Professional Documents
Culture Documents
of Registration, you can change this form to a Loss of Driver's License or of any other
item by changing the data.
AFFIDAVIT OF LOSS
I, (Name of Affiant)., Filipino, of legal age, residing at (Address of Affiant), after having been
sworn in accordance with law hereby depose and state:
That I am the true and lawful owner of a certain motor vehicle which is
more particularly described as follows:
That sometime in June of this year, I was looking for the original
Certificate of Registration of my car but to my surprise, said Owner’s original
Copy could not found;
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _______________. 20___
at _________________________.
SUBSCRIBED AND SWORN to before me, this ____ day of ______________, 20___ in
___________________ City, with affiant exhibiting his CTC No. _______________ ,
Issued on ______________________ at _________________________.
NOTARY PUBLIC
Until December 31, 200___
Doc. No. : ________;
Page No. : ________;
Book No. : ________;
Series of 20_______.