Professional Documents
Culture Documents
Affidavit of Loss
Affidavit of Loss
City/Municipality of _____________)
x-----------------------x
AFFIDAVIT OF LOSS
I, _____________, Filipino, of legal age, (single / married), and a resident of _____________, after
being duly sworn in accordance with law, depose and state:
2 That to my surprise, I discovered last _____________ that the said Identification Card could
not be found;
3 As all efforts to find the same proved unrewarding, it is now safe to conclude that recovery
of the same is an impossibility;
4 Thus, I execute this affidavit to establish its loss and to support my application for the
issuance of a new Identification Card.
AFFIANT
SUBSCRIBED AND SWORN to before me, this _____________, by the Affiant who is personally
known to me (or whom I have identified through competent evidence of identity) and who exhibited his/her
Community Tax Certificate No. _____________ issued at _____________ on _____________.
NOTARY PUBLIC
Book No.______;
Series of 20____.