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Website Affidavit of Loss General Blank Form
Website Affidavit of Loss General Blank Form
)
) S.S.
AFFIDAVIT OF LOSS
2. I have recently discovered the said item/s is/are irretrievably lost and can no
longer be found despite diligent efforts to locate the same;
3. I execute this affidavit to attest to the truth of the foregoing.
Signed on the date and at the place indicated below.
Affiant
(Signature over Printed Name)
Competent Evidence of Identity
ID:
issued on:
at:
SUBSCRIBED and SWORN TO before me on the date and at the place indicated below.
The affiant exhibited to me his competent evidence of identity as indicated above.
Signed this
at
,
, Philippines.
Notary Public
Doc. No.
Page No.
Book No. I
Series of