Professional Documents
Culture Documents
Affidavit of Loss LTO Format
Affidavit of Loss LTO Format
________________________
Affiant
Res. Cert. No. _____________
Issued at _________________
On _________________ 2012
SUBSCRIBED AND SWORN to before me this _______________ in Babak, Island
Garden City of Samal, Philippines, affiant exhibited to me her residence certificate, number
of which is clearly written as above indicated.
MARDOCHEO S. CAMPOREDONDO
Notary Public
Doc. No. _______; Until December 31, 2013
Page No. _______; PTR No. 4186724 issued at Samal City
Book No. _______; on January 2, 2012
Series of 2012. TIN 880-114-418-669