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Republic of the Philippines)

____________________ ) S.S.

AFFIDAVIT OF LOSS
I, Ma. Angelica Y. Azurin, of legal age, Filipino,
married, with residence address at No. 40-40B Yellowstone,
South Green Park Village, Barangay Merville, Paraaque
City, under oath, deposes and states that:
(1) I am the President of Yacal Farms Inc., a domestic
corporation with office address at Barangay Malagonlong
Lipa City, Batangas;
(2) Sometime in May 2015 I discovered that the
Books of Accounts of the said corporation the original of
which was under the custody of our bookkeeper named
Rosario Francisco, is missing;
(3) Rosario Francisco died last February 2015 and she
failed to properly turnover the said documents to our
accountant named Erly Mercado prior to her death;
(4) Mr. Erly Mercado informed us that as far as he
knows, there is no available reproduced copy of the said
documents;
(5) Diligent search of said document by all people
concerned at the office premises and even from my
personal effects proved futile and unavailing;
(6) I am executing this affidavit to attest to the truth
of all the foregoing and for whatever legal purposes it may
serve.
Affiant further sayeth naught.

________________________
Ma. Angelica Y. Azurin

SUBSCRIBED AND SWORN to before me this _____


day of June 2015 in Quezon City, Metro Manila, affiant

exhibiting to me her ___________ with no. __________


issued on _____________ at ____________.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2015.