Professional Documents
Culture Documents
AFFIDAVIT OF LOSS
I, VICENTE M. BACCAY JR., of legal age, Filipino and a resident of Patalan, Paniqui,
Tarlac, after having been duly sworn to in accordance with law, depose and state:
3. That I put the above said wallet which contains the above-mentioned identification card
inside my pocket;
4. That sometime on January 14 2022 at around 11:30 in the evening the said valid
identification cards was drop and got lost while I was in Barangay Cayanga, Paniqui,
Tarlac;
5. That despite diligent search and efforts to locate the said wallet including the above said
identification cards, I could not find the same such that I believe that it is now lost
beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of January 2022 in
Paniqui, Tarlac Philippines.
SUBCRIBED AND SWORN TO before me this 17th day of January 2022 in Paniqui,
Tarlac Philippines.
AFFIDAVIT OF LOSS
9. That I put the above said wallet which contains the above-mentioned
identification card inside my packet;
10. That sometime on January 11, 2022 the said valid identification
cards was drop and got lost while I was in Paniqui Public Market–
Paniqui, Tarlac;
11. That despite diligent search and efforts to locate the said wallet
including the above said identification cards, I could not find the same
such that I believe that it is now lost beyond recovery;
AFFIDAVIT OF LOSS
j) Driver’s License
k) Emirates I.D.
15. That I put the above said wallet which contains the above-
mentioned identification card inside my packet;
16. That sometime on November 14, 2021 the said valid identification
cards was drop and got lost while riding my motorcycle on my way along
Mc Arthur Highway – Paniqui, Tarlac;
17. That despite diligent search and efforts to locate the said wallet
including the above said identification cards, I could not find the same
such that I believe that it is now lost beyond recovery;
AFFIDAVIT OF LOSS
3. That despite diligent search and efforts to locate the said wallet including
the above said identification card and receipt, I could not find the same
such that I believe that it is now lost beyond recovery;
ROLITO D. ACOSTA
Affiant
AFFIDAVIT OF LOSS
6. That inside the said wallet are my driver’s license (student), birth
certificate receipt of my child Angel Faith L. Exiomo and the PhilHealth
I.D. of my wife Marife L. Exiomo;
8. That despite diligent search and efforts to locate the said wallet including
the above said identification card and receipt, I could not find the same
such that I believe that it is now lost beyond recovery;
GENESIS EXIOMO
Affiant
AFFIDAVIT OF LOSS
21. That I usually put the above said wallet which contains the above
mentioned belongings inside my short’s back pocket;
22. That sometime on July 1, 2021, the said wallet got lost, while;
23. That despite diligent search and efforts to locate the said wallet
including the above said identification cards and cash, I could not find
the same such that I believe that it is now lost beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of July
2021 in Paniqui, Tarlac Philippines.
AFFIDAVIT OF LOSS
3. That on June 15, 2019 the said wallet was drop and got lost;
4. That despite diligent search and efforts to locate the said wallet including
the above said identification cards and cash, I could not find the same
such that I believe that it is now lost beyond recovery;
AFFIDAVIT OF LOSS
a. PhilHealth ID
b. Driver’s License
c. OneThousand Three Hundred Pesos (P1,300.00)
3. That on July 24, 2019 the said wallet was drop and got lost;
4. That despite diligent search and efforts to locate the said wallet including
the above said identification cards and cash, I could not find the same
such that I believe that it is now lost beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 25th day of July
2019 in Paniqui, Tarlac Philippines.
EDMOND ROMBAOA
Affiant
AFFIDAVIT OF LOSS
d. PhilHealth ID
e. Driver’s License
f. OneThousand Three Hundred Pesos (P1,300.00)
3. That on July 24, 2019 the said wallet was drop and got lost;
4. That despite diligent search and efforts to locate the said wallet including
the above said identification cards and cash, I could not find the same
such that I believe that it is now lost beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 25th day of July
2019 in Paniqui, Tarlac Philippines.
EDMOND ROMBAOA
Affiant
AFFIDAVIT OF LOSS
3. That on December, 2019, the said wallet was dropped and got lost while
riding on a tricycle on my way home at Abagon Gerona Tarlac;
4. That despite diligent search and efforts to locate the said wallet including
the above said identification cards, I could not find the same such that I
believe that it is now lost beyond recovery;
RHEYNAN S. MONFORTE
Affiant
AFFIDAVIT OF LOSS
3. That on February 20, 2020 in the morning while I was driving along the
highway on my way home the said wallet was missing;
4. That despite diligent search and efforts to locate the said wallet including
the above said identification cards and cash, I could not find the same
such that I believe that it is now lost beyond recovery;
JEFFREY B. MABANGLO
Affiant
AFFIDAVIT OF LOSS
a. Driver’s License.
b. TIN I.D.
c. PHILHEALTH I.D.
3. That on February 19, 2020 in the afternoon while I was driving along the
highway on my way home the said wallet was missing;
4. That despite diligent search and efforts to locate the said wallet including
the above said identification cards, I could not find the same such that I
believe that it is now lost beyond recovery;
JESREN M. COMEDIA
Affiant
AFFIDAVIT OF LOSS
a. Driver’s License.
b. Banco De Oro Debit Card
c. Official Receipt and Certificate of Registration of motor vehicle
3. That on March 12, 2020 in the afternoon while I was driving along the
highway on my way home the said wallet was missing;
4. That despite diligent search and efforts to locate the said wallet
including the above said identification cards, I could not find the
same such that I believe that it is now lost beyond recovery;
HERMINIO F. MENDOZA.
Affiant
AFFIDAVIT OF LOSS
2. 2.I lost said Identification card on June 22, 2020, and that I exerted all
my efforts to locate the same but I could not remember exactly where I
placed it and it is considered lost for all legal purposes;
IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of July
2020 in Paniqui, Tarlac Philippines.
REINA Q. LLORENTE
Affiant
AFFIDAVIT OF LOSS
2. That inside the said wallet are my driver’s license (Non-Professional) and
original copy of Official Receipt and Certificate of Registration of my
motor vehicle;
4. That despite diligent search and efforts to locate the said wallet including
the above said identification card and receipt, I could not find the same
such that I believe that it is now lost beyond recovery;
JOEMART D. AMOROSO
Affiant