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Sample Affidavit of Lost Title PDF
Sample Affidavit of Lost Title PDF
AFFIDAVIT OF LOSS
I, BENTER S. BATANES, of legal age, single, Filipino, and a resident of Km. 5, La Trinidad,
Benguet, Philippines, after being sworn in accordance with law, hereby depose and state—
2. Immediately after the Deed of Sale of a Registered Land was executed, the original duplicate
owner’s copy of Transfer Certificate of Title No. T-63274 was turned over to me by Benedicto C.
Fernandez. He likewise delivered to me possession the subject parcel of land and since then I have
openly exercised and maintained all rights of ownership thereon.
3. I was not able to immediately effect transfer the title in my name because I was then
preoccupied with my studies at Aviator Flight School in Cebu City and at Clark Aviation School in
Clark Freeport, Pampanga. Sometime in April 2012, when I decided to process the transfer of the title in
my name, because I finally had the time and opportunity to do so, I discovered that the original
duplicate owner’s copy of Transfer Certificate of Title No. T- 63274 was missing. I could no longer find
it in my files. All diligent efforts I exerted to locate and retrieve it were in vain; hence for all legal
intents and purposes it is now deemed lost and beyond recovery.
4. I certify and confirm that the parcel of land covered by Transfer Certificate of Title No. T-
63274 of the Registry of Deeds of Benguet was never mortgaged, sold, conveyed, disposed of, or
encumbered, to any other person or entity. I certify and confirm further that said document was neither
confiscated nor relinquished in favor of, any government entity agency, or authority.
5. I attest to the truth of the foregoing statements to the best of my own personal knowledge
and based on authentic documents or records. I am executing this Affidavit of Loss to support my
application for a new owner’s duplicate copy of Transfer Certificate of Title No. T-63274 as well as for
all lawful intents and purposes it may serve.
IN WITNESS WHEREOF, I set my hand this 2nd day of July 2012 at Baguio City, Philippines.
BENTER S. BATANES
Affiant
Driver’s License No. A01-02-084831
Firearm License No. 842133/1588288
SUBSCRIBED AND SWORN to before me this 2nd day of July 2012 at Baguio City,
Philippines.