Scribd
Upload
16 views1 page

AFFIDAVIT OF LOSS - Bacono

Eriberto G. Bacono Jr. declares the loss of his Driver’s License due to a house fire in 2022 that destroyed most of his belongings. He is executing this affidavit to inform relevant parties about the loss. The affidavit is sworn and signed in the presence of a notary public.

Uploaded by

Jam
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
16 views1 page

AFFIDAVIT OF LOSS - Bacono

Eriberto G. Bacono Jr. declares the loss of his Driver’s License due to a house fire in 2022 that destroyed most of his belongings. He is executing this affidavit to inform relevant parties about the loss. The affidavit is sworn and signed in the presence of a notary public.

Uploaded by

Jam
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
You are on page 1/ 1

Republic of the Philippines )

City of Makati )

AFFIDAVIT OF LOSS

I, ERIBERTO G. BACONO JR. , of legal age, Filipino, a resident of Malabag, Silang,


Cavite after having been sworn to in accordance with law, hereby depose and allege, that:

1. That I am a holder of a Driver’s License with no.N26-00-044661 duly issued in


my favor by the Land Transportation of the Philippines

2. That sometime in 2022 our house was burned and destroyed by fire;

3. As a result of the fire, most of my belongings and personal properties including


my Driver’s License were burned and destroyed;

4. I am executing this affidavit to inform those concerned about the loss and
destruction of the above-mentioned item or document;

5. I attest to the truth of the foregoing facts.

IN WITNESS WHEREOF, I hereunto affix my signature this __________ at


__________.

ERIBERTO G. BACONO JR.


Affiant
ID: Brgy. ID No. 0880 3004-22
Issued by Brgy. Bayanan, Bacoor Cavite

SUBSCRIBED AND SWORN to before me on the date and place indicated above.
Affiant exhibited before me her identification card as indicated below her signed name.

Doc. No.
Page No.
Book No.
Series of 2023.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy