REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.

MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, JOHNNY J. LICTAOA JR., of legal age, Filipino and a resident at

Calasiao, Pangasinan, after having been duly sworn to in accordance with law,
depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Professional Driver's License with License No. A12-08-
000766 which is valid until August 24, 2024;

2. Sometime on September 12, 2019 the said driver's license was been
confiscated by the LTO Officer;

3. On September 12, 2019 at around 3:30pm, when I was about to claim

the said Driver’s License, it was unintentionally misplaced/lost by the LTO
Officer;

4. Efforts were exerted to locate said driver's license, but in spite of diligent
search, it could not be found and the same is now beyond recovery;

5. As such, I am executing this Affidavit of Loss to attest to the truth of the

foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 13th day of

September 2019 Paniqui, Tarlac, Philippines.

JOHNNY J. LICTAOA JR.

Affiant

SUBCRIBED AND SWORN TO before me this 13th day of September 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, DONNY NAZARENO MACARAEG, of legal age, Filipino and a resident

at Licor Poblacion Norte, Paniqui, Tarlac, after having been duly sworn to in
accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License with License;

2. I regularly keep the said driver’s license in my wallet, among others;

2. Sometime on May 5, 2019, I discovered that said driver’s license was no

longer in my wallet;

3. Efforts were exerted to locate said driver's license, but in spite of diligent
search, it could not be found and the same is now beyond recovery;

4. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

5. As such, I am executing this Affidavit of Loss to attest to the truth of the

foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of May
2019 Paniqui, Tarlac, Philippines.

DONNY NAZARENO MACARAEG

Affiant
TIN No.: 227-790-969-000

SUBCRIBED AND SWORN TO before me this 30th day of May 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, JONATHAN L. GRAGASIN, of legal age, Filipino, single and a resident at

Paniqui, Tarlac, after having been duly sworn to in accordance with law, depose and state
THAT:

1. That I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a corresponding
Professional Driver's License with License NO.:
________________________;

2. That I regularly keep the said driver’s license in my wallet, among others;

3. That sometime on August 2019, I discovered that said driver’s license was
no longer in my wallet;

4. That efforts were exerted to locate said driver's license, but in spite of
diligent search, it could not be found and the same is now beyond recovery;

5. That the said Driver's License has not been confiscated by the LTO, Police
or other Traffic Enforcers for any traffic violation;

6. That as such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 03rd day of September
2019 Paniqui, Tarlac, Philippines.

JONATHAN L. GRAGASIN
Affiant

SUBCRIBED AND SWORN TO before me this 3rd day of September 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, RUEL LIBATIQUE GRANIL, of legal age, Filipino, married and a

resident at Moncada, Tarlac, after having been duly sworn to in accordance with
law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License with License;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on September 15, 2019, I discovered that said driver’s

license was no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police
or other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth

of the foregoing and to support my application for the issuance of a
new Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 16th day of

September 2019 Paniqui, Tarlac, Philippines.

RUEL LIBATIQUE GRANIL

Affiant
PhilHealth.: 07-025611447-8

SUBCRIBED AND SWORN TO before me this 16th day of September 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, EDMUND MORANTE ALFERO, of legal age, Filipino, married and a

resident at Nancamarinan, Tarlac, after having been duly sworn to in accordance
with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on September 14, 2019, I discovered that said driver’s

license was no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of

September 2019 Paniqui, Tarlac, Philippines.

EDMUND MORANTE ALFERO

Affiant
Passport: P6732345A

SUBCRIBED AND SWORN TO before me this 17th day of September 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, MARLON BAUTISTA GALULAC, of legal age, Filipino, single and a

resident at Paniqui, Tarlac, after having been duly sworn to in accordance with
law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on September 29, 2019, I discovered that said driver’s

license was no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of

September 2019 Paniqui, Tarlac, Philippines.

MARLON BAUTISTA GALULAC

Affiant
TIN: 457-543-235-000

SUBCRIBED AND SWORN TO before me this 30th day of September 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, RAYMOND BUMANLAG STA. MARIA, of legal age, Filipino, married

and a resident at Purok 1, Matalapitap, Paniqui Tarlac, after having been duly
sworn to in accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Non-Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet among others;

3. Sometime on October 2019, I discovered that said driver’s license

was no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 28th day of

November 2019 Paniqui, Tarlac, Philippines.

RAYMOND BUMANLAG STA. MARIA

Affiant

SUBCRIBED AND SWORN TO before me this 28th day of November 2019

Paniqui, Tarlac, Philippines, affiant exhibited to me his TIN I.D. with number 346-
795-901-000.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, JOHNNY J. LICTAOA JR., of legal age, Filipino and a resident at

Calasiao, Pangasinan, after having been duly sworn to in accordance with law,
depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Professional Driver's License with License No. A12-08-
000766 which is valid until August 24, 2024;

2. Sometime on September 12, 2019 the said driver's license was been
confiscated by the LTO Officer;

3. On September 12, 2019 at around 3:30pm, when I was about to claim

the said Driver’s License, it was unintentionally misplaced/lost by the LTO
Officer;

4. Efforts were exerted to locate said driver's license, but in spite of diligent
search, it could not be found and the same is now beyond recovery;

5. As such, I am executing this Affidavit of Loss to attest to the truth of the

foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 13th day of

September 2019 Paniqui, Tarlac, Philippines.

JOHNNY J. LICTAOA JR.

Affiant

SUBCRIBED AND SWORN TO before me this 13th day of September 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, JULIUS M. LAYNO, of legal age, Filipino, married and a resident at

Purok Macapagal, Rang-ayan, Paniqui, Tarlac, after having been duly sworn to in
accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on November 08, 2019 I discovered that said driver’s

license was no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 11th day of

November 2019 Paniqui, Tarlac, Philippines.

JULIUS M. LAYNO
Affiant

SUBCRIBED AND SWORN TO before me this 11th day of November 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, JOHNNY J. LICTAOA JR., of legal age, Filipino and a resident at

Calasiao, Pangasinan, after having been duly sworn to in accordance with law,
depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Professional Driver's License with License No. A12-08-
000766 which is valid until August 24, 2024;

2. Sometime on September 12, 2019 the said driver's license was been
confiscated by the LTO Officer;

3. On September 12, 2019 at around 3:30pm, when I was about to claim

the said Driver’s License, it was unintentionally misplaced/lost by the LTO
Officer;

4. Efforts were exerted to locate said driver's license, but in spite of diligent
search, it could not be found and the same is now beyond recovery;

5. As such, I am executing this Affidavit of Loss to attest to the truth of the

foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 13th day of

September 2019 Paniqui, Tarlac, Philippines.

JOHNNY J. LICTAOA JR.

Affiant

SUBCRIBED AND SWORN TO before me this 13th day of September 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, LESLIE L. ACOSTA, of legal age, Filipino, married and a resident at

Brgy. Toledo, Ramos Tarlac after having been duly sworn to in accordance with
law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Non-Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on December, 2019, while driving along Paniqui Town

Proper, Paniqui Tarlac I dropped my wallet which contains the above
said license;

4. Efforts were exerted to locate said driver's license, but in spite of diligent
search, it could not be found and the same is now beyond recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 08th day of

January 2020 Paniqui, Tarlac, Philippines.

LESLIE L. ACOSTA
Affiant

SUBCRIBED AND SWORN TO before me this 08th day of January 2020

Paniqui, Tarlac, Philippines, affiant exhibited to me her Pag-ibig loyalty card with
number 1400-0120-9752.
Doc. No.__________;
Page No.__________; ATTY. JENY ANNE D. MADAMBA
Notary Public until December 31, 2020
Book No.__________; Carriedo St. Paniqui, Tarlac 2307
Series of 2020. Roll No. 69184/May 31, 2017
PTR No. 0114859; January 02, 2020; Paniqui, Tarlac
IBP No. 017673; July 15, 2017; Tarlac Chapter
MCLE Compliance No. VI-0011044
 HEREBY GIVING AND GRANTING unto my said Attorney-In-Fact full power and
authority to do and perform every act and thing whatsoever requisite, necessary, and proper
to be done in the exercise of any of the rights and powers herein granted, as fully to all
intents and purposes as I might or could do if personally present, and HEREBY RATIFYING
AND CONFORMING all that my said Attorney-In-Fact shall lawfully do or cause to be done
by virtue of this power of attorney and the rights and powers herein granted.

IN WITNESS WHEREOF, WE have hereunto set our hands this ___ day of
_____________ in the Province of Tarlac, Philippines.

CESAR PIOQUINTO MARISELDA PIOQUINTO

Principal Principal

With my acceptance:

___________________________

Attorney-in-Fact

SIGNED IN THE PRESENCE OF:

________________________ __________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES }

PROVINCE OF TARLAC }ss

BEFORE ME, a Notary Public for and in the above jurisdiction, on this ___ day of
________________ personally appeared the above-named persons with their corresponding
competent evidence of their identities, known to me and to me known to be the same persons
who executed the foregoing instrument and acknowledged to me that the same is their free
act and voluntary deed.

WITNESS MY HAND AND SEAL.

REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, ALFREDO ABRIL ESTRADA, of legal age, Filipino and a resident of

Abogado, Paniqui, Tarlac, after having been duly sworn to in accordance with
law, depose and state:

1. That I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Professional Driver's License;

2. That I regularly keep the said driver’s license in my wallet, among

others;

3. That sometime on February 09, 2020, while driving along Paniqui

Public Market, Paniqui, Tarlac, I dropped/lost the said driver’s license;

4. That for all legal intents and purposes the said Identification Card is
now considered lost and beyond recovery;

5. That said Driver's License has not been confiscated by the LTO, Police
or other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of the

foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 10th of

February 2020 Paniqui, Tarlac, Philippines.

ALFREDO ABRIL ESTRADA

Affiant

SUBCRIBED AND SWORN TO before me this 10th of February 2020, in

Paniqui, Tarlac, Philippines affiant exhibited to me his UMID I.D. with number
CRN-0111-0349477-4.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.