You are on page 1of 1

Republic of the Philippines )

Quezon City, Metro Manila)S.S.

AFFIDAVIT OF DENIAL

I, WILHELMINO ROSALES LOZADA, JR. , Filipino, of legal age, married ,


and a resident of No. 29 San Vicente St., Bgy. Damayan , Quezon City , Philippines,
having been duly sworn in accordance with law, hereby depose and state:

1. That I am NOT the same person as one WILHELMINO LOZADA who was
charged for the crime of Grave Coercion and docketed under Criminal Case No.
02-111398 before Branch 40 of the Metropolitan Trial Court of Quezon City ;

2. That I have never been the subject of any criminal complaint, charge or
proceeding before any prosecutor or court;

3. As such, I am executing this Affidavit to certify or attest to the truth of the


foregoing facts and for purpose of denying that I am the Wilhelmino Lozada who
is the subject of the aforementioned case and for whatever legal purpose that this
Affidavit may serve.

IN WITNESS WHEREOF, we have set our hands this ____ day of September 2019
in Quezon City , Metro Manila, Philippines.

WILHELMINO R. LOZADA, JR.


Affiant

SUBSCRIBED AND SWORN to before me this ___ day of September 2019 in Quezon
City affiant with competent proof of identity as LTO Non-Professional Drivers License
with No. NO4-09-004347 with expiration date on January 18, 2023.

Doc. No. _____


Page No. _____
Book No. _____
Series of 2019.

You might also like