Republic of the Philippines)

Province of Tarlac ) S.S.

Municipality of Paniqui )

AFFIDAVIT OF LOSS

I, EVANGELINE D. GUIANG, of legal age, Filipino and a resident of Paniqui, Tarlac,

after having been duly sworn in accordance with law do hereby depose and state:

1. That I am the registered owner of a business name GUIANG COMMERCIAL

STALL RENTAL located at Poblacion Sur, Paniqui, Tarlac, with the Bureau of
Internal Revenue (BIR) with TIN No. _______________________________;

2. As such, I was issued of the below mentioned books in relation to said business:

a) Book of Account
b) Journal
c) Cash Disbursement
d) Ledger

3. That sometime in the year 2021, the above mentioned books was lost/missing;

4. That I exerted my best effort to locate the said books but the same proved futile
hence, I now consider the same as lost and beyond recovery;

5. That I am executing this affidavit to attest to the truth of the foregoing statements and
for all legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 11th day of January 2022,
in Paniqui, Tarlac Philippines.

EVANGELINE D. GUIANG
Affiant

SUBCRIBED AND SWORN TO before me this 11th day of January 2022, in Paniqui,
Tarlac Philippines.

Doc. No.: __________ ATTY. JENY ANNE D. MADAMBA

Page No: __________ Notary Public until December 31, 2022
Book No.: _________ Carriedo St., Paniqui, Tarlac 2307
Series 2022. Roll No. 69184; May 31, 2017
PTR No. 5428719; January 03, 2022; Paniqui, Tarlac
IBP No. 017673; July 15, 2017; Tarlac Chapter
MCLE Compliance No. VI-0011044

Republic of the Philippines)

Province of Tarlac ) S.S.
Municipality of Paniqui )

AFFIDAVIT OF LOSS
 I, KATHREEN GRACE DE GUZMAN LAVAPIE, of legal age, Filipino and
a resident of Poblacion Norte, Paniqui, Tarlac, after having been duly sworn in
accordance with law do hereby depose and state:

6. That I am the registered owner of a business (registered as practice of

profession/lawyer) under the name LAVAPIE, KATHREEN GRACE
DE GUZMAN located at Poblacion Norte, Paniqui, Tarlac, with the
Bureau of Internal Revenue (BIR) with TIN No. 489-835-909-000;

7. As such, I was issued an original Certificate of Registration, unused

Official Receipts and Ask for Receipt poster in relation to said
business;

8. That sometime in the year 2018, the original Certificate of

Registration, unused Official Receipts and Ask for Receipt poster of
said business were lost/missing;

9. That I exerted my best effort to locate the said original Certificate of

Registration, unused Official Receipts and Ask for Receipt poster but
the same proved futile hence, I now consider the same as lost and
beyond recovery;

10. That I am executing this affidavit to attest to the truth of the

foregoing statements and for all legal intents and purposes it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 29th day of

May 2020, in Paniqui, Tarlac Philippines.

KATHREEN GRACE DE GUZMAN LAVAPIE

Affiant

SUBCRIBED AND SWORN TO before me this 29th day of May 2020, in

Paniqui, Tarlac Philippines.

Doc. No.: __________

Page No: __________
Book No.: _________
Series 2020.