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Affidavit of Loss: Republic of The Philippines) City of Manila) S.S
Affidavit of Loss: Republic of The Philippines) City of Manila) S.S
AFFIDAVIT OF LOSS
2. I have recently discovered the said item/s is/are irretrievably lost and can no
longer be found despite diligent efforts to locate the same;
Affiant
(Signature over printed name)
Competent evidence of identity
ID:
Issued on:
At:
SUBSCRIBED and SWORN TO before me on the date and at the place indicated
below. The affiant exhibited to me his competent evidence of identity as indicated
below.
Notary Public
Doc No.____________;
Page No.___________;
Book No.___________;
Series of ___________;