You are on page 1of 3

REPUBLIC OF THE PHILPPINES )

CITY OF GENERAL S A N T O S) S.S.


x- - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF LOSS

I, YOLLY T. LEBANON, of legal age, Filipino, married


with postal address at General Santos City, after having been
duly sworn to in accordance with law, do hereby depose and
say:

1. That I am the attorney-in-fact of San Lorenzo Ruiz


Fishing Industry, Inc., the buyer of three (3) parcels
of land situated in Brgy. Tambler, General Santos City
registered in the name of Joel C. Congson;

2. That I have in my possession original copy of Extra-


Judicial Settlement of Estate Among Heirs of Joel C.
Congson with BIR annotation at the back;

3. That said copy of Extra-Judicial Settlement was among


my other documents placed in an envelope at the
office;

4. That said document was lost and could no longer be


found despite diligent efforts to locate the same;

5. That I am executing this affidavit to attest to the


truth of the foregoing facts and for whatever
purpose this may legally serve.

IN WITNESS WHEREOF, I have hereunto set my hand this


23th day of July, 2014 at General Santos City.

YOLLY T. LEBANON
Affiant

SUBSCRIBED AND SWORN to before me this 23rd day of July,


2014 at General Santos City, Philippines.

Doc. No. ____________;


Page No. ____________;
Book No. ____________;
Series of 2014.
REPUBLIC OF THE PHILPPINES )
CITY OF GENERAL S A N T O S) S.S.
x- - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF LOSS

I, MARIO Y. DIDELES, of legal age, Filipino, married


with postal address at Aparente Avenue, Dad. Heights,
General Santos City, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I am a holder of Plane Ticket route: Manila-Kuala


Lumpur-Manila, which I purchased through Marazul
Travel, Inc.-Marisa Bautista;
2. That the just recently, when I looked over for said
plane ticket, the same could not be found;
3. That diligent efforts were exerted to locate my said
plane ticket, proved futile as the same could no longer
be found or located;
4. That I am executing this affidavit to attest to the
truth of the foregoing facts and for whatever purpose
this may legally serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 27 th


day of September, 2005 at General Santos City.

MARIO Y. DIDELES
Affiant
CTC NO. 02636600
Issued on 1.28.05
At General Santos City

SUBSCRIBED AND SWORN to before me this 27th day of


September, 2005 at General Santos City, Philippines.

Doc. No. ____________;


Page No. ____________;
Book No. ____________;
Series of 2005.
REPUBLIC OF THE PHILPPINES )
CITY OF GENERAL S A N T O S ) S.S.
x - - - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF LOSS

I, MARIO Y. DIDELES, of legal age, Filipino, married


with postal address at Aparente Avenue, Dad. Heights,
General Santos City, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I am a holder of dollar bank book with Dollar


Savings Account No. 2154006977, being issued by the
Bank of Philippine Island (BPI), Santiago branch,
General Santos City;
2. That the just recently, when I looked over for said
dollar bank book, the same could not be found;
3. That diligent efforts were exerted to locate my said
bank book, proved futile as the same could no longer be
found or located;
4. That I am executing this affidavit to attest to the
truth of the foregoing facts and for whatever purpose
this may legally serve.

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


day of February, 2006 at General Santos City.

MARIO Y. DIDELES
Affiant
CTC NO. 08693459
Issued on 1.06.06
At General Santos City

SUBSCRIBED AND SWORN to before me this 13th day of


February, 2006 at General Santos City, Philippines.

Doc. No. ____________;


Page No. ____________;
Book No. ____________;
Series of 2006.

You might also like