Professional Documents
Culture Documents
Province of Pangasinan )
City of Dagupan ) S.S.
AFFIDAVIT OF LOSS
(T.I.N. Card)
1. I am the true and lawful owner of a Tax Identification Number (T.I.N.) Card No. ( )
issued by the Bureau of Internal Revenue of (PLACE OF OFFICE) on (DATE OF
ISSUE);
2. sometime on (DATE), I was looking for the said T.I.N. Card, but to my surprise, the
same could not be found (ADD, CHANGE OR MODIFY BY INSERTING THE
DETAILS NEEDED ACCORDING TO THE CIRCUMSTANCES);
3. despite earnest and painful efforts on my part to search, locate and retrieve the
aforesaid T.I.N. Card, the same proved me futile and in vain;
4. said T.I.N. Card was not confiscated by any officer of the law or the officers of the
Bureau of Internal Revenue by reason of any violation of any law, ordinance,
presidential decree or rules and regulations of the said office; neither was it offered as
collateral for any loan nor transferred to any person or entity nor used for any
unlawful purpose; and
5. I am executing this affidavit to attest to the truth of the foregoing, to request from the
Bureau of Internal Revenue of (PLACE OF OFFICE) a replacement copy of the said
T.I.N. Card, and for all legal intents and purposes this may serve.
_________________________________
(AFFIANT’S NAME)
Affiant