXXXXXXXX
AFFIANT
Driver’s License No.
XXXXXXXXXXXXX

SUBSCRIBED AND SWORN to before me this XXXXXXXXXXXXXXx in


XXXXXXXXXXXXXXXXXXXXXX, affiant exhibiting to me his competent
evidence of identity stated above.

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